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: coronary artery bypass grafting x 3 (left internal mammary artery grafted to left anterior descending artery/saphenous vein grafted to diagnal /posterior descending arteries) history of present illness: 57yo male with history of hypertension, hyperlipidemia and diabetes. he had an episode of chest pain 2 weeks ago while walking, which was relieved with sl ntg. cath today reveals 3 vessel disease. he is referred for surgical evaluation. past medical history: hypertension, diabetes mellitus, hypercholesterolemia, nephrolithiasis s/p lithotripsy, vit d deficiency, probable asbestos exposure, psoriasis, asthma, plantar fasciitis- right social history: race: caucasian last dental exam: 6 wks ago lives with: wife, , in , no children occupation: police officer tobacco: occasional cigar etoh: 15 drinks/week family history: father died 77 mi mother died 66 leukemia physical exam: pulse:63 resp: 24 o2 sat: 95%ra b/p right: left: 138/81 height: 5'" weight: 213lb general: skin: dry intact psoriatic plaques right lower extremity heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none no edema or varicosities 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: left: no bruits pertinent results: 07:00am blood wbc-12.5* rbc-3.48* hgb-10.3* hct-31.2* mcv-90 mch-29.7 mchc-33.1 rdw-13.8 plt ct-217 02:15pm blood wbc-16.4*# rbc-3.90* hgb-12.7* hct-34.5* mcv-88 mch-32.4* mchc-36.7* rdw-14.0 plt ct-182 07:00am blood urean-21* creat-1.0 k-4.3 02:15pm blood urean-10 creat-0.9 cl-108 hco3-31 07:00am blood alt-33 ast-17 ld(ldh)-222 alkphos-51 amylase-20 totbili-1.5 echocardiography report , (complete) done at 12:12:46 pm preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 57 m hgt (in): 70 bp (mm hg): 120/65 wgt (lb): 213 hr (bpm): 65 bsa (m2): 2.15 m2 indication: intraop cabg icd-9 codes: 424.0 test information date/time: at 12:12 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2010aw 1-: machine: aw 5 echocardiographic measurements results measurements normal range left atrium - long axis dimension: 3.9 cm <= 4.0 cm left atrium - four chamber length: 4.3 cm <= 5.2 cm left atrium - peak pulm vein s: 0.6 m/s left atrium - peak pulm vein d: 0.4 m/s left atrium - peak pulm vein a: 0.1 m/s < 0.4 m/s right atrium - four chamber length: 3.9 cm <= 5.0 cm left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - systolic dimension: 3.3 cm left ventricle - fractional shortening: 0.31 >= 0.29 left ventricle - ejection fraction: 50% to 60% >= 55% left ventricle - stroke volume: 75 ml/beat left ventricle - cardiac output: 4.86 l/min left ventricle - cardiac index: 2.26 >= 2.0 l/min/m2 left ventricle - peak resting lvot gradient: 3 mm hg <= 10 mm hg left ventricle - septal peak e': *0.04 m/s > 0.08 m/s left ventricle - ratio e/e': *20 < 15 aorta - annulus: 2.4 cm <= 3.0 cm aorta - sinus level: *3.8 cm <= 3.6 cm aorta - sinotubular ridge: *3.1 cm <= 3.0 cm aorta - ascending: 3.1 cm <= 3.4 cm aorta - arch: 2.4 cm <= 3.0 cm aorta - descending thoracic: 2.2 cm <= 2.5 cm aortic valve - peak velocity: 1.5 m/sec <= 2.0 m/sec aortic valve - peak gradient: 9 mm hg < 20 mm hg aortic valve - mean gradient: 5 mm hg aortic valve - lvot vti: 18 aortic valve - lvot diam: 2.3 cm aortic valve - valve area: *2.3 cm2 >= 3.0 cm2 mitral valve - peak velocity: 1.0 m/sec mitral valve - mean gradient: 2 mm hg mitral valve - pressure half time: 96 ms mitral valve - mva (p t): 2.3 cm2 mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.8 m/sec mitral valve - e/a ratio: 1.00 mitral valve - e wave deceleration time: 246 ms 140-250 ms findings left atrium: normal la and ra cavity sizes. no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal ra size. lipomatous hypertrophy of the interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh with normal cavity size. normal lv wall thickness. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. normal ascending aorta diameter. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no ms. trivial mr. the mr vena contracta is <0.3cm. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. 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. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre bypass: the left atrium and right atrium are normal in cavity size. no spontaneous echo contrast is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size. left ventricular wall thicknesses are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%).the aortic root is mildly dilated at the sinus level. there are complex (>4mm) atheroma in the aortic arch and in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened, with partial calcifcation of the posterior leaflet. trivial mitral regurgitation is seen. post bypass: patient is a paced on phenylepherine infusion. preserved biventricuar function lvef >55%. mitral regurgitation remains mild. aortic contours intact. remaining exam is unchanged. all findings discussed with srugeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: mr. was taken to the operating room and underwent coronary artery bypass grafting x 3. please see dr operative report for further details. he tolerated the procedure well and was transferred to the cvicu in stable but critical condition. within 24 hours he was weaned off of sedation, awoke neurologically intact and was extubated without difficulty. he was weaned off pressors. all lines and drains were discontinued in a timely fashion, without complication. beta-blocker/aspirin/statin, and diuresis was initiated. he continued to progress and was transferred to the step down unit on pod#1 for further monitoring. physical therapy was consulted for strength and mobility evaluation. he continued to progress. consulted regarding mr. glucose control. the remainder of his postoperative course was essentially uneventful. pod#4 he was cleared for discharge to home. all follow up appointments were advised. medications on admission: albuterol inh prn, atorvastatin 80 daily, clobetasol 0.05% cream prn, glipizide 10 , lisinopril 20 daily, metformin 1000 , toprol xl 75 daily, testosterone 1%gel daily, asa 81 daily, vit d3 unit , loratadine/pseudoephedrine sr 240/10 daily, mvi, fish oil discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 5 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 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:*60 tablet, delayed release (e.c.)(s)* refills:*2* 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheezing . disp:*1 * refills:*0* 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. glipizide 5 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*2* 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 11. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 12. insulin glargine 100 unit/ml (3 ml) insulin pen sig: one (1) subcutaneous once a day: 22 units every am. disp:*1 * refills:*2* 13. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours) for 3 days. disp:*6 tablet sustained release 12 hr(s)* refills:*0* 14. lasix 40 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 15. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease status post coronary artery bypass grafting x3 hypertension, diabetes mellitus, hypercholesterolemia, nephrolithiasis s/p lithotripsy, vit d deficiency, probable asbestos exposure, psoriasis, asthma, plantar fasciitis- right discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with 3 worth days of oxycontin 20(2) and dilauded as needed sternal - healing well, no erythema or drainage leg -left - healing well, no erythema or drainage. edema discharge instructions: 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 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: surgeon: dr. #, appointment arranged for at 1pm please call to arrange appointment with your pcp:, in weeks and your cardiologist- referred by dr., in weeks please call for appointment to follow up with diabetes center:# *** please check your finger stick blood sugar premeal and at bedtime. log results to minitor. md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation asthma, unspecified type, unspecified other and unspecified hyperlipidemia unspecified vitamin d deficiency 

Answer: The patient is high likely exposed to