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: substernal chest pain/epigastric discomfort major surgical or invasive procedure: emergent three vessel coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending, with saphenous vein grafts to obtuse marginal and right coronary artery history of present illness: the patient is a 68 year old white female who, over the preceeding 4 months, has experienced epigastric/substernal discomfort, shortness of breath, and nausea with activity. ett was abnormal and the patient underwent cardiac catheterization and coronary angiography on which revealed a 95% ostial left main stenosis. she was transferred from and emergently brought to the operating room for surgical revascularization. on admission, she was pain free on medical therapy. past medical history: coronary artery disease - severe left main disease scleroderma (crest) raynaud's phenomenon hypertension hypothyroidism s/p bilateral hip surgery, lower back surery x3, pelvic fx social history: retired secretary tobacco- very remote alcohol- very rare lives with husband family history: father and brother had in their 30s physical exam: discharge exam vs: 98.5, 103/65, 75sr, 20, 97%ra gen: nad, wg, wn white female heent: unremarkable cv: rrr, no murmur or rub chest: lungs are diminished at bases with crackles at the left base, otherwise clear abd: +bs, soft, non-tender, non-distended ext: trace edema les, warm, well perfused incisions: sternal- c/d/i without erythema or drainage, l evh- c/d/i pertinent results: 05:49pm blood wbc-6.0 rbc-3.91* hgb-12.2 hct-34.6* mcv-89 mch-31.2 mchc-35.3* rdw-13.4 plt ct-213 04:15am blood wbc-9.9 rbc-3.38* hgb-10.7* hct-30.3* mcv-90 mch-31.6 mchc-35.3* rdw-13.3 plt ct-176 05:05am blood wbc-7.0 rbc-3.07* hgb-9.6* hct-27.6* mcv-90 mch-31.3 mchc-34.9 rdw-13.5 plt ct-144* 09:21am blood wbc-10.1 rbc-2.87* hgb-9.0* hct-25.8* mcv-90 mch-31.4 mchc-34.8 rdw-13.6 plt ct-283# 05:49pm blood glucose-94 urean-11 creat-0.6 na-141 k-3.9 cl-106 hco3-26 angap-13 04:15am blood glucose-136* urean-9 creat-0.5 na-139 k-4.4 cl-110* hco3-24 angap-9 05:05am blood glucose-132* urean-17 creat-0.7 na-135 k-4.2 cl-103 hco3-27 angap-9 05:35am blood glucose-107* urean-12 creat-0.6 na-138 k-4.4 cl-106 hco3-28 angap-8 05:49pm blood %hba1c-5.4 05:49pm blood albumin-4.0 calcium-9.2 phos-3.5 mg-1.7 05:44am blood calcium-8.6 mg-1.8 05:35am blood calcium-8.6 mg-1.6 06:00pm blood wbc-9.4 rbc-2.83* hgb-8.8* hct-25.7* mcv-91 mch-31.0 mchc-34.2 rdw-14.3 plt ct-351 06:00pm blood plt ct-351 06:00pm blood glucose-130* urean-26* creat-1.0 na-136 k-4.6 cl-101 hco3-26 angap-14 brief hospital course: the patient is a 68 year old female who was admitted for emergent surgical revascularization. for surgical details, please see operative report. following the operation, she was brought to the cvicu for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated without incident. cvicu course was otherwise uneventful and she transferred to the sdu on postoperative day one. all chest tubes and pacing wires were removed without complication. she remained in a normal sinus rhythm and beta blockade was advanced as tolerated. over several days, medical therapy was optimized and she made slow but steady progress with physical therapy. by postoperative day seven, she was medically cleared for discharge to home. medications on admission: nifedipine er 60' duragesic td 50mcg/hr q72h omeprazole 10mg''' domperidone 10mg''' levothyroxine 0.025mcg' fish oil cod liver oil percocet 10'' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 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. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po three times a day. disp:*90 capsule, delayed release(e.c.)(s)* refills:*0* 6. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. fentanyl 50 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). disp:*10 patch 72 hr(s)* refills:*0* 8. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: two (2) tablet po once a day for 1 weeks. disp:*14 tablet(s)* refills:*0* 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 12. atorvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease - s/p cabg pmh: scleroderma (crest), hypertension, hypothyroidism 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, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. (for dr. in weeks for wound check and post-operative follow-up at hospital dr. in weeks dr. in 2 weeks dr. (pulmonologist, ) in 3 months with chest ct to evaluate lung nodule md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries biopsy of pericardium biopsy of heart diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified acquired hypothyroidism iatrogenic pneumothorax 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 family history of ischemic heart disease other diseases of lung, not elsewhere classified atherosclerosis of native arteries of the extremities, unspecified other specified diseases of pericardium raynaud's syndrome benign essential hypertension dyskinesia of esophagus systemic sclerosis lung involvement in systemic sclerosis 

Answer: The patient is high likely exposed to