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: shoulder pain major surgical or invasive procedure: cabgx3(lima->lad, svg->om1, om2) history of present illness: ms. is a 58 year oldfemale with a history of type 2 dm, hyperlipidemia, obesity and pericardial effusion requiring a tap in of unclear etiology. within the past month she has complained of left shoulder and scapular pain worse with activity. she states for the past couple of years she has had bilateral shoulder pain that has occurred shortly after radiation treatment. she had pt for a couple of years without relief of should pain. patient recently went back to pt for left shoulder and scapular pain and was then referred for a stress test. patient denies shortness of breath or chest discomfort. patient states she has had bilateral le edema for the past couple of years. she denies claudication, edema, orthopnea, pnd and lightheadedness. past medical history: hyperlipidemia dm type 2 lymphoma (retroperitoneal mass did not respond to chemo but good result to xrt x 22- last time was 5 yrs ago) esophageal reflux spinal disorder (para spinal mass) vertigo hypothyroidism obesity hernia repaired x2 umbilical pericardial effusion (tap) appendectomy as an adult cholecystectomy c-section x2 social history: last dental exam:one month ago, no problems lives with:alone occupation:patient is an engineer tobacco: quit 20 years ago, pack for 20 years etoh: a couple of drinks per month family history: father had cabg and a couple of mi's, and cancer. mother has diabetes physical exam: pulse: resp:18 o2 sat: 100 b/p right:147/75 left: height:5'3" weight:210 general: skin: dry intact 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: yes 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:- pertinent results: 06:23am blood wbc-12.3* rbc-3.46* hgb-9.9* hct-28.6* mcv-83 mch-28.7 mchc-34.7 rdw-15.6* plt ct-178 03:30am blood pt-14.2* ptt-26.2 inr(pt)-1.2* 06:23am blood glucose-130* urean-23* creat-0.9 na-138 k-4.0 cl-101 hco3-30 angap-11 , f 58 radiology report chest (portable ap) study date of 12:23 pm , r. csurg csru 12:23 pm chest (portable ap) clip # reason: please check for hemothorax, hemomediastinum final report chest radiograph indication: drop in hematocrit, questionable mediastinal changes. comparison: , 5:24 a.m. unchanged extent of the retrocardiac and left lower lobe atelectasis. unchanged width and appearance of the mediastinum, without evidence of mediastinal density increase or diameter increase. no pleural effusions. unchanged size of the cardiac silhouette. unchanged course of the right central venous access line. dr. approved: sun 4:04 pm brief hospital course: the patient was admitted and underwent cabgx3(lima->lad, svg->om1, om2) on . the cross clamp time was 63 minutes and total bypass time was 79 minutes. she tolerated the procedure well and was transferred to the cvicu in stable condition on neo, propofol, and insulin. she was extubated and her chest tubes were discontinued on pod#1. she had some hyperglycemia post op but the insulin drip was eventually weaned off and she was transferred to the floor on pod#2. her epicardial pacing wires were discontinued on pod#3 and she was discharged to home in stable condition on pod#4. medications on admission: glipizide 10 mg tablet - 1 (one) tablet(s) by mouth twice a day insulin glargine 100unit/ml solution - 34 units before bedtime once daily levothyroxine 75 mcg tablet -one tablet(s) by mouth daily meclizine dosage uncertain metformin 1,000 mg tablet - 0.5-1 tablet(s) by mouth 1000mg in am, 500mg in afternoon and 1000mg in pm pantoprazole 40 mg tablet, delayed release (e.c.) - one tablet(s) by mouth daily rosuvastatin 5 mg tablet - one tablet(s) by mouth daily 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:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 5. metformin 500 mg tablet sig: one (1) tablet po lunch (lunch). disp:*30 tablet(s)* refills:*2* 6. insulin glargine 100 unit/ml solution sig: thirty four (34) units subcutaneous at bedtime. disp:*11 unit* refills:*2* 7. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. glipizide 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 9. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 12. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: tba discharge diagnosis: hyperlipidemia dm type 2 lymphoma (retroperitoneal mass did not respond to chemo but good result to xrt x 22- last time was 5 yrs ago) esophageal reflux spinal disorder (para spinal mass) vertigo hypothyroidism obesity coronary artery disease-s/p cabgx3 discharge condition: discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram 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: recommended follow-up: you are scheduled for the following appointments surgeon: dr. on @ 1:15 pm cardiologist: dr. on @ 10:00 am please call to schedule appointments with your primary care dr. in weeks **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 esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism personal history of tobacco use other and unspecified hyperlipidemia other malignant lymphomas, unspecified site, extranodal and solid organ sites obesity, unspecified personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health body mass index 37.0-37.9, adult 

Answer: The patient is high likely exposed to