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: cabg x 5 (lima>lad, svg>diag, svg>om1, svg>om2, svg>pda) history of present illness: 54 yo m who presented to cardiologists office with chest pain and was subsequently admitted to osh. stress test was positive, cath at showed 3vd. referred for surgery. past medical history: htn, dm, cad stents x 2, migraines social history: social history is significant for the absence of current tobacco use; he quit 17 years ago. there is no history of alcohol abuse. he moved to us from in . he lives with wife; has three children ages 12, 18, 26. works part time driving children to school in a (). family history: there is no family history of premature coronary artery disease or sudden death. mother had mi in her 70s. physical exam: hr 60 rr 14 bp 121/72 nad lungs ctab heart rrr abdomen soft, nt, nd extrem warm, no edema pertinent results: 07:30am blood wbc-10.0 rbc-3.56* hgb-10.1* hct-31.1* mcv-87 mch-28.4 mchc-32.5 rdw-15.6* plt ct-470*# 07:30am blood glucose-191* urean-11 creat-0.8 na-139 k-4.0 cl-101 hco3-28 angap-14 chest (pa & lat) 10:09 am chest (pa & lat) reason: evaluate rt ptx medical condition: 54 year old man with s/p cabg reason for this examination: evaluate rt ptx history: status post cabg, to evaluate right pneumothorax. findings: in comparison with study of , there is little change in the appearance of the right pneumothorax. the right hemidiaphragm is much more sharply seen. opacification at the left base persists, consistent with some combination of atelectasis, effusion, and possible pneumonia. echocardiography report , (complete) done at 10:59:17 am final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 54 m hgt (in): 66 bp (mm hg): 105/67 wgt (lb): 160 hr (bpm): 69 bsa (m2): 1.82 m2 indication: intra-op tee for cabg icd-9 codes: 440.0, 414.8, 413.9 test information date/time: at 10:59 interpret md: , 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 #: 2008aw02-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 35% to 40% >= 55% findings right atrium/interatrial septum: normal ra size. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness and cavity size. mild-moderate regional lv systolic dysfunction. moderately depressed lvef. right ventricle: normal rv chamber size and free wall motion. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: trivial mr. tricuspid valve: physiologic tr. 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. see conclusions for post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with inferior, inferolateral and lateral apical to mid hypokinesis. overall left ventricular systolic function is moderately depressed (lvef= 35-40 %). 3. right ventricular chamber size and free wall motion are normal. 4. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 5. trivial mitral regurgitation is seen. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine 1. biventricular function is unchanged. focal wmas are unchanged 2. aorta is intact post decannulation 3. other findings are unchanged brief hospital course: he was taken to the operating room on where he underwent a cabg x 5. he was transferred to the icu in stable condition. he was extubated the morning of pod #1. he was transferred to the floor on pod #2. he had atrial fibrillation but converted to nsr. he was lethargic and pain medications were discontinued. he was seen by social work for ? of depression. he was followed by for his dm and started on insulin. he otherwise did well postoperatively and was ready for discharge home on pod #8. medications on admission: plavix 75', asa 325' glipizide 5', metformin 1000'', lisinopril 10', metoprolol xl 200', pravastatin 80', colace 100', nitro sl prn 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. pravachol 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 6. insulin nph & regular human 100 unit/ml (70-30) suspension sig: 14 units in am, 7 units in pm subcutaneous twice a day. disp:*qs 1 month* refills:*0* 7. insulin lispro 100 unit/ml solution sig: please see sliding scale subcutaneous four times a day. disp:*qs 1 month* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 10. potassium chloride 20 meq packet sig: one (1) packet po daily (daily) for 5 days. disp:*5 packet(s)* refills:*0* 11. tramadol 50 mg tablet sig: one (1) tablet po q4-6h () as needed. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad now s/p cabg htn, dm, cad s/p stents x 2, migraines discharge condition: good. discharge instructions: call with fever, redness or drainage from incision, or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. /dr. (pcp) 2 weeks dr. (cardiologist) 2 weeks dr. 4 weeks clinic at 2pm, 3pm and 4pm for md, rn and eye appointments procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension atrial fibrillation percutaneous transluminal coronary angioplasty status long-term (current) use of insulin diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled acute on chronic systolic heart failure other malaise and fatigue 

Answer: The patient is high likely exposed to