Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: - cabgx3 (left internal mammary->left anterior descending artery, vein graft->obtuse marginal artery, vein graft->ramus). history of present illness: 61 y/o male with 3 month history of dyspnea. he underwent an ett on changes and was referred for a cardiac catheterization. this revealed significant three vessel disease. he is now referred for surgical management. past medical history: cad diabetes hyperlipidemia htn social history: computer tech. quit smoking 32 years ago. lives with wife. family history: none physical exam: admission vs72 12 180/90 64" 205 gen: wdwn in nad heent: perrl, eomi, ncat. no carotid bruits. lungs: clear heart: rrr, nl s1-s2 abd: benign, obese ext: warm, well perfused. 2+ pulses. neuro: nonfocal discharge vs 99.2 73sr 113/68 20 96% ra gen: nad neuro: alert, non-focal exam pulm: cta-bilat cv: rrr, no murmur. sternum w/click, no drainage or erythema abdm: soft, nt/nd/+bs ext: warm, trace pedal edema pertinent results: 05:45am blood hct-27.1* 08:00am blood wbc-11.7* rbc-2.68* hgb-8.1* hct-23.2* mcv-87 mch-30.0 mchc-34.7 rdw-13.6 plt ct-277 05:45am blood pt-14.1* inr(pt)-1.2* 07:30am blood pt-19.1* inr(pt)-1.8* 02:00pm blood pt-13.4 ptt-29.9 inr(pt)-1.2* 08:00am blood glucose-149* urean-27* creat-1.0 na-137 k-3.9 cl-99 hco3-29 angap-13 radiology final report chest (pa & lat) 9:54 am chest (pa & lat) reason: eval for pneumo medical condition: 61 year old man s/p cabgx3 reason for this examination: eval for pneumo pa and lateral chest from history: status post cabg. impression: pa and lateral chest compared to : small bilateral pleural effusions have increased since . cardiomediastinal silhouette has a normal post-operative appearance. mild linear atelectasis is present in the left lung, the lungs are otherwise clear. mild mediastinal vascular engorgement is unchanged. no pneumothorax. dr. echocardiography report , (complete) done at 12:47:52 pm preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 61 m hgt (in): 64 bp (mm hg): 110/60 wgt (lb): 206 hr (bpm): 55 bsa (m2): 1.98 m2 indication: cad icd-9 codes: 402.90, 786.05, 440.0 test information date/time: at 12:47 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw01-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.9 cm <= 4.0 cm left ventricle - septal wall thickness: *1.6 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.6 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - sinus level: 3.2 cm <= 3.6 cm aorta - ascending: 3.0 cm <= 3.4 cm aortic valve - peak velocity: 1.7 m/sec <= 2.0 m/sec aortic valve - peak gradient: 6 mm hg < 20 mm hg aortic valve - mean gradient: 3 mm hg findings left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. left ventricle: moderate symmetric lvh. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. focal calcifications in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. moderately thickened aortic valve leaflets. minimally increased gradient c/w minimal as. mitral valve: normal mitral valve leaflets with trivial mr. valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. resting bradycardia (hr<60bpm). results conclusions pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve sclerosis. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post_bypass: normal biventricular systolic function. trivial mr, tr. thoracic aortic contour is intact. interpretation assigned to , md, interpreting physician brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to three vessels including lima-lad,svg-om,svg-ramus. bypass time was 99 minutes witha crossclamp of 83 minutes. please see operative note for details. he tolerated the operation well and postoperatively he was taken to the intensive care unit. he did well hemodynamically he awoke neurologically intact and was extubated. on postoperative day one he was transferred to the step down unit for monitoring. he was gently diuresed to his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. the diabetes service was consulted as his blood sugars were difficult to control postoperatively. insulin lantus and humalog was started with better control. he had atrial fibrillation which was treated with beta blockade and amiodarone, and he was started on coumadin. he was seen by electrophysiology and will go home with of hearts monitor. on pod 6 it was decided he was stable and ready to discharge home with visiting nurses. spoke with dr. who will follow coumadin and refer mr. to a cardiologist. medications on admission: asa 325' lopressor xl 50' lipitor 10' moexpril 15' glucosamine/chondroitin gaviscon discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. aspirin 81 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. amiodarone 200 mg tablet sig: three (3) tablet po daily (daily) for 5 days: sig: 600 mg daily x 5 days (to finish 1 week started on ), then 400 daily x 1 week, then 200 daily. disp:*50 tablet(s)* refills:*0* 7. insulin lispro 100 unit/ml solution sig: per sliding scale subcutaneous four times a day. disp:*qs 1 month* refills:*0* 8. insulin glargine 100 unit/ml solution sig: fifty two (52) units subcutaneous at bedtime. disp:*qs 1 month* refills:*0* 9. diabetic supplies insulin syringes test strips lancets as dir. qs 1 month 10. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 11. warfarin 2.5 mg tablet sig: one (1) tablet po daily16 (once daily at 16) for 1 days: check inr with results to dr. **. disp:*60 tablet(s)* refills:*0* 12. toprol xl 50 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day. disp:*45 tablet sustained release 24 hr(s)* refills:*0* 13. moexipril 7.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: cad s/p cabg diabetes htn hyperlipidemia discharge condition: good. discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. 8) coumadin - inr to be checked with results to dr. . goal inr for atrial fibrillation. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with cardiologist in weeks. dr. will refer you to a cardiologist in his group. please follow-up with pcp . this week, please call him to arrange an appointment once you get home. please call all providers for appointments. coumadin follow-up with dr. . procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of tobacco use other and unspecified hyperlipidemia long-term (current) use of insulin long-term (current) use of aspirin 

Answer: The patient is high likely exposed to