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: zestril / pravachol / zocor / mevacor / crestor attending: chief complaint: chest pain major surgical or invasive procedure: urgent coronary artery bypass graft x 4 (lima to lad, svg to om, svg to diag, svg to pda) history of present illness: 81 y/o male who was c/o chest pressure x 1 month with activity. cardiac cath was initially declined by him but when his bnp and cxr showed mild vascular congestion he agreed. cath revealed a 95% left main lesion along with three vessel coronary artery disease. he was then transferred to for urgent/emergent bypass surgery. past medical history: gastroesophageal reflux disease, hypertension, hypercholesterolemia, sick sinus syndrome s/p ppm, peripheral neuropathy, restless leg syndrome, chronic renal insufficiency, prostate cancer psh: radical prostatectomy, bilateral carpal tunnel release, squamous cell removal, bilateral cataract surgery social history: quit smoking greater than 40 years ago. drinks approximately 2 etoh beverages/day. family history: brother with cabg at age 85. physical exam: vs: 64 20 147/70 5'7" 175# gen: 81 y/o male lying in bed in nad skin: unremarkable heent: eomi, perrl, op benign neck: supple, from, -jvd, -carotid bruit chest: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused, -edema, -varicosities neuro: a&o x3, mae, non-focal pertinent results: 06:10am blood wbc-7.4 rbc-2.73* hgb-8.3* hct-24.0* mcv-88 mch-30.5 mchc-34.8 rdw-14.1 plt ct-226 05:35am blood wbc-9.9 rbc-2.32* hgb-7.2* hct-21.4* mcv-92 mch-31.0 mchc-33.5 rdw-13.1 plt ct-191 12:25pm blood wbc-5.1 rbc-3.70* hgb-11.2* hct-32.6* mcv-88 mch-30.2 mchc-34.3 rdw-12.6 plt ct-274 06:10am blood plt ct-226 12:25pm blood pt-14.8* ptt-97.2* inr(pt)-1.3* 08:47pm blood fibrino-206 06:10am blood glucose-103 urean-44* creat-1.6* na-141 k-4.3 cl-104 hco3-28 angap-13 05:35am blood glucose-155* urean-46* creat-2.1* na-138 k-4.9 cl-104 hco3-28 angap-11 06:10am blood calcium-8.5 phos-2.3* mg-2.5 12:25pm blood %hba1c-6.3* chest (pa & lat) 10:26 am chest (pa & lat) reason: r/o inf, eff medical condition: 81 year old man with reason for this examination: r/o inf, eff history: rule out infiltrate or effusion. chest, two views. the lungs are hyperinflated and diaphragms are flattened, consistent with copd. there is eventration of the right hemidiaphragm. the patient is status post sternotomy, with cardiomegaly including prominence of the left main pulmonary artery versus left hilum. there is a left-sided pacemaker with lead tips over right atrium and right ventricle. there is a small amount of pleural fluid and/or thickening bilaterally. no chf or focal infiltrate is identified. minimal atelectasis is present bilaterally. compared with , inspiratory volumes have improved somewhat. the small pleural effusions are more easily identified, but not clearly different. dr. echocardiography report , (complete) done at 5:40:17 pm final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 81 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for off pump cabg icd-9 codes: 402.90, 786.51, 440.0 test information date/time: at 17:40 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 #: 2008aw1-: machine: aw1 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.8 cm <= 4.0 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.0 cm <= 5.6 cm left ventricle - ejection fraction: 40% to 45% >= 55% aorta - ascending: *3.7 cm <= 3.4 cm aorta - descending thoracic: *2.8 cm <= 2.5 cm aortic valve - peak gradient: 5 mm hg < 20 mm hg aortic valve - lvot diam: 2.2 cm findings left atrium: moderate la enlargement. mild spontaneous echo contrast in the body of the la. no spontaneous echo contrast or thrombus in the body of the laa. good (>20 cm/s) laa ejection velocity. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. mild symmetric lvh. normal lv cavity size. mild regional lv systolic dysfunction. right ventricle: normal rv chamber size and free wall motion. aorta: focal calcifications in aortic root. mildly dilated ascending aorta. focal calcifications in ascending aorta. simple atheroma in aortic arch. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. physiologic mr (within normal limits). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. 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 rhythm appears to be a-v paced. results were personally reviewed with the md caring for the patient. conclusions prebypass: the left atrium is moderately dilated. mild spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with apical akinesis and distal anterior hypokinesis.. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). dr. was notified in person of the results in the operating room at the time of the procedure.. postbypass: normal rv systolic function. thoracic aortic contour is intact. minimal mr. improved lv systolic function in ptrbioudly hypokinretic areas. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 01:16 brief hospital course: mr. was transferred from following cardiac catherization that showed severe left main and three vessel disease. upon admission to the cvicu, he was continued on iv heparin and appropriately worked-up. he was taken to the operating shortly thereafter where he underwent a coronary artery bypass graft x 4. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta blockers and diuretics and gently diuresed towards his pre-op weight. also on this day his chest tubes were removed and he was transferred to the telemetry floor for further care. on post-op day two his epicardial pacing wires were removed and his was transfused several units of blood secondary to low hct (21). his hct improved post transfusion. he continued to improve and beta blockers were titrated up. physical therapy worked with him for strength and mobility. he was ready for discharge home with services on pod 5. medications on admission: atenolol 25mg qd, cozaar 100mg qd, klonopin 0.5mg qhs, aspirin 81mg qd, gemfibrozil 600mg , zantac 150mg prn, prilosec 20mg qd, neurontin 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. 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* 3. 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* 4. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 6. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 8. clonazepam 0.5 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. disp:*15 tablet(s)* refills:*0* 9. gabapentin 300 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 12. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p urgent coronary artery bypass graft x 4 pmh: gastroesophageal reflux disease, hypertension, hypercholesterolemia, sick sinus syndrome s/p ppm, peripheral neuropathy, restless leg syndrome, chronic renal insufficiency, prostate cancer psh: radical prostatectomy, bilateral carpal tunnel release, squamous cell removal, bilateral cataract surgery discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call for redness or drainage from surgical wounds 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: please call to schedule appointments 6 for wound check in 2 weeks dr. in 4 weeks dr. in weeks md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of malignant neoplasm of prostate chronic kidney disease, unspecified mononeuritis of lower limb, unspecified personal history of other malignant neoplasm of skin cardiac pacemaker in situ restless legs syndrome (rls) 

Answer: The patient is high likely exposed to