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: 78 year old woman referred to by cardiologist for evaluation of chest pain x1 month. transferred from to for further evaluation/cardiac catheterization. major surgical or invasive procedure: cardiac catheterization cabg x5(lima-lad, svg-d1-d2, svg-om, svg-plv) history of present illness: patient has been experiencing chest pain for past month, she had increase in symptoms on day of presentation to er. past medical history: diabetes hypothyroid hypercholesteroemia spinal stenosis bilat catarct surgery cough social history: lives with daughter remote tobacco quit 50 years ago no etoh use family history: unknown physical exam: admission vs hr 84 rr 18 bp 144/82 nad lungs ctab heart rrr abdomen soft/nt/nd extrem warm, no edema no varicose veins no carotid bruits pertinent results: 05:00am blood wbc-14.3* rbc-3.27* hgb-9.7* hct-28.5* mcv-87 mch-29.6 mchc-33.9 rdw-14.8 plt ct-206 03:17am blood wbc-17.0* rbc-3.72* hgb-10.7* hct-30.5* mcv-82 mch-28.8 mchc-35.1* rdw-14.3 plt ct-108* 11:25pm blood wbc-10.3 rbc-4.07* hgb-11.7* hct-34.6* mcv-85 mch-28.8 mchc-33.8 rdw-12.3 plt ct-298 05:10pm blood neuts-54.9 lymphs-34.9 monos-5.1 eos-4.5* baso-0.5 05:00am blood plt ct-206 11:25pm blood pt-11.7 ptt-23.1 inr(pt)-1.0 01:21pm blood fibrino-147* 05:00am blood glucose-146* urean-15 creat-0.6 na-135 k-4.0 cl-95* hco3-31 angap-13 11:25pm blood glucose-147* urean-17 creat-0.7 na-142 k-4.3 cl-105 hco3-24 angap-17 05:10pm blood alt-21 ast-24 alkphos-77 amylase-66 totbili-0.3 dirbili-0.1 indbili-0.2 11:25pm blood lipase-34 06:00am blood calcium-7.6* phos-4.8* mg-1.8 05:00am blood mg-2.0 05:10pm blood %hba1c-7.1* 01:10pm report comment: source: cvs general urine information urine color yellow performed at west stat lab urine appearance clear performed at west stat lab specific gravity 1.007 1.001 - 1.035 performed at west stat lab dipstick urinalysis blood tr performed at west stat lab nitrite neg performed at west stat lab protein neg mg/dl performed at west stat lab glucose neg mg/dl performed at west stat lab ketone neg mg/dl performed at west stat lab bilirubin neg mg/dl performed at west stat lab urobilinogen neg mg/dl 0.2 - 1 performed at west stat lab ph 7.0 units 5 - 8 performed at west stat lab leukocytes sm , (complete) done at 9:55:40 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 78 f hgt (in): 62 bp (mm hg): 120/70 wgt (lb): 120 hr (bpm): 75 bsa (m2): 1.54 m2 indication: intraoperative tee for cabg abnormal ecg. chest pain. coronary artery disease. hypertension. icd-9 codes: 786.05, 440.0 test information date/time: at 09:55 interpret 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 #: 2008aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.5 cm <= 5.6 cm left ventricle - ejection fraction: 50% to 55% >= 55% aorta - annulus: 1.9 cm <= 3.0 cm aorta - sinus level: 3.4 cm <= 3.6 cm aorta - sinotubular ridge: 2.4 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - descending thoracic: 2.2 cm <= 2.5 cm findings left atrium: good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: low normal lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. 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 ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. trivial mr. tricuspid valve: mildly thickened tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. 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. results were personally reviewed with the md caring for the patient. 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. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. 3. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 4. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. 5. the mitral valve leaflets are mildly thickened. there is moderate mitral annular calcification of the posterior leaflet of the mitral valve. trivial mitral regurgitation is seen. 6. the tricuspid valve leaflets are mildly thickened. 7. there is no pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and was a paced. 1. regional and global left ventricular systolic function are normal. 2. right ventricular systolic function is normal. 3. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 14:01 radiology final report chest (pa & lat) 2:10 pm chest (pa & lat) reason: ? effusion medical condition: 78 year old woman with s/p cabg reason for this examination: ? effusion history: status post cabg. findings: in comparison with the study of , the patient has taken a much better inspiration. the right ij catheter has been removed. there is persistent enlargement of the cardiac silhouette in a patient with recent cabg procedure and intact sternal sutures. opacification behind the heart is consistent with a substantial left effusion. smaller right effusion. minimal indistinctness of pulmonary vessels suggests some residual increased pulmonary venous pressure. dr. approved: tue 2:59 pm brief hospital course: she was admitted to cardiac surgery. she was seen by cardiology and underwent cardiac catheterization on which showed three vessel disease. she was taken to the operating room on where she underwent a cabg x 5. she was transferred to the icu in critical but stable condition. she was fluid overloaded and was diuresed prior to be extubation on pod #2. she was transferred to the floor on pod #3. she continued to improve, and was seen by physical therapy. she was ready for discharge to rehab on pod #5. medications on admission: levoxyl 25mcg', glucophage 1000'', lovastatin 20', singulair 10', theophylline 100''', asmanex 220mcg', combivent 90mcg'''', mucinex 1200', aspirin 81', zithromax 500' discharge medications: 1. lovastatin 20 mg tablet sig: one (1) tablet po once a day. 2. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 3. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 4. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 5. guaifenesin 600 mg tablet sustained release sig: two (2) tablet sustained release po bid (2 times a day). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. propoxyphene n-acetaminophen 100-650 mg tablet sig: tablets po q6h (every 6 hours) as needed. 10. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 11. asmanex twisthaler 220 mcg (120 doses) aerosol powdr breath activated sig: one (1) inhalation once a day. 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 13. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)) for 5 days. 14. furosemide 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. 15. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day for 2 weeks. 16. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 3 days. 17. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: s/p cabg x5(lima-lad, svg-d1-d2, svg-om, svg-plv) pmh: cad, dm, hypothyroid, spinal stenosis, eye , chronic cough discharge condition: stable discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds, or weight gain more than 2 pounds in one day or five in one week. no lifting more than 10 punds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr in 4 weeks dr 2 weeks md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures intraoperative cardiac pacemaker left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism asthma, unspecified type, unspecified personal history of tobacco use spinal stenosis, unspecified region tachycardia, unspecified cough cataract extraction status 

Answer: The patient is high likely exposed to