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: iv dye, iodine containing contrast media attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: 1. aortic valve replacement with . medical biocor epic tissue valve. 2. coronary artery bypass grafting x2 with a left internal mammary artery graft to left anterior descending and reverse saphenous vein graft to diagonal branch. history of present illness: 71 year old gentleman with a year history of aortic stenosis followed by serial echocardiograms. he notews increasing dyspnea on exertion although he does have a prior history of pulmonary fibrosis due to bleomycin toxicity as a result of chemotherapy for hodgkin's lymphoma. a recent echocardiogram showed severe aortic stenosis with worsened gradients across the valve and new, mild left ventricular hypertrophy. given the progression of his disease, he has now been referred for evaluation for an aortic valve replacement. past medical history: aortic stenosis hodgkin's lymphoma pulmonary fibrosis (bleomycin toxicity) hypertension osteoarthritis bilateral cataracts coronary artery disease s/p l elbow surgery s/p right cataract surgery social history: race: caucasian last dental exam: this friday lives with: married contact: phone # occupation: convenience store worker cigarettes: smoked no yes last cigarette 50 years ago. hx: 1ppd x 5years. other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: no premature coronary artery disease physical exam: pulse: 86sr resp: 16 o2 sat: 99% b/p right: 127/91 left: 132/88 height: 67" weight: 182lb general: wdwn in nad skin: warm, dry and intact. heent: ncat, perrla, eomi, sclera anicteric, op benign. teeth in fair repair. neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr, iv/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused trace le edema. scoliosis noted with some pectus/sternal skeletal abnormalities. varicosities: right gsv suitable. left with spider varicosity with mild varicosity below knee. neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit transmitted vs bruit discharge exam vs: t: 98.2 hr: 85-98 sr bp: 86-136/78 sats: 96% ra general: 71 year-old male sitting up in chair in no apparent distress heent: normocephalic, mucus membranes moist card: rrr normal s1,s2 no murmur resp: decreased breath sounds otherwise clear gi: benign extr: warm no edema incision: sternal clean, dry intact no erythema or discharge neuro: awake, alert oriented moves all extremities pertinent results: echo: pre-cpb: the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. 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. no thoracic aortic dissection is seen. the aortic valve leaflets (3) are moderately thickened. there is moderate aortic valve stenosis (valve area 1.0-1.2cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post-cpb: there is a bioprosthetic valve in the aortic position. the valve appears well seated with normal leaflet mobility. there are no paravalvular leaks. there is no ai. the peak gradient across the aortic valve is 37mmhg, the mean gradient is 12mmhg with a cardiac output of 3.3 l/min. the lv chamber size appears small, consistent with hypovolemic state. the lv systolic function remains normal, estimated ef=65%. there right ventricular systolic function remains normal. other valvular function remain unchanged. there is no evidence of aortic dissection. dr. was notified in person of the results at time of study. . cxr: : there is a minimal residual left apical pneumothorax apparent on the current image. no evidence of tension. no other changes. unchanged appearance of the cardiac silhouette after cabg. wbc-10.0 rbc-3.06* hgb-10.4* hct-28.6* mcv-94 mch-34.1* mchc-36.4* rdw-14.5 plt ct-182 wbc-18.3*# rbc-2.57*# hgb-9.1*# hct-25.2*# mcv-98 mch-35.6* mchc-36.3* rdw-12.1 plt ct-224 urean-32* creat-1.0 na-139 k-4.3 cl-102 urean-18 creat-0.7 na-136 k-3.9 cl-109* hco3-22 angap-9 mg-2.6 brief hospital course: mr. was a same day admit and on he was brought directly to the operating room where he underwent an aortic valve replacement and coronary artery bypass graft. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta-blockers and diuretics and gently diuresed towards his pre-op weight. later on this day he was transferred to the step-down floor for further care. chest tubes and epicardial pacing wires were removed per protocol. his lopressor was titrated as needed. on discharge he was started on lisinopril 2.5 mg. he worked with physical therapy for strength and conditioning was cleared for home. he continued to make steady progress and was discharged home with vna. he will follow-up as an outpatient. medications on admission: lisinopril 10 mg/hctz 12.5 mg daily diclofenac 75 mg asa 81 mg daily fish oil 1000 mg discharge medications: 1. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 2. diclofenac sodium 75 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po at bedtime. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stools. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. acetaminophen 325 mg tablet sig: two (2) tablet po every hours as needed for fever or pain. 6. tramadol 50 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*40 tablet(s)* refills:*0* 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 10. lisinopril 2.5 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: aortic stenosis and coronary artery disease s/p aortic valve replacement and coronary artery bypass graft x past medical history: hodgkin's lymphoma pulmonary fibrosis (bleomycin toxicity) hypertension osteoarthritis bilateral cataracts s/p l elbow surgery s/p right cataract surgery discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema: trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: please call the cardiac surgery office for a follow-up appointment on monday with dr. and for the wound clinic. cardiologist: dr. please call his office for a follow-up with in weeks. please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension hyposmolality and/or hyponatremia aortic valve disorders postinflammatory pulmonary fibrosis osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of antineoplastic chemotherapy personal history of hodgkin's disease antineoplastic antibiotics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to