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: opcabx1(svg-rca) history of present illness: 41 yo m who presented to osh with flank pain, found to have ureteral calculi, but later developed chest pain. he stated that over past 2 years he had developed chest pain with strenuous exercise. cath showed aberrant origin of rca. past medical history: htn thyroid cancer renal calculi total thyroidectomy tonsillectomy as child surgery for nose hematoma s/p trauma social history: pt is an accountant locally. no smoking, drinks 2x/week, drinks at a time. no other drugs. family history: grandmother- multiple at older age, dm mother- unknown physical exam: wdwn m in nad lungs ctab heart rrr, no m/r/g abdomen obese, soft, nt extrem warm, no edema no varicosities neuro grossly intact pertinent results: 05:34am blood wbc-9.2 rbc-3.29* hgb-11.8* hct-34.3* mcv-104* mch-35.9* mchc-34.5 rdw-13.2 plt ct-433# 10:15am blood wbc-7.9 rbc-3.21* hgb-11.4*# hct-33.9* mcv-106* mch-35.4* mchc-33.5 rdw-13.8 plt ct-171 05:34am blood plt ct-433# 10:15am blood pt-14.5* ptt-35.5* inr(pt)-1.3* 10:15am blood plt ct-171 05:34am blood glucose-106* urean-17 creat-1.1 na-139 k-4.3 cl-100 hco3-29 angap-14 11:00am blood urean-14 creat-1.1 cl-107 hco3-25 chest (pa & lat) 12:10 pm chest (pa & lat) reason: assess for pneumo medical condition: 41 year old man with post chest tube removal reason for this examination: assess for pneumo reason for examination: evaluation of a patient after removal of chest tube. portable ap chest radiograph compared to . the patient was extubated in the meantime interval with removal of the ng tube, swan-ganz catheter, chest tube and mediastinal drains. the cardiomediastinal silhouette is stable. the lung volumes remain low with slightly increased bibasilar atelectasis most likely related to termination of mechanical ventilation. there is no pneumothorax or increased pleural effusions. there is no evidence of congestive heart failure. echocardiography report , tte (complete) done at 2:25:14 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 41 m hgt (in): 66 bp (mm hg): 140/70 wgt (lb): 197 hr (bpm): 77 bsa (m2): 1.99 m2 indication: coronary artery disease. source of embolism. icd-9 codes: 435.9, 424.2 test information date/time: at 14:25 interpret md: , md test type: tte (complete) son: bzymek, rdcs doppler: full doppler and color doppler test location: west echo lab contrast: saline tech quality: adequate tape #: 2007w036-1:12 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.2 cm <= 4.0 cm left atrium - four chamber length: *7.1 cm <= 5.2 cm right atrium - four chamber length: *6.9 cm <= 5.0 cm left ventricle - septal wall thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.4 cm <= 5.6 cm left ventricle - systolic dimension: 3.1 cm left ventricle - fractional shortening: 0.30 >= 0.29 left ventricle - ejection fraction: >= 60% >= 55% aorta - sinus level: 3.0 cm <= 3.6 cm aorta - arch: *3.5 cm <= 3.0 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec mitral valve - e wave: 1.1 m/sec mitral valve - a wave: 0.5 m/sec mitral valve - e/a ratio: 2.20 mitral valve - e wave deceleration time: 237 ms 140-250 ms tr gradient (+ ra = pasp): *27 mm hg <= 25 mm hg pulmonic valve - peak velocity: 1.2 m/sec <= 1.5 m/sec findings left atrium: moderate la enlargement. right atrium/interatrial septum: moderately dilated ra. no asd or pfo by 2d, color doppler or saline contrast with maneuvers. left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. mildly dilated aortic arch. no 2d or doppler evidence of distal arch coarctation. aortic valve: normal aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. no mvp. tricuspid valve: normal tricuspid valve leaflets. mild tr. borderline pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: contrast study was performed with 3 iv injections of 8 ccs of agitated normal saline, at rest, with cough and post-valsalva maneuver. conclusions the left and right atrium are moderately dilated. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%) right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is borderline pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. impression: preserved global and regional biventricular systolic function. dilated aortic arch. no definite structural cardiac source of embolism identified clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. carotid series complete 9:46 am carotid series complete reason: visual deficit post cabg medical condition: 41 year old man s/p off pump cabg w/visual deficit post-op reason for this examination: assess carotid flow study: carotid series complete. reason: visual deficit status post cabg. findings: duplex evaluation was performed of bilateral carotid arteries. there is no significant plaque seen bilaterally. on the right, peak velocities are 53, 76 and 76 cm/sec in the ica, cca and eca respectively. this is consistent with no stenosis. on the left, peak velocities are 60, 70 and 61 cm/sec in the ica, cca and eca respectively. this is consistent with no stenosis. there is antegrade vertebral flow bilaterally. impression: normal carotid study. mr head w/o contrast 8:53 pm mr head w/o contrast; mra brain w/o contrast reason: reason of focal fov defecit medical condition: 41 year old man s/p cabg now with r superior hemianopsia reason for this examination: reason of focal fov defecit contraindications for iv contrast: none. indication: 41-year-old man, status post cabg on , now with right superior hemianopsia, to evaluate for focal deficit. no prior studies are available for comparison. additional history noted by the patient is history of thyroidectomy for ca thyroid in the past. technique: multiplanar t1- and t2-weighted imaging of the brain was performed without iv contrast. 3d tof mr angiogram of the head was performed for evacuation of the intracranial arteries. findings: mri of the head: on the axial flair sequence, there are multiple flair hyperintense foci, predominantly in the frontal and the parietal white matter, centrum semiovale. there is cavum septum pellucidum et vergae. the ventricles and the extra- axial csf spaces are unremarkable. there are no foci of abnormal susceptibility or restricted diffusion. the visualized portions of the paranasal sinuses are unremarkable. 3d tof mr angiogram of the head: the intracranial internal carotid arteries, including the petrous, cavernous, and the supraclinoid segments are patent. the anterior and the middle cerebral arteries and anterior communicating arteries are patent. the a1 segment of the left anterior cerebral artery is narrowed in caliber and likely hypoplastic, which is a normal variant. the right vertebral artery is dominant. the left vertebral artery is not well visualized in the intracranial portion (v4 segment); apparently, there is effective pica termination. the basilar and the posterior cerebral arteries are patent. there is no focal flow-limiting stenosis, occlusion, or aneurysm more than 3 mm, within resolution of the mr angiogram. impression: 1. multiple small flair hyperintense foci in bilateral frontal and parietal cerebral white matter, which are nonspecific in appearance and can be due to post-inflammatory, demyelinating, vasculitis-related, or sequelae of chronic small vessel occlusive disease. this needs correlation with clinical findings, risk factors for atherosclerotic disease, and lab findings. 2. patent major intracranial arteries in the head on the mr angiogram. no focal flow-limiting stenosis, occlusion, or aneurysm more than 3 mm, within the resolution of the mr angiogram. 3. hypoplastic a1 segment of the left anterior cerebral artery, cavum septum pellucidum et verge, which are normal variants. brief hospital course: mr. was taken to the operating room on where he underwent an off pump cabg x 1. he was transferred to the icu in stable condition. he was extubated later that same day. he was transferred to the floor on pod #1. he was seen by neurology and opthamology for right eye visual loss post op. he was found to have retinal detachment and was taken for repair on . he otherwise did well postoperatively and was ready for discharge home on pod #6. medications on admission: atenolol 100a/50p, hctz 25', levothyroid 175, zestril 5' discharge disposition: home with service facility: allcare vna of greater discharge diagnosis: cad now s/p cabg htn, thyroid ca s/p thyroidectomy, renal calculi, tonsillectomy, discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week, shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks already scheduled appointments: provider: , m.d. date/time: 8:30 provider: , m.d. phone: date/time: 1:00 provider: , : date/time: 1:00 procedure: (aorto)coronary bypass of one coronary artery scleral buckling with implant diagnoses: unspecified essential hypertension calculus of ureter personal history of malignant neoplasm of thyroid unspecified retinal detachment coronary artery anomaly 

Answer: The patient is high likely exposed to