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: chest pain major surgical or invasive procedure: - cabgx4 (left internal mammary ->left anterior descending artery, vein->diagonal artery, vein->obtuse marginal, vein->posterior descending artery) history of present illness: 48 year old gentleman with known coronar artery disease who recently presented with exertional angina. a stress mibi was performed which showed a moderate perfusion deficit in the mid lateral wall. a cardiac catheterization was performed which showed severe three vessel disease. given the severity of his disease, he was referred for surgical revascularization. past medical history: cad s/p bms x 2 ' htn dm hypercholesterolemia osa - uses cpap social history: patient works as a printing press repair man. he quit smoking 15 years ago, but recently started again 8 months ago, smoking cigarettes per day. he is married, and lives in . social drinker and no ivdu family history: father with cabg at 59 sister with multiple stents at 58 physical exam: 66 148/87 72" 230lbs gen: wdwn in nad skin: warm, dry, no clubbing or cyanosis. heent: perrl, anicteric sclera, op benign neck: supple, no jvd, from. lungs: cta bilaterally heart: rrr, no m/r/g abd: soft, nd/nt/nabs ext:warm, well perfused, no bruits, no varicosities,no peripheral edema neuro: no focal deficits. pertinent results: echo pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 6. trivial mitral regurgitation is seen. post-bypass: for the post-bypass study, the patient is being a paced intermittently and is in sinus rhythm when not paced. 1. bi ventricular function is preserved. 2. aorta is intact post decannulation 3. other findings are unchanged cxr in comparison with the study of , the patient has taken a much poorer inspiration. the endotracheal and nasogastric tubes have been removed. swan-ganz catheter has been pulled back and only a right ij sheath remains. specifically, no evidence of pneumothorax. blunting of the costophrenic angle on the left persists. probable bibasilar atelectatic changes. brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. by postoperative day one, mr. had awoke neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. he was later transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for asistance with his postoperative strength and mobility. mr. continued to make steady progress and was discharged home on postoperative day four. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. to note pt potassium was 6.1 / kayexalate given time one / on dc k is stable. pt will not be given potassium supplements on dc. medications on admission: lopressor 25mg metformin 500mg aspirin 325mg qd lipitor 80mg qd lisinopril 20mg qd discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. 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* 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. levofloxacin 250 mg tablet sig: three (3) tablet po q24h (every 24 hours) for 14 days. disp:*42 tablet(s)* refills:*0* 8. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. disp:*30 suppository(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* 10. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad s/p cabg ptca/stenting and htn diabetes hyperlipidemia hyperkalemia obstructive sleep apnea discharge condition: stable 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. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. in weeks. please call all providers for appointments. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart cardioplegia diagnoses: pneumonia, organism unspecified hyperpotassemia obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse other and unspecified hyperlipidemia examination of participant in clinical trial 

Answer: The patient is high likely exposed to