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 and shortness of breath major surgical or invasive procedure: coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the posterior descending artery and the obtuse marginal artery. history of present illness: 68 year old male has a history of an mi about 25 years ago. he has been treated with medication since then. he has been doing well over the years until about 3 weeks ago when he started to notice some diaphoresis, shortness of breath and right sided chest discomfort that has occurred with exertion such as yard work or taking out the trash. his symptoms resolve with rest. he also had one episode of chest pain, diaphoresis and back pain that occurred at rest after a large meal. this episode lasted a little longer than the other episodes and prompted the patient to contact dr. . he was sent for a stress echo which was abnormal and referred for a cardiac catheterization. he is was found to have three vessel disease and is now being referred to cardiac surgery for revascularization. past medical history: diabetes type ii -diagnosed ; controlled on oral agents hyperlipidemia hypertension mi psoriasis social history: race:caucasian last dental exam: lives with:wife contact: (wife) phone # occupation:retired from the fda as a field investigator and consultant cigarettes: smoked no yes hx:smoked 2ppd for 28 years and quit other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: premature coronary artery disease- unknown-adopted physical exam: pulse:61 resp:16 o2 sat:100/ra b/p right:138/86 left:135/74 height:6'2" weight:230 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: (l)le superficial varicosities neuro: grossly intact pulses: femoral right: left: dp right:2+ left:2+ pt : left: radial right: left: carotid bruit -none appreciated, pulses right:2+ left:2+ pertinent results: echo: pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal to distal inferoseptal and anteroseptal walls. overall left ventricular systolic function is mildly depressed (lvef= 50-55 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is in sinus rhythm. the patient is on no inotropes. biventricular function is unchanged. mitral regurgitation is unchanged. the aorta is intact post-decannulation. 04:44am blood wbc-11.7* rbc-3.00* hgb-9.8* hct-28.3* mcv-94 mch-32.5* mchc-34.5 rdw-14.0 plt ct-323 04:44am blood plt ct-323 04:44am blood glucose-121* urean-22* creat-1.0 na-139 k-3.8 cl-102 hco3-28 angap-13 04:44am blood mg-2.3 comparison: at 10:45 a.m. findings: as noted previously, there is a similar-sized left apical pneumothorax. the left chest tube has been removed in the interim. left basilar atelectasis remains. the cardiac silhouette and mediastinal contours are unchanged. median sternotomy wires are unchanged. impression: unchanged small left apical pneumothorax, status post left chest tube removal. brief hospital course: mr. 68 yr old male with history of mi developed worsening chest pain, underwent cath which revealed significnat cad. he was seen by the cardiac surgery service and accepted for cabg. he was a same day admit and on was brought directly to the operating room where he underwent a coronary artery bypass graft x 3. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later this day he was weaned from sedation, awoke neurologically intact and extubated. he was weaned from neo overnight and was started on beta-blocker pod#1. he was diuresed towards his preoperative weight. pod#1 he transferred to the step down unit for further monitoring. he continued to progress well on the floor. physical therapy was consulted for evaluation of his strength and mobility. the remainder of his postop course was essentially uneventful. he was cleared for discharge to home with vna services on pod#4. follow-up appts arranged. medications on admission: atenolol 50 mg daily lipitor 20 mg daily plavix 75 mg daily (started on ), ld diltiazem hcl 240 mg daily enalapril maleate takes 10mg qam, 5mg qhs hydrochlorothiazide 25 mg daily metformin 1,000 mg nitroglycerin 0.4 mg tablet prn aspirin 325mg daily centrum silver multivitamin 1 tablet daily discharge medications: 1. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 2 weeks. disp:*60 tablet extended release(s)* refills:*2* 2. 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* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). disp:*1 * refills:*2* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. lasix 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: diabetes type ii -diagnosed ; controlled on oral agents hyperlipidemia hypertension mi psoriasis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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: you are scheduled for the following appointments wound check: 10:00 surgeon: dr. on @ 1pm cardiologist/pcp: . date/time: 10:30 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person 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: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use other and unspecified hyperlipidemia other and unspecified angina pectoris old myocardial infarction other psoriasis 

Answer: The patient is high likely exposed to