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: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass grafting x4: left internal mammary artery to left anterior descending artery, and reverse saphenous vein grafts to the left posterior descending artery, ramus intermedius artery, and diagonal artery. cardiac catheterization history of present illness: 70 year old female progressive dyspnea on exertion over the last few months, presented getting sob on walking from room to room. night prior to admission developed sub sternal chest tightness with radiation to the jaw, associated with nausea. cardiac catheterization left dominant lmca 60-70% distal bifurcation lesion involving orgin lad & lcx lad : mid stent widely patent; 70% disease proximally in d1; diffuse < 50% disease lcx 70% stenosis proximal to stent which is widely patent ramus ostial 80% disease 70% disease in stent rca diffuse severe disease, moderately small acute marginal without significant disease. she was referred for bypass surgery based on cath results. past medical history: diabetes mellitus hypertension hyperlipidemia cad s/p multiple coronary interventions, most recently des to left circ '. retinopathy s/p laser surgery pvd obesity light headedness diabetic neuropathy cellulitus s/p chole s/p left common femoral artery to above-knee popliteal artery bypass graft with nonreversed greater saphenous vein, angioscopy and valve lysis percutaneous flexor tenotomy on the fourth and fifth toe performed - on bactrim for 5 days social history: lives with: alone - daughter lives near and able to help occupation: works in office doing payroll tobacco: 40 pack year history-current smoker etoh: denies family history: father died at 42 of lung ca. mother is still living at age . physical exam: pulse: 57 resp: 26 o2 sat: 95 ra b/p right: left: 104/39 height: 5'8" weight: 113.4 kg general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally anterior heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + large no palpable masses, right lateral surgical scar, redness under abdominal folds extremities: cool, pulses with doppler, multiple varcosities, surgical scar left thigh, no edema rt le, lt with +1 pitting neuro: grossly intact pulses: femoral right: +1 left: +1 dp right: d left: d pt : d left: d radial right: +1 left: +1 carotid bruit right: no bruit left: no bruit pertinent results: 09:45pm ptt-26.8 09:45pm ck-mb-33* mb indx-8.4* ctropnt-0.44* 09:45pm ck(cpk)-391* 05:35am blood pt-12.5 ptt-28.4 inr(pt)-1.1 05:35am blood glucose-66* urean-40* creat-1.8* na-138 k-4.1 cl-102 hco3-26 angap-14 04:15am blood ck-mb-7 ctropnt-0.71* probnp-* 04:15am blood %hba1c-7.4* 05:01am blood wbc-11.4* rbc-2.86* hgb-8.3* hct-25.5* mcv-89 mch-29.1 mchc-32.6 rdw-15.6* plt ct-266 05:01am blood plt ct-266 01:56pm blood pt-13.1 ptt-29.9 inr(pt)-1.1 05:01am blood glucose-50* urean-23* creat-0.9 na-138 k-4.4 cl-101 hco3-31 angap-10 04:15am blood alt-26 ast-34 ld(ldh)-248 ck(cpk)-165 alkphos-119* totbili-0.4 05:01am blood mg-2.2 echocardiography report left atrium: mild la enlargement. right atrium/interatrial septum: normal ra size. normal interatrial septum. pfo is present. left ventricle: mild regional lv systolic dysfunction. 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. 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. no ms. mild (1+) mr. prolonged (>250ms) transmitral e-wave decel time. tricuspid valve: mildly thickened tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. pericardium: no pericardial effusion. conclusions pre bypass: the left atrium is mildly dilated. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch and the descending thoracic aorta. lv function is borderline normal with mild inferior hypokinesis. lvef 50%. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. there is a small pfo. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. post bypass: slight improvement in inferior lv wall motion, lvef 50-55%. preserved rv function. mr remains mild. no change in other valves. aortic contours intact. chest (pa & lat) clip # final report indication: 70 year-old woman status post cabg for evaluation of left effusion. comparison: multiple prior exams including chest radiograph. pa and lateral chest: a right central catheter with its tip in the upper svc is unchanged. there is bibasilar atelectasis and small bilateral (left greater than right) pleural effusions which have slightly improved since since . mild cardomegaly and post-cabg changes are stable. impression: slight improvement in atelectasis/effusions since . no acute process. the study and the report were reviewed by the staff radiologist. dr. dr. brief hospital course: transferred from outside hospital for cardiac workup. cardiac catheterization revealed 2 vessel coronary artery disease with preserved ef and patient was referred for surgical evaluation. she underwent preoperative workup and on was brought to the operating room for coronary artery bypass graft surgery. see operative report for details. in summary she had coronary bypass grafting x4 with left internal mammary artery to left anterior descending artery, and reverse saphenous vein grafts to the left posterior descending artery, ramus intermedius artery, and diagonal artery. her bypass time was 96 minutes with a crossclamp of 85 minutes. she received vancomycin for perioperative antibiotics. post operatively she was transferred to the intensive care unit in stable condition on neosynephrine, insulin and propofol infusions. in first twenty four hours, she was weaned from sedation, awoke neurologically intact, and extubated without complications. all tubes lines and drains were removed per cardiac surgery protocols. she continued to progress but remained in the intensive care unit for pulmonary management. on pod3 she was transferred from the cardiac surgery icu to the stepdown floor. physical therapy worked with her on strength and mobility. nph was adjusted for hypoglycemia on the step down unit. she continued to progress slowly and was ready for discharge to rehab on post operative day 6. medications on admission: norvasc 10mg daily hydralazine 50mg twice a day hctz 25mg once a day lisinopril 40mg twice a day toprol xl 50mg daily simvistatin 80mg daily timoptic maleate 0.5 % 1 drop os at bedtime aspirin 325mg daily insulin humulin 70/30-65units twice a day nicotine patch plavix - last dose: 600mg osh allergies: nkda discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 3. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic qhs (once a day (at bedtime)). disp:*qs * refills:*2* 4. clotrimazole 1 % cream sig: one (1) appl topical (2 times a day). disp:*qs * refills:*0* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain . 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*qs * refills:*2* 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q2h (every 2 hours) as needed for wheezing . disp:*qs * refills:*0* 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily) for 6 weeks. disp:*42 patch 24 hr(s)* refills:*0* 15. nicotine 7 mg/24 hr patch 24 hr sig: one (1) transdermal once a day for 2 weeks: begin following 6 week course of 14mg/day patch. disp:*14 * refills:*0* 16. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 17. insulin nph & regular human 100 unit/ml (70-30) suspension sig: as directed below units subcutaneous twice a day: 65 units qam 30 units qpm. 18. insulin regular human 100 unit/ml solution sig: sliding scale units injection qac&hs. 19. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 20. furosemide 40 mg tablet sig: one (1) tablet po twice a day for 2 weeks. discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease s/p cabg x4 pmh: diabetes mellitus hypertension hyperlipidemia cad s/p multiple coronary interventions, most recently des to left circ '. retinopathy s/p laser surgery pvd obesity light headedness diabetic neuropathy cellulitus s/p ccy s/p left common femoral artery to above-knee popliteal artery bypass graft with nonreversed greater saphenous vein, angioscopy and valve lysis percutaneous flexor tenotomy on the fourth and fifth toe performed discharge condition: alert and oriented x3 nonfocal ambulating with assist sternal pain managed with ultram and tylenol prn sternal wound healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: provider: , md phone: date/time: at 1:00 pm provider: , md phone: date/time: 2:15 provider: , .d. phone: date/time: 11:40 please call to schedule appointments primary care dr. in weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery tobacco use disorder urinary tract infection, site not specified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes peripheral vascular disease, unspecified chronic kidney disease, unspecified ulcer of other part of foot other and unspecified hyperlipidemia diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled long-term (current) use of insulin morbid obesity candidiasis of skin and nails long-term (current) use of aspirin other specified counseling 

Answer: The patient is high likely exposed to