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: penicillins / cephalosporins / iv dye, iodine containing contrast media attending: chief complaint: chest discomfort major surgical or invasive procedure: coronary artery bypass grafting x4, with the left internal mammary artery to the left anterior descending artery and reversed saphenous vein graft to the diagonal artery, obtuse marginal artery, and posterior descending artery history of present illness: 66m with history of hypertension and hyperlipidemia developed chest discomfort with exertion over the preceeding months. stress test was abnormal and he was sent for cath. this revealed severe three vessel disease as well as a tight left main. he did not receive plavix. he is transferred for surgical revascularization. past medical history: coronary artery disease hypertension hyperlipidemia mitral valve prolapse, mitral regurgitation tinnitus gerd nephrolithiasis cervical radiculopathy social history: lives with: wife in occupation: retired- works part time as executive coach cigarettes: smoked no etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use: none family history: mother died young of liver cirrhosis father died at 92 physical exam: admission: pulse: 71 b/p 143/86 resp: 18 o2 sat: 98%ra height: 5'3" weight: 150 general: nad, wgwn, appears fit skin: dry intact no rash heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema _none___ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruits: no bruits discharge: vs t 99.7 bp 112/65 hr 71 sr rr 20 o2sat 98%-ra gen nad neuro a&o x3, nonfocal exam chest cv-rrr, no murmur. sternum stable, incision cdi pulm basilar crackles abdm soft, nt/nd/+bs ext warm, well perfused. 1+ bilat le edema pertinent results: intra-op echo: conclusions pre bypass the left atrium is elongated. 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 a narrow jet of venous flow entering the right atrium near the inferior vena caval junction. difficult to definitively define source - may represent coronary sinus flow or hepatic vein flow. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. 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. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is atrially paced. normal biiventricular systolic function. no change in valvular function. the thoracic aorta is intact after decannulation. no other changes from the pre-bypass study. radiology report chest (portable ap) study date of 8:12 am final report: a small right pneumothorax may be slightly smaller compared with yesterday at 4 p.m. left-sided pneumothorax remains questionable. -basilar atelectasis and a small left effusion are unchanged. postoperative changes to the mediastinum are stable. right-sided internal jugular catheter remains in the low svc. cervical fusion hardware is again present. impression: slight decrease in size in small right apical pneumothorax. presence of a left apical pneumothorax remains questionable. dr. there is no report history available for viewing. . 06:35am blood wbc-7.1 rbc-3.37* hgb-10.5* hct-31.4* mcv-93 mch-31.2 mchc-33.4 rdw-13.1 plt ct-315 06:35am blood wbc-7.4 rbc-3.09* hgb-9.5* hct-28.8* mcv-93 mch-30.9 mchc-33.1 rdw-13.0 plt ct-242 06:35am blood glucose-111* urean-17 creat-1.2 na-141 k-4.0 cl-103 hco3-25 angap-17 06:35am blood urean-16 creat-1.1 na-140 k-4.0 cl-102 brief hospital course: mr was transferred to from outside hospital after cardiac catheterization revealed severe three vessel coronary artery disease. he was transferred here for coronary revascularization. after typical preoperative workup he was brought to the operating room on where the patient underwent cabg with dr. . please see the operative report for details, in summary he had: coronary artery bypass grafting x4, with the left internal mammary artery to the left anterior descending artery and reversed saphenous vein graft to the diagonal artery, obtuse marginal artery, and posterior descending artery. his cross-clamp time was 80 minutes, with a bypass time of 92 minutes. he tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. he woke from anesthesia neurologically intact and was extubated on the day of surgery. pod 1 found the patient extubated, alert, oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable. beta blockers were initiated and the patient was gently diuresed toward the preoperative weight. also on pod1 the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued per cardiac surgery protocol without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility.he worked daily with nursing and physical therapy to improve strength and endurance. on pod3 the patient developed a fever and workup was negative. he did develop a hematoma at the knee site of his evh as well as a hematoma at the proximal thigh site. he was started on antibiotics. the hematoma at the knee resolved by discharge. the hematoma in the groin remained firm. the remainder of his hospital course was uneventful. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna in good condition with appropriate follow up instructions. medications on admission: chlorthalidone 25mg daily omeprazole 20mg daily pravastatin 20mg daily multivitamin aspirin 81mg daily vitamin d discharge medications: 1. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. 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:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 8. chlorthalidone 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. levaquin 500 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p cabg x4 hypertension hyperlipidemia mitral valve prolapse, mitral regurgitation tinnitus gerd nephrolithiasis cervical radiculopathy past surgical history - cervical surgery for herniated disc discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet sternal incision - healing well, no erythema or drainage extensive ecchymosis of lle, hematoma proximal/medial thigh edema 1+ bilat le edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. no lifting more than 10 pounds for 10 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office , phone: date/time: 10:30 surgeon: dr , phone: date/time: 1:15 cardiologist: dr. , at 12:30p please call to schedule the following: primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders unspecified essential hypertension hematoma complicating a procedure other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of urinary calculi arthrodesis status postprocedural fever 

Answer: The patient is high likely exposed to