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: history of present illness: patient is a -year-old male who presented to clinic for mohs revision surgery. mohs defect was created in the anterior face involving the nasolabial fold on the right cheek. serial excisions penetrated the smas and continued to track along the facial nerve, and plastic surgery was called to evaluate the patient for closure. after evaluation of closure, it was deemed the patient would be admitted overnight and brought into the hospital for closure with a cervicofacial flap. diagnosis: open wound left cheek and right ear. past surgical history: 1. basal cell carcinoma. 2. squamous cell carcinoma. 3. skin grafts of the legs. 4. fracture of the femur status post motorcycle accident with a perforated viscus. 5. left heel surgery, multiple. 6. status post coronary artery bypass graft in . past medical history: 1. hypertension. 2. coronary artery disease. patient does not have diabetes mellitus. medications on daily basis: 1. lipitor. 2. atenolol. 3. aspirin. 4. vitamin e. 5. lasix. social history: 100-pack years smoking history. he recently quit five years ago. one glass of vodka per day. three beers per day. allergies: no known drug allergies. physical examination: his vital signs are stable. no acute distress. open wound left cheek and right ear defect. lungs: clear to auscultation, however coarse breath sounds at the bases, the right greater than the left. cardiac: s1, s2, no murmurs, rubs, or gallops were apparent. abdomen was soft, nontender, nondistended, positive bowel sounds noted. extremity: multiple healing scabs in areas of skin breakdown status post multiple skin grafts to arms. multiple surgeries to left heel with skin graft. impression: -year-old male, history of squamous cell, basal cell carcinoma who needed closure of primary mohs defect. hospital course: patient was admitted on . cardiac clearance was needed prior to surgery. therefore, surgery was delayed after evaluation of chest x-ray, ekg, and preoperative lab. cardiology clearance was obtained, and patient was operated on . a cervicofacial flap was performed for closure. patient received crystalloid and had an estimated blood loss of greater than 250 cc. please see operative note dictation. patient continued to improve; however, there was a tenuous area of the cervicofacial flap which was showing rather brisk capillary refill, less than one second at times, and was slightly dusky. this was a small preauricular area which did eventually demonstrate some epidermolysis. however, the remainder of the flap remained viable, warm, with good capillary refill and was doing nicely. it was decided on , that the patientwould meet criteria for discharge from the hospital. however being the patient was rather frail, he would be better served in an acute rehab setting. physical therapy was consulted for home safety evaluation and for rehab evaluation. the flap continued to look well, and the patient was without complaint. his - continue to function and put out a serosanguineous discharge. no hematomas were noted. the only area of question was the preauricular area in which some epidermolysis was noted. patient was given some instructions as to follow up with dr. . an appointment was made for friday at 9 a.m. in the office, seventh floor, . discharge medications: 1. furosemide 20 mg tablet q.d. 2. lipitor 10 mg tablet q.d. 3. acetaminophen p.r.n. 4. milk of magnesia p.r.n. 5. oxycodone. 6. percocet one to two tablets q. four to six hours p.r.n. 7. atenolol 25 mg q.d. 8. colace 100 mg b.i.d. 9. lorazepam p.r.n. 10. bacitracin ointment t.i.d. to suture lines. 11. keflex one tablet p.o. four times a day for five days. discharge instructions: 1. apply bacitracin to facial suture lines. 2. sutures to be removed in the office friday with dr. at appointment, which has already been arranged. 3. j-p drains are to be stripped t.i.d. and outputs recorded q.d. 4. patient was given regular diet. discharge condition: stable. major diagnosis: squamous cell carcinoma of face status post cervicofacial advancement flap. comorbidities: 1. hypertension. 2. hypercholesterolemia. 3. coronary artery disease. , m.d. dictated by: medquist36 d: 11:16 t: 15:32 job#: procedure: attachment of pedicle or flap graft to other sites other plastic repair of external ear diagnoses: unspecified essential hypertension aortocoronary bypass status personal history of other malignant neoplasm of skin encounter for planned post-operative wound closure 

Answer: The patient is high likely exposed to