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: four vessel coronary artery bypass grafting utilizing the left internal mammary to left anterior descending, with saphenous vein grafs to diagonal, ramus, and pda. history of present illness: mr. is a 49 year old male with known coronary artery disease. in , he underwent ptca of an occluded mid left anterior descending artery. following the procedure, he noted significant improvement in his angina. however on , he experienced some mild chest heaviness when jogging. his chest pain did improve with rest but continued to linger for several days. subsequent stress test on showed return of his anginal symptoms. myoview showed lvef of 51%. troponins were noted to be elevated at that time. repeat cardiac catheterization at revealed severe three vessel coronary artery disease with restenosis of the mid left anterior descending artery. based upon the above, he was transferred to the for cardiac surgical intervention. past medical history: - coronary artery disease with history myocardial infarction - hypertension - dyslipidemia social history: denies tobacco and etoh. employed as software developer. married, lives with wife. family history: father underwent cabg at age 62. physical exam: vs: hr 65 108/71 rr 20 gen: no acute distress heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple full range of motion cv: rrr abd: soft nontender nondistended + bowel sounds ext: warm well perfused no edema neuro grossly intact pertinent results: 09:55am blood hct-30.6* 05:30am blood wbc-12.4* rbc-3.40* hgb-10.0*# hct-27.7* mcv-81* mch-29.5 mchc-36.2* rdw-14.3 plt ct-280 07:34pm blood wbc-8.0 rbc-4.86 hgb-13.8* hct-38.4* mcv-79* mch-28.4 mchc-35.9* rdw-13.2 plt ct-240 05:30am blood plt ct-280 07:34pm blood pt-13.4 inr(pt)-1.1 07:34pm blood plt ct-240 01:51am blood esr-22* 04:00pm blood fibrino-218 05:30am blood urean-15 creat-0.8 k-4.0 07:34pm blood glucose-84 urean-14 creat-1.0 na-141 k-4.6 cl-105 hco3-28 angap-13 11:41am blood alt-71* ast-29 ld(ldh)-158 ck(cpk)-72 alkphos-97 amylase-94 totbili-0.8 11:41am blood lipase-62* 11:41am blood ck-mb-notdone ctropnt-0.06* 04:11am blood mg-2.5 07:34pm blood %hba1c-6.0* 04:11am blood tsh-1.1 01:51am blood tsh-0.026* 01:51am blood t4-9.8 01:51am blood antitpo-less than 11:41am blood c3-162 c4-58* , m 49 radiology report chest (pa & lat) study date of 9:53 am , r. csurg fa6a sched chest (pa & lat) clip # reason: ? effusion medical condition: 49 year old man with s/p cabg reason for this examination: ? effusion provisional findings impression: dlnc fri 12:06 pm small left pleural effusion. resolution of left upper lobe atelectasis. final report reason for examination: followup of a patient after cabg. pa and lateral upright chest radiograph were compared to . there is resolution of previously demonstrated left upper lobe atelectasis. cardiomediastinal silhouette is stable. there is still present small left pleural effusion. there is no pneumothorax or evidence of failure. dr. approved: fri 1:49 pm echocardiography report , (complete) done at 3:06:26 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 49 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 440.0 test information date/time: at 15:06 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw4-: machine: aw5 echocardiographic measurements results measurements normal range left atrium - long axis dimension: 3.9 cm <= 4.0 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.7 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - sinotubular ridge: 2.4 cm <= 3.0 cm aorta - ascending: 2.4 cm <= 3.4 cm aorta - descending thoracic: 1.9 cm <= 2.5 cm aortic valve - lvot diam: 2.0 cm findings left atrium: normal la size. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. all four pulmonary veins identified and enter the left atrium. 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, cavity size, and global systolic function (lvef>55%). right ventricle: normal rv chamber size and free wall motion. aorta: focal calcifications in aortic root. normal ascending aorta 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. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre bypass the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>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) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results in the operating room at the time of the study.. post-cpb: on infusion of phenylephrine, a-pacing. preserved biventricular systolic function post cpb with lvef now 55%. trace mr. . aortic contour is normal post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 07:58 brief hospital course: mr. was admitted directly to the cardiac surgical service. on admission, he was noted to have upper airway swelling and slurred speech. he was treated with intravenous benadryl, h2 blocker, and steroids. he was transferred to the cvicu given risk for airway obstruction. within 24 hours, the airway swelling and speech showed significant improvement. allergy service was consulted and recommended steroid taper, along with discontinuing the ace inhibitor(common cause of angioedema), will hold on ace inhibitor at discharge until follow up with allergist and cardiologist, will need to re evaluate as outpatient. preoperative evaluation was otherwise unremarkable and he was cleared for surgery. surgery was delayed for several days given recent plavix use. he remained pain free on medical therapy/nitroglycerin drip. on , dr. performed coronary artery bypass grafting surgery. given inpatient stay greater than 24 hours, vancomycin was used for perioperative antibiotic coverage. for surgical details, please see separate dictated operative note. following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained good hemodynamics and transferred to the sdu on postoperative day one. physical therapy worked with him on strength and mobility. he continued to progress and was ready for discharge home with services. he will continue with steroid taper and follow up with allergist on as outpatient. medications on admission: crestor 20 qd, lisinopril 5 qd, toprol 150 qd, plavix 75 qd, aspirin 325 qd, imdur 30 qd, fish oil discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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:*0* 3. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 1 weeks. disp:*14 tablet(s)* refills:*0* 8. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 9. potassium chloride 10 meq tablet sustained release sig: one (1) tablet sustained release po once a day for 7 days. disp:*7 tablet sustained release(s)* refills:*0* 10. prednisone 5 mg tablet sig: see taper tablet po once a day for 6 days: - 15 mg - 15 mg - 10 mg - 10 mg - 5 mg - 5 mg 15mg on and 10 mg on and 12. disp:*12 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease - s/p cabg non st elevation myocardial infarction angioedema hypertension dyslipidemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns please follow up with allergist prior to completion of steroid taper - you have an appointment if you experience any swelling in tongue, mouth, throat, seek medical attention immediately followup instructions: please call to schedule appointments dr. in 2weeks - call heart center for appointment - for clinic with dr dr. in weeks dr. in 1 week dr (allergist) . , - in pediatrics clinic tuesday at 11am procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart transfusion of packed cells transfusion of platelets perioperative autologous transfusion of whole blood or blood components diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia angioneurotic edema, not elsewhere classified other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to