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: demerol attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization coronary artery bypass graft x 5 (lima->lad, y svg->om1&2, svg->om3, svg->pda) history of present illness: mr is a 57 y/o m with a pmh of neurofibromatosis who was transferred to from osh for cardiac catheterization following a hospitalization for chest pain. past medical history: neurofibromatosis, chronic obstructive pulmonary disease, h/o spontaneous pneumothorax, s/p appendectomy social history: lives with his wife. at an aluminum factory as a receiver. has smoked 1ppd x40 years. he drinks ~6 beers each weekend. family history: strong history of nf in his mother, two brothers and 2 sisters, all deceased from complications of their nf. no history of thyroid or parathyroid disease. no history of mi or heart disease. physical exam: vs: t 98.6 bp 152/84 p 58 rr 16 98% ra general: cachectic, pleasant, comfortable appearing, nad heent: poor dentition with mult. missing teeth, mmm, eomi, perrl, op without lesions, anicteric neck: thin, no lad, no carotid bruits appreciated cv: rrr, normal s1, s2, no m/r/g lungs: cta anteriorly abdomen: thin, normoactive bs, soft, nt/nd ext: warm, no edema, 2+ pedal pulses b/l, 2+ femoral pulses b/l r groin: small amt of blood on dressing, no hematoma or femoral bruit neuro: aao x3, cnii-xii intact, moving all 4 extremities, unable to fully assess as patient on bedrest. skin: multiple neurofibromas scattered over entire body, no rashes pertinent results: cath: 1. selective coronary angiography of this right dominant system demonstrated a three vessel coronary artery disease. the lad and lcx had separate ostia. the lad had a 95% hazy ulcerated plaque and an 80% mid vessel stenosis. the lcx had a 60% mid vessel lesion. the om1 was a bifurcating vessel: the upper pole was non-obstrcuted and the lower pole was totally occluded and filled via collaterals. the rca was a small caliber vessel with a 90% bifurcation lesion at the pda and the plb. 2. resting hemodynamics revealed a normal left sided filling pressure with an lvedp of 8 mm hg. 3. left ventriculography revealed no mr. was calculated to be 70% with a normal wall motion. lv cavity was small and lv was hyperdynamic. chest/abd ct: 1. severe emphysematous changes in the upper lobes bilaterally with asymmetric apical scarring, left greater than right, both changing calcification which are presumably chronic changes. no adenopathy. if there are any prior older radiographic studies available elsewhere, it would be helpful to compare these to assure no suspicious interval change has occurred. otherwise, pet ct may help confirm no underlying malignancy. 2. atherosclerosis and calcified coronary artery plaque. 3. truncal cutaneous and subcutaneous neurofibromas. 4. mild prostatic enlargement. 5. two small left iliac lucencies. head ct: 1. no acute intracranial pathology, including no sign of intracranial mass or hemorrhage. 2. no intracranial "stigmata" of neurofibromatosis; scalp subcutaneous nodules could represent neurofibromas or other associated dermal lesions, and clinical correlation is recommended. head mri/mra: there is a small lacune within the right side of the pons. there are minimal periventricular white matter hyper-densities most consistent with minimal chronic microvascular ischemic changes. there are no enhancing lesions. and there are no areas of abnormal magnetic susceptibility. there is no midline shift, mass effect, or hydrocephalus. there is no slow diffusion to indicate an acute infarct. the 3d time-of-flight mra is normal with no evidence of aneurysms or stenoses. echo: pre bypass: left ventricular wall thicknesses and cavity size are normal. there is mild basilar inferior hypokinesis. the overall left ventricular systolic function is normal (>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch and borderline complex atheroma (.36-.39 cm) in the descending aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis.the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. the tricuspid valve appears normal with no tricuspid regurgitation. the pulmonic valve is normal with physiologic regurgitation. post bypass: preserved biventrciular function. >55% with no change in wall motion. aortic contours remain intact. remaining exam is unchanged. all findings disucssed with surgeons at the time of the exam. cxr: comparison with . the patient is status post median sternotomy and cabg. there is stable bullous change within the lung apices, as well as small bilateral pleural effusions, right greater than left. no pneumothorax is seen in the background of bullous disease. there is no new consolidation or pulmonary edema, or cardiomegaly. 10:30am glucose-100 urea n-15 creat-0.9 sodium-133 potassium-3.8 chloride-104 total co2-25 anion gap-8 10:30am alt(sgpt)-11 ast(sgot)-13 ck(cpk)-23* alk phos-76 amylase-228* tot bili-0.4 10:30am wbc-5.8 rbc-3.88* hgb-12.4* hct-34.5* mcv-89 mch-31.9 mchc-35.9* rdw-13.1 10:30am pt-12.6 ptt-33.5 inr(pt)-1.1 complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 06:15am10.1# 3.27* 9.7* 29.3* 90 29.8 33.3 14.6 196# renal & glucose glucose urean creat na k cl hco3 angap 06:15am 89 26* 1.1 138 4.2 100 27 15 medications on admission: home: darvocet 1 tab qid, albuterol inh prn, ibuprofen prn discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. 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* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 7. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po twice a day for 10 days. disp:*40 tablet sustained release(s)* refills:*0* 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): please take 400mg twice a day until then decrease to 400mg daily, then decrease to 200mg daily until follow up with cardiologist. disp:*62 tablet(s)* refills:*0* 9. bimatoprost 0.03 % drops sig: one (1) gtt ophthalmic qd (). disp:*qs gtt* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 pmh: neurofibromatosis, chronic obstructive pulmonary disease, h/o spontaneous pneumothorax, s/p appendectomy discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 4 weeks dr. 2 weeks dr. 2 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries transfusion of packed cells diagnoses: thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery tobacco use disorder chronic airway obstruction, not elsewhere classified atrial fibrillation other and unspecified angina pectoris neurofibromatosis, type 1 [von recklinghausen's disease] 

Answer: The patient is high likely exposed to