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: codeine / protamine sulfate attending: chief complaint: exertional chest pain major surgical or invasive procedure: three vessel coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending artery with vein grafts to diagonal and obtuse marginal. history of present illness: mrs. is a 71 yo female with history of cad s/p angioplasty of lad in , diabetes, and carotid disease with chest discomfort over the past month with mild exertion who was referred for catheterization. a complex restensosis of her intramyocardial lad was found in addition to diagonal artery disease. based on her significant lad disease she is referred to dr. for surgical evaluation. past medical history: hypertension hyperlipidemia diabetes type ii carotid artery disease asthma sinusitis pancreatisis colon polyp removed mild arthritis in the winter kidney stones 35 years ago s/p tonsillectomy bilateral cataract surgery s/p ppm for presyncope social history: lives alone. occasional wine. 10 pack year history of tobacco, quit over 35 years ago. denies recreational drug use. does not use any assistive devices to ambulate. daughter helps pt make medical decisions and is her hcp. family history: mother died of breath cancer age 54; brother had brain cancer physical exam: pulse: 80 sr resp: 18 o2 sat: 98% ra b/p right: 169/78 left: 173/74 height:4'" weight:61.2 kg (135 lbs) general: wdwn female in nad skin: warm, dry and intact. no c/c/e heent: ncat, perrla, eomi< sclera anicteric, op benign neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr no m/r/g abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: spider veins present (b). mild anterior varicosities below knee but gsv appears suitable. neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 1 carotid bruit right: mild bruit left: none pertinent results: intraop tee -- pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post-cpb: patient is av-paced, on ntg infusion. preserved biventricular systolic fxn. trace mr. . aorta intact. other parameters as pre-bypass. 05:50am blood wbc-11.7* rbc-3.00* hgb-9.0* hct-27.1* mcv-90 mch-29.9 mchc-33.2 rdw-14.3 plt ct-182 05:50am blood plt ct-182 05:50am blood glucose-84 urean-27* creat-0.6 na-140 k-3.8 cl-104 hco3-31 angap-9 brief hospital course: on ms. was admitted and taken to the operating room where she underwent coronary artery bypass grafting x 3 (left internal mammary artery to left anterior descending artery with vein grafts to diagonal and obtuse marginal) with dr.. cross clamp time was 46 minutes. cardiopulmonary bypass time was 62 minutes. please refer to dr. operative note for further surgical details. she was intubated and sedated, transferred to the cvicu in critical but stable condition. within 24 hours, she awoke neurologically intact and was extubated without incident. all lines and drains were discontinued in a timely fashion. beta-blocker/statin/asa/plavix and diuresis was initiated. she continued to progress and was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation. the remainder of her postoperative course was essentially uneventful. she was cleared by dr. for discharge to rehab on pod# four. all follow up appointments were advised. medications on admission: lipitor 40mg daily advair disk 250 mcg/50mcg 1 inhalation each day metformin 500mg one tablet once daily toprol xl 25mg two tablets in am and two tablets in pm singular 10mg once a day ambien 10mg daily at hs aspirin 325mg daily calcium with vitamin d 600mg/400iu daily plavix 75mg daily - last dose claritin 10mg daily quinapril hcl 40mg daily fish oil 1000mg daily vitamin a, c, e twice daily albuterol inhalation prn 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. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 3. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lasix 20 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*2* 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*2* 6. metformin 500 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:*2* 7. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 9. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 11. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation every four (4) hours as needed for shortness of breath or wheezing. disp:*qs * refills:*0* 13. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for itching/redness. disp:*qs * refills:*0* 14. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. disp:*30 ml(s)* refills:*0* 15. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. disp:*30 suppository(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease, s/p cabg hypertension hyperlipidemia diabetes mellitus type ii carotid disease prior ppm(for presyncope) discharge condition: good discharge instructions: 1)no driving for one month 2)no lifting more than 10 lbs for at least 10 weeks from the date of surgery 3)please shower daily. wash surgical incisions with soap and water only. 4)do not apply lotions, creams or ointments to any surgical incision. 5)please call cardiac surgeon immediately if you experience fever, excessive weight gain and/or signs of a wound infection(erythema, drainage, etc...). office number is . 6)call with any additional questions or concerns. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt ( wound check on 6 as directed 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 unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled asthma, unspecified type, unspecified percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia other and unspecified angina pectoris personal history of urinary calculi chronic total occlusion of coronary artery personal history of colonic polyps 

Answer: The patient is high likely exposed to