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: phenergan attending: chief complaint: chest pain major surgical or invasive procedure: - coronary bypass grafting x2 with left internal mammary to left anterior descending artery, reverse saphenous vein graft to obtuse marginal artery and reverse saphenous vein graft to right coronary artery history of present illness: 57 year old female with exertional chest pain and shortness of breath. her chest pain is sometimes accompanied by rapid pulse. angina does not occur at rest. a recent myoview stress test in was positive for ischemia. referred for coronary revascularization surgery. past medical history: - hypertension - dyslipidemia - depression - dystonia right hand digits (neuropathy) - insomnia - hysterectomy - oopherectomy - s/p lap chole - rem. l facial lesion social history: race:caucasian last dental exam:6 months ago lives alone occupation:school placement specialist tobacco: never etoh:rarely family history: mother died at age 58 from coronary disease. father had cabg. brother had cabg at 59. physical exam: pulse: 89, then 102 resp: 16 o2 sat: 99% ra b/p right: 149/97, then 160/109 left: 184/11, then 194/128 height: 5'1" weight: 116# general:anxious skin: dry healing scratch left inner forearm heent: perrla eomi anicteric sclera, op unremarkable neck: supple full rom no jvd; prominent pulsation in sternal notch when supine chest: lungs clear bilaterally heart: rrr irregular murmur-none abdomen: soft non-distended mild epigastric tenderness (chronically) bowel sounds + ; no hsm/cva tenderness extremities: warm , well-perfused edema- none varicosities: none neuro: grossly intact; nonfocal exam; mae strengths pulses: femoral right: 2+ ( tender at cath site) left: 2+ dp right: 1+ left: 1+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: none left:none ** pt is very thin with prominent pulsation in sternal notch when supine pertinent results: post-op 12:14pm hgb-9.6* calchct-29 12:14pm glucose-86 lactate-0.6 na+-139 k+-3.1* cl--112 03:50pm fibrinoge-165 03:50pm pt-17.1* ptt-32.6 inr(pt)-1.5* 03:50pm plt count-149* 05:08pm urea n-10 creat-0.5 chloride-118* total co2-20* discharge 06:15am blood wbc-10.5 rbc-3.62* hgb-11.0* hct-32.7* mcv-90 mch-30.3 mchc-33.6 rdw-13.4 plt ct-397 06:15am blood plt ct-397 12:56am blood pt-14.0* ptt-30.1 inr(pt)-1.2* 06:15am blood glucose-98 urean-12 creat-0.8 na-142 k-5.0 cl-106 hco3-27 angap-14 06:15am blood phos-4.0 mg-2.1 echocardiography report echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.2 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - annulus: 1.9 cm <= 3.0 cm aorta - ascending: 2.6 cm <= 3.4 cm aortic valve - peak velocity: 1.2 m/sec <= 2.0 m/sec aortic valve - peak gradient: 6 mm hg < 20 mm hg findings 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: normal lv wall thickness. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pericardium: no pericardial effusion. 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 patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1300 hours. post bypass patient is a paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. trivial mitral regurgitation present. aorta is intact post decannulation. electronically signed by , md, radiology report chest (pa & lat) study date of 2:40 pm medical condition: 57 year old woman with cabg reason for this examination:interval chnage in left effusion and dilated loops of bowel final report pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of . status post sternotomy and multiple surgical clips mostly anterior left mediastinum indicative of previous bypass surgery, unchanged. heart size has decreased slightly. the pulmonary vasculature is not congested and no signs of new acute parenchymal infiltrates are present. both lateral pleural sinuses are mildly blunted slightly more on the left than on the right. corresponding mild-to-moderate degree of blunted posterior pleural sinuses are identified, but the amount of pleural effusion has decreased in comparison with the preceding study of . previously described right internal jugular approach central venous line remains in unchanged position. no pneumothorax has developed. on the preceding moderately distended gas-filled large bowel loops (transverse colon and splenic flexure) can be seen indicative of somewhat atonic bowel, but no signs of obstruction. the degree of gas distention has now regressed markedly and some moderately sized fecal masses are identified, all indicating that the bowel function has resumed. noted are two surgical metallic clips in the central portion of the right upper abdominal quadrant consistent with previous cholecystectomy. impression: comparison is also made with the preoperative pa and lateral chest examination of . increase of heart silhouette is best explained with postoperative pericardial effusion - hematoma. postoperative pleural effusions are regressing. no evidence of pulmonary congestion or acute infiltrates and normalization of temporary distended large bowel loops. dr. brief hospital course: ms was a direct admission to the operating room for coronary bypass grafting on . please see or report for details, in summary she had: coronary bypass grafting x2 with left internal mammary to left anterior descending artery, reverse saphenous vein graft to obtuse marginal artery and reverse saphenous vein graft to right coronary artery. her bypass time was 69 minutes with a crossclamp of 55 minutes. she tolerated the operation well and was transferred from the operating room to the cardiac surgery icu in stable condition. she was hemodynamically stable on arrival to the icu, she remained hemodynamically stable awoke and was extubated on the day of surgery. she remained hemodynamically stable and was transferred to the stepdown floor on pod 3. all tubes,lines and drains were removed per cardiac surgery protocol. once on the stepdown floor the patient worked with physical therapy to increase her activity and endurance. she was gently diuresed toward her preop weight. she was started on keflex for lower sternal pole erythema and serous drainage. the remainder of her hospital course was uneventful. she was tolerating a full oral diet, ambulating without assistance and her incisions were healing well. on pod 10 she was discharged to home with vna services. medications on admission: bupropion hcl - 100 mg twice a day ergocalciferol (vitamin d2) - 50,000 unit once a week estradiol - 0.5 mg tablet - 1 tablet(s) daily fenofibrate - (prescribed by other provider) - dosage uncertain lisinopril - dosage uncertain metoprolol succinate - 37.5 mg by mouth daily sertraline - dosage uncertain simvastatin - 40 mg tablet -daily aspirin - 81 mg once a day 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:*1* 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 4. sertraline 100 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*1* 5. bupropion hcl 100 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). disp:*60 tablet sustained release(s)* refills:*1* 6. estradiol 1 mg tablet sig: 0.5 ( one-half) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*1* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 9. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 10. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 6 days. disp:*24 capsule(s)* refills:*0* 11. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*0* 13. potassium chloride 10 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 10 days. disp:*20 tab sust.rel. particle/crystal(s)* refills:*0* 14. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain for 3 weeks. disp:*85 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary bypass grafting x2 pmh: hypertension, hyperlipidemia, depression, dystonia r digits (neuropathy), insomnia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. sternal wound healing well, no erythema or drainage, on keflex per dr. 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: clinic on dr on thurs. @1:30 pcp: , . in weeks cardiologist: dr in weeks please call the cardiac surgery office for any questions or concerns. answering service will page on-call staff during off hours procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: acidosis coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension depressive disorder, not elsewhere classified other and unspecified hyperlipidemia unspecified hereditary and idiopathic peripheral neuropathy delirium due to conditions classified elsewhere insomnia, unspecified unspecified erythematous condition 

Answer: The patient is high likely exposed to