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: sulfa (sulfonamide antibiotics) / iv dye, iodine containing attending: chief complaint: exertional angina major surgical or invasive procedure: - cabgx2 (left internal mammary->left anterior descending, saphenous vein graft-> - cardiac catheterization history of present illness: 70 yo f with cad s/p mulitple pcis between - with eight coronary stents, dm type i, htn, hl and medullary sponge kidney s/p ra who presents for cardiac catheterization for cabg evaluation. she presented to her cardiologist, with recurrent exertional angina and he reccomended cath. she states that for the past 6 mo her chest discomfort has become more frequent and severe. she states that she gets cp when she walks on an incline or walks fast, substernal, radiating to arms bilateral, sometimes to the jaw as well, relieved by rest and accompanied by sob, diaphoresis. she presented today for a diagnostic cath. on cath she was found to have the lad had a 90% proximal in-stent restenosis and an 80% mid-vessel stenosis. the lcx had a patent ramus stent and no significant stenoses. the rca had a 70% proximal stenosis and a 70% distal stenosis. past medical history: 1. cardiac risk factors: diabetes, dyslipidemia, hypertension 2. cardiac history: -percutaneous coronary interventions: multiple pcis at hospital and center in between and with a total of 8 prior stents. most recent stent procedure was on at which time long taxus stents were placed in the lad and a long taxus stent was placed in the rca and the left renal artery was also stented. other: renal artery stent medullary sponge kidney without known sequelae endometriosis type i iddm diagnosed at age 52 hypertension hyperlipidemia benign breast lumpectomy tonsillectomy social history: -tobacco history: -etoh: -illicit drugs: family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: t 97.8, bp 124/48, hr 68, rr 18, sat 97% ra general: well appearing in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple without jvp elevation. cardiac: pmi not felt. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. no abdominial bruits. extremities: no c/c/e. no femoral bruits. cath site c/d/i, no bruits or hematoma. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ 2+ dp 2+ pt 2+ left: carotid 2+ 2+ dp 2+ pt 2+ pertinent results: cardiac catheterization 1. selective coronary angiography of this right-dominant system demonstrated two-vessel coronary artery disease. the lmca had no significant stenoses. the lad had a 90% proximal in-stent restenosis and an 80% mid-vessel stenosis. the lcx had a patent ramus stent and no significant stenoses. the rca had a 70% proximal stenosis and a 70% distal stenosis. 2. limited resting hemodynamics demonstrated mildly elevated left ventricular filling pressures with an lvedp of 21 mmhg. there was no gradient seen on left-heart pullback. systemic arterial hypertension was noted with a central aortic pressure of 165/61 mmhg. 3. left ventriculography revealed normal global and regional systolic function and no significant mitral regurgitation. final diagnosis: 1. two vessel coronary artery disease. 2. left ventricular diastolic dysfunction. 3. systemic arterial hypertension. echo pre bypass 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. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). the right ventricular cavity is mildly dilated with normal free wall contractility. there are simple atheroma in the ascending aorta. there are simple 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. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study. post bypass normal biventricular systolic function. thoracic aorta is intact. no significant change from pre-bypass study. carotid usthere is less than 40% stenosis within the internal carotid arteries bilaterally. preop 09:40am pt-12.6 ptt-31.6 inr(pt)-1.1 09:40am plt count-273 09:40am wbc-6.9 rbc-3.84* hgb-10.9* hct-32.6* mcv-85 mch-28.4 mchc-33.4 rdw-14.3 09:40am %hba1c-8.0* 09:40am albumin-3.9 09:40am alt(sgpt)-12 ast(sgot)-13 alk phos-47 tot bili-0.3 09:40am glucose-145* urea n-17 creat-0.9 sodium-139 potassium-4.2 chloride-106 total co2-24 anion gap-13 post-op 09:00am blood wbc-10.1 rbc-3.87* hgb-11.2* hct-32.7* mcv-85 mch-29.0 mchc-34.3 rdw-14.7 plt ct-290 09:00am blood plt ct-290 03:22pm blood pt-13.5* ptt-41.1* inr(pt)-1.2* 09:00am blood glucose-188* urean-12 creat-1.0 na-137 k-4.8 cl-97 hco3-33* angap-12 05:35am blood alt-31 ast-26 ld(ldh)-218 alkphos-51 amylase-15 totbili-0.5 radiology report chest (portable ap) study date of 3:57 pm medical condition: 70 year old woman with small ap. ptx post ct pull final report history: chest tube removal, to evaluate for pneumothorax. findings: in comparison with the study of , the chest tube has been removed and there is no evidence of pneumothorax. there has also been removal of the right central catheter. bibasilar atelectatic change persists. small pleural effusions are again noted. dr. approved: wed 9:44 pm imaging lab brief hospital course: mrs. was admitted to the on for a cardiac catheterization given the progression of her chest pain. this revealed severe two vessel disease with patent stents in her left circumflex system. given the severity of her disease, the cardiac surgical service was consulted. she was worked-up in the usual preoperative manner including a carotid duplex ultrasound which revealed a less than 40% stenosis within the internal carotid arteries bilaterally. as she had been on plavix, her surgery was delayed several days to allow the medication to clear. on , mrs. was taken to th eoperating room where she underwent coronary artery bypass grafting to two vessels. please see operative note for details. in summary she had coronary bypass graft with left internal mamary to left anterior descending artery and reverse saphenous vein graft to right coronary artery. her bypass time was 48 minutes with a crossclamp time of 38 minutes. she tolerated the operation well and was transferred from the operating room to the cardiac surgery icu in stable condition. in the immediate post operative period she was hemodynamically stable, she woke neurologically intact, was weaned from the ventilator and extubated. on pod1 she was transferred to the stepdown floor for continued care and recovery from surgery. beta blockade, aspirin and a statin were resumed. plavix was reastarted given her multiple circumflex system stents. clinic was consulted for assistance with her diabetes control. the remainder of her post operative course was uneventful and on pod 5 she was discharged home with visiting nurses. medications on admission: plavix 75mg po daily lantus 12 units q hs humalog pen sliding scale 3x/day nph 4 units q am lisinopril 10mg po daily ranexa 500mg po daily (prescribed for , but pt only takes once daily d/t hair loss side effect) crestor 20mg po daily asa 81 mg po daily centrum silver 1 tab po daily omeprazole 20mg po bid sl nitro prn discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): 20mg x10 days then 20mg qd x10 days. disp:*30 tablet(s)* refills:*0* 2. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po twice a day: 20 meq x10 days then 20 meq qd x10 days. disp:*60 tablet sustained release(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day: resume preop schedule. 5. 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* 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. insulin glargine 100 unit/ml solution sig: twelve (12) units subcutaneous qhs. 11. nph insulin human recomb 100 unit/ml suspension sig: four (4) units subcutaneous qam. 12. humalog 100 unit/ml solution sig: sliding scale subcutaneous three times a day. discharge disposition: home with service facility: district visiting nurse assoc. discharge diagnosis: cad s/p cabgx2 (lima-lad, svg-rca) hypertension hyperlipidemia cad s/p multiple(8)pcis from - renal artery stent type i dm diagnosed age 52 medullary sponge kidney without known sequelae x40 yrs endometriosis discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn wound: healing well, no erythema or drainage 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 approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: surgeon dr. on @1:15pm primary care dr. in weeks call to schedule appointments cardiologist dr. in weeks call to schedule appointments wound check appointment - 6 () - your nurse will schedule 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 one coronary artery diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension personal history of tobacco use occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia long-term (current) use of insulin other complications due to other cardiac device, implant, and graft family history of ischemic heart disease surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction medullary sponge kidney 

Answer: The patient is high likely exposed to