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: penicillins attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x4 history of present illness: 63yo male who developed chest pressure and sob while shoveling snow. stress test was abnormal. subsequent cath revealed 3vd. he is referred for cardiac surgery evaluation. past medical history: hypertension, hyperlipidemia, tonsillectomy social history: race: hispanic last dental exam: summer lives with: wife occupation: retired, but helps wife run home daycare tobacco: ~15pack years, quit 25 yrs ago etoh: 1 bottle wine/week family history: family history:mom cabg 17yrs ago, living @87yo, dad cva in his 70s physical exam: review of systems general: weight changes denies skin: eczema psoriasis skin cancer other: denies heent: hearing aide(s) glasses other: denies respiratory: asthma copd pneumonia cough sputum other: denies cardiac: chest pain sob doe orthopnea pnd other: denies see hpi gi: nausea vomiting diarrhea constipation heartburn/gerd other: denies gu: dysuria frequency prostate gyn other: denies musculoskeletal: arthritis other: denies peripheral vascular: claudication other: denies psych anxiety depression other: denies endoicrine diabetes thyroid other: denies heme/id: denies neuro: tia cva neuropathy seizures other: denies x physical exam pulse: 69sr resp: 13 o2 sat: 100%ra b/p right: left: 137/68 height: 5'8" weight: 168lb 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: none neuro: grossly intact x pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit right: left: no carotid bruits labs: 11 6 >----<251 33 pt: 13.1 ptt: inr: 1.1 142 108 17 ----i----i----< 126 4.1 28 0.8 alt: 36 ast: 20 alk phos: 49 tbili: 0.4 albumin:4.2 hgba1c u/a: ekg: nsr impression: 63m w 3vd pertinent results: echocardiography report , (complete) done at 11:16:33 am final referring physician information , c. , status: inpatient dob: age (years): 63 m hgt (in): 68 bp (mm hg): 100/60 wgt (lb): 168 hr (bpm): 72 bsa (m2): 1.90 m2 indication: coronary artery bypass grafting icd-9 codes: 786.05, 424.1 test information date/time: at 11:16 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 #: 2010aw01-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.0 cm <= 4.0 cm left atrium - four chamber length: 5.0 cm <= 5.2 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.0 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% left ventricle - stroke volume: 46 ml/beat left ventricle - cardiac output: 3.30 l/min left ventricle - cardiac index: *1.74 >= 2.0 l/min/m2 aorta - sinus level: 3.2 cm <= 3.6 cm aorta - ascending: 3.4 cm <= 3.4 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec aortic valve - mean gradient: 5 mm hg aortic valve - lvot vti: 18 aortic valve - lvot diam: 1.8 cm aortic valve - valve area: *1.8 cm2 >= 3.0 cm2 findings left atrium: dilated la. right atrium/interatrial septum: normal ra size. left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). mild as (area 1.2-1.9cm2). mitral valve: normal mitral valve leaflets with trivial mr. physiologic mr (within normal limits). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. 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. see conclusions for post-bypass data conclusions pre-bypass: the left atrium is dilated. 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. there are focal calcifications in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is mild aortic valve stenosis (valve area 1.8 cm2 by vti and 2.3 by planimetry). there is restricted m obility of the left coronary cusp without much evidence of calcification the mitral valve appears structurally normal with trivial mitral regurgitation. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. dr. was notified in person of the results on before surgical incision post-bypass: preserved biventricualr systolic function. lvef 55%. intact thoracic aorta. minimal mr, tr and ai. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 11:57 brief hospital course: mr was admitted and taken to the operating room for coronary bypass grafting x4: left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from aorta to first obtuse marginal coronary artery; reverse saphenous vein single graft from aorta to second obtuse marginal coronary; as well as reverse saphenous vein single graft from aorta to the distal right coronary artery. 2. endoscopic left greater saphenous vein harvesting. see opertaive note for details. post-operatively he was admitted to the icu intubated and sedated for invasive hemodynamic monitoring. he awoke neurologically intact, was weaned form the ventilator and extubated without difficulty. he was started on diuresis and betablockade and his statin therapy was resumed. he was transferred to the stepdown unit on pod#1. chest tubes and pacing wires were removed per protocol. he was evaluated by physical therpay for strength and conditioning and was cleared for discharge to home on pod#4 by dr. . medications on admission: lisinopril 40', lopressor 25'', simvastatin 40', cialis prn, asa 162', mvi discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. 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* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 6. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. dilaudid 4 mg tablet sig: 1/2-1 tablet po every four (4) hours as needed for pain. disp:*45 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, hypertension, hyperlipidemia, discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with dilaudid prn discharge instructions: discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: recommended follow-up:please call to schedule appointments surgeon dr. in 4 weeks primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension other chronic pulmonary heart diseases occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia other and unspecified angina pectoris other postprocedural status 

Answer: The patient is high likely exposed to