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: sulfa (sulfonamide antibiotics) / ferrous sulfate attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x4 (left internal mammary artery > left anterior descending, saphenous vein graft > diagonal, saphenous vein graft > obtuse marginal, saphenous vein graft > right coronary artery) history of present illness: 80f, russian speaking. reports chest discomfort over the previous two months, worse with humidity, and responsive to nitroglycerin. describes discomfort in the left shoulder radiating to the left chest and down left arm. stress test was abnormal. cath reveals severe 3 vessel coronary artery disease. she is referred for surgical revascularization. past medical history: coronary artery disease bilateral patellofemoral osteoarthritis hypertension hemolytic anemia hyperlipidemia anxiety social history: she is married and lives with her husband, she emigrated to us 3.5 years ago. cigarettes: smoked no etoh: denies family history: non contributory physical exam: pulse: 61sr resp: 12 o2 sat: 100%ra b/p right: left: 140/68 height: weight: 133lb general: nad 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 none_ varicosities: minor neuro: grossly intact pulses: femoral right: left: dp right: 1+ left:1+ pt : 1+ left:1+ radial right: cath left:2+ carotid bruit no bruits pertinent results: cxr pa and lateral chest: chest tubes and mediastinal drains have been removed. a right ij line again extends to the cavoatrial junction. there is decreased pulmonary vascular congestion and edema. there is a persistent small right subpulmonic effusion and likely trace left pleural effusion. there is no pneumothorax. right hemidiaphragm remains elevated, with atelectasis at the right lung base. additional atelectasis is seen in the left base, though the aeration here is improved from prior study. cardiomediastinal contour is unchanged. sternotomy wires remain aligned. impression: 1. interval removal of mediastinal drains and chest tubes. persistent right and likely trace left pleural effusions. no pneumothorax. 2. decreased atelectasis, with improved aeration of the left base compared to prior study. 3. resolution of pulmonary edema. echocardiogram left atrium: no spontaneous echo contrast in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. normal lv cavity size. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. s. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. 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 normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is av paced. the patient is on no inotropes. biventricular function is unchanged. mitral regurgitation is unchanged. tricuspid regurgitation is unchanged. the aorta is intact post-decannulation. 04:32am blood wbc-5.0 rbc-3.72* hgb-11.0* hct-33.1* mcv-89 mch-29.5 mchc-33.2 rdw-14.8 plt ct-179 02:09am blood pt-13.3 ptt-30.3 inr(pt)-1.1 06:13am blood glucose-106* urean-22* creat-0.8 na-143 k-4.8 cl-107 hco3-26 angap-15 brief hospital course: ms was admitted for same day surgery and underwent coronary artery bypass graft surgery. of note she had issues with bleeding in her endovein harvest site from her left leg in the operating room and postoperatively. see operative report for further details. she received cefazolin for perioperative antibiotics and was transferred to the intensive care unit for post operative management. she remained intubated overnight and on neosynephrine for blood pressure management. the leg continued to ooze and it was monitored overnight with a hemovac for drainage. blood transfusions were required for a decreased hematocrit. on post operative day one she had no further bleeding from the leg, she was weaned from sedation, awoke, and was extubated without complications. she was started on betablockers and then on post operative day two started on lisinopril for blood pressure management. additionally she was started on lasix for diuresis. she was transferred to the floor on post operative day two for the remainder of her care. physical therapy was consulted for strength and mobility. she continued to progress slowly and was ambulating with a walker. wound care was consulted for skin impairment of left leg with no evidence of infection.twice daily softsorb dressing changes were recommended. keflex was re-started prophylactically. she will be seen early next week for a wound check. the wound service stated that they would be happy to be paged for consultation during that out-patient wound check if there continue to be concerns. by post-operative day eight she was ready to be discharged to home. all appropriate follow-up appointments were advised. medications on admission: norvasc 5 mg po daily atenolol 25 mg po daily folic acid 1 mg daily propranolol 80 mg daily simvastatin 20 mg daily aspirin 81 mg daily santura xr 60 mg daily nitrostat 0.4 prn discharge medications: 1. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. 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* 5. sanctura xr 60 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po once a day. 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. folic acid 1 mg tablet sig: one (1) tablet po once a day. 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 9. cephalexin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 2 weeks. disp:*56 capsule(s)* refills:*2* 10. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 14 days. disp:*28 tablet(s)* refills:*2* 11. wound care softsorb dressing to left leg wounds two times each day for two weeks. wash wounds gently with soap and pat dry daily with a towel. discharge disposition: home facility: tbd discharge diagnosis: coronary artery disease s/p cabg hypertension hyperlipidemia anxiety hemolytic anemia osteoarthritis discharge condition: alert and oriented x3 nonfocal ambulating with walker incisional pain managed with tramadol incisions: sternal - healing well, no erythema or drainage leg left - with multiple abrasions along medial calf edema - 1 to 2+ bilat 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 one month or while taking narcotics. driving will be discussed at follow up appointment 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: you are scheduled for the following appointments wound check cardiac surgery office - date/time: 11:00 surgeon: dr on 1:30 pcp/cardiologist: dr on 2:45pm **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery other incision with drainage of skin and subcutaneous tissue diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia hemorrhage complicating a procedure anxiety state, unspecified other and unspecified angina pectoris alkalosis 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 acquired hemolytic anemia, unspecified osteoarthrosis, localized, not specified whether primary or secondary, lower leg 

Answer: The patient is high likely exposed to