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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: - urgent off-pump coronary artery bypass graft x4, left internal mammary artery to left anterior descending artery and saphenous vein grafts to diagonal, obtuse marginal and posterior descending arteries. history of present illness: mr. is 72 yo with known coronary disease, s/p mi' s/p pci/stent, s/p pci now with increasing episodes of chest tightness and shortness of breath with exertion with minimal walking or bending over. he denies any history of chest pain. a stress test in revealed moderate ischemia in the inferior posterior region with normal lv size and an ef of 52% with inferior hypokinesis. he had a cardiac cath which showed ef 60%, 45%lm, 99% subtotal mid -distal rca lesion with l-r collaterals, 85%mlad, diffuse 50-60%mlcx. he was transfered for cabg. past medical history: coronary artery disease s/p mi ' s/p ptca/stent ' s/p pci hypertension diabetes chronic kidney disease hyperlipidemia anemia benign prostatic hypertrophy colon polyps peptic ulcer disease-s/p bleed requiring 2uprbc spinal stenosis copb/chronic bronchitis/possible asbestosis social history: lives with: wife cigarettes: smoked no yes last cigarette hx:1-2ppd/many years etoh: drinks/week illicit drug use-no family history: none noted physical exam: pulse:79 resp:14 o2 sat:98% on ra b/p right: 158/99 height:5'9" weight:243 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs fine rhonchi l base, otherwise clear heart: rrr irregular murmur-none grade ______ abdomen: soft obese, non-distended non-tender +bs extremities: warm , well-perfused edema __ 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 bruit right:none left:none pertinent results: carotid ultrasouond impression: right ica less than 40% stenosis. left ica less than 40% stenosis. echo left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. right ventricular chamber size is normal. there are complex (>4mm) atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are structurally normal. moderate (2+) mitral regurgitation is seen when bp>150, mild when bp @ 11o systolic post opcabgx4 patient is on a neosynephrine drip at 0.6 mcg/kg/min lv function is preserved at 55% no rwma,the valvular exam is similar to prebypass with no change aorta is intact with no visible dissection flaps radiology report chest (portable ap) study date of 8:44 am final report compared with at 11:41 a.m., the bilateral chest tubes have been pulled. there are low inspiratory volumes. no pneumothorax is detected. patchy opacity at the left base again noted, slightly improved. blunting of the right greater than left costophrenic angles is also grossly unchanged. upper zone redistribution, without chf. sternotomy wires and cardiomediastinal prominence again noted, unchanged. impression: interval removal of chest tubes. no pneumothorax is detected. small r>l effusions are grossly unchanged. pre-op labs: 09:40pm pt-11.8 ptt-29.2 inr(pt)-1.1 09:40pm plt count-217 09:40pm wbc-5.5 rbc-3.73* hgb-11.3* hct-34.1* mcv-91 mch-30.4 mchc-33.2 rdw-13.1 09:40pm albumin-4.3 calcium-9.1 phosphate-3.0 magnesium-2.2 09:40pm lipase-47 %hba1c-5.6 eag-114 09:40pm alt(sgpt)-38 ast(sgot)-32 alk phos-24* amylase-75 tot bili-0.2 09:40pm glucose-101* urea n-24* creat-1.6* sodium-137 potassium-4.3 chloride-103 total co2-25 anion gap-13 discharge labs: 03:45am blood wbc-5.7 rbc-3.08* hgb-9.3* hct-28.2* mcv-92 mch-30.2 mchc-33.0 rdw-13.6 plt ct-237 03:45am blood plt ct-237 03:45am blood glucose-109* urean-31* creat-1.6* na-134 k-4.0 cl-96 hco3-27 angap-15 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was worked-up in the usual preoperative manner including a carotid duplex ultrasound which showed less then a 40% stenosis bilaterally. plavix was allowed to washout of his system. on , mr. was taken to the operating room where he underwent off pump coronary artery bypass grafting. please see operative note for details. in summary he had: 1. urgent off-pump coronary artery bypass graft x4, left internal mammary artery to left anterior descending artery and saphenous vein grafts to diagonal, obtuse marginal and posterior descending arteries. 2. endoscopic harvesting of the long saphenous vein. postoperatively he was taken to the intensive care unit for monitoring. he woke neurologically intact and was extubated. amiodarone was started for rapid atrial fibrillation. he required close monitoring of his pulmonary status. after aggressive diuresis and weaning from pressor support he was transferred on postoperative day four to the step down unit for further recovery. the remainder of his hospital stay was uneventful, he worked with physical therapy and nursing to increase his strength and mobility. on pod5 he was discharged home with visiting nurses and home physical therapy. medications on admission: advair diskus 100-50 1 puff twice daily omega 3 and omega6 fish oil 600mg twice daily loratadine 10mg daily prilosec 20mg every other day rhinocort aqua 2 sprays both nostrils as needed niacin 1000mg twice daily lisinopril 20mg twice daily plavix 75 mg daily metformin 500mg twice daily-stopped d/t elevated creat zetia 10mg daily metoprolol tartrate 75 mg twice daily pravachol 20mg daily fenofibrate micronized 200mg daily discharge medications: 1. keflex 500 mg capsule sig: one (1) capsule po twice a day for 10 days. disp:*20 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:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 4. pravastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* 5. fenofibrate micronized 145 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* 6. 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:*1* 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 8. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily) for 3 months. disp:*30 tablet extended release 24 hr(s)* refills:*2* 9. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 10. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x5days then 400mg qd x1 wk then 200mg qd. disp:*60 tablet(s)* refills:*1* 11. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*1* 12. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain/temp. 13. metformin 500 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* 14. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 15. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 16. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 10 days. disp:*40 tablet extended release(s)* refills:*0* 17. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 18. atrovent hfa 17 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation twice a day. disp:*1 inhaler* refills:*2* discharge disposition: home with service facility: homecare services discharge diagnosis: coronary artery disease s/p mi ' s/p ptca/stent ' s/p pci hypertension diabetes chronic kidney disease hyperlipidemia anemia benign prostatic hypertrophy colon polyps peptic ulcer disease-s/p bleed requiring 2uprbc spinal stenosis copb/chronic bronchitis/possible asbestosis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 2+ bilat discharge instructions: 1) please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns **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 care clinic: phone: date/time: 10:15 surgeon: dr. , md phone: date/time: 1:00 cardiologist: at 3:45p please call to schedule appointments with your primary care dr. ,rula 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 diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of aorta hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified 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 old myocardial infarction unspecified disorder of kidney and ureter other postprocedural status spinal stenosis, unspecified region obstructive chronic bronchitis without exacerbation personal history of contact with and (suspected) exposure to asbestos personal history of colonic polyps other drugs and medicinal substances causing adverse effects in therapeutic use personal history of peptic ulcer disease postprocedural fever 

Answer: The patient is high likely exposed to