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: 65m with dyspnea. major surgical or invasive procedure: - pericardiocentesis with placement of a pericardial drain. - right vats, pericardial window history of present illness: this 65m is s/p cabgx3 on and was discharged to home on pod#7. he had an uneventful postop course but developed increased doe/sob over the past week. he had a negative ett yesterday and an echo revealed pericardialwith loculations which was suggestive for tamponade. he was transferred from mwmc for further treatment. past medical history: s/p cabgx3(lima->lad< svg->ramus, diag) ^chol. depression s/p spinal fusion social history: lives with wife, works as a carpenter. cigs: quit in etoh: 1-2 drinks/day family history: unremarkable. physical exam: gen: wdwn in nad vs: afeb hr: 77 bp: 160/68 rr:10 97% sat on ra heent: nc/at, perla, eomi, oropharynx benign neck: supple, from, no lymphadenopathy or thyromegaly, carotids 2+= bilat. without bruits, + jvd lungs: bibasilar crackles cv: rrr without r/g/m, nl. s1, s2, abd: +bs, soft, nontender, without masses or hepatosplenomegaly incisions: healing well, no errythema or drainage ext: cool, no c/c/e, pulses 2+=bilat. neuro: nonfocal pertinent results: 07:55pm blood wbc-13.1* rbc-3.97* hgb-11.8* hct-34.0* mcv-86 mch-29.8 mchc-34.8 rdw-14.2 plt ct-273 04:00am blood pt-13.2* ptt-24.3 inr(pt)-1.1 09:10am blood glucose-124* urean-19 creat-1.1 na-134 k-4.9 cl-100 hco3-25 angap-14 patient/test information: indication: pericardial effusion. pericarditis. s/p pericardial window. height: (in) 68 weight (lb): 211 bsa (m2): 2.09 m2 bp (mm hg): 120/70 hr (bpm): 60 status: inpatient date/time: at 12:00 test: tte (focused views) doppler: limited doppler and no color doppler contrast: none tape number: 2006w035-0:50 test location: west echo lab technical quality: adequate referring doctor: dr. measurements: mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.9 m/sec mitral valve - e/a ratio: 0.89 mitral valve - e wave deceleration time: 226 msec tr gradient (+ ra = pasp): 20 mm hg (nl <= 25 mm hg) interpretation: findings: this study was compared to the prior study of . right atrium/interatrial septum: the ivc is normal in diameter with appropriate phasic respirator variation. left ventricle: normal lv wall thickness, cavity size, and systolic function (lvef>55%). right ventricle: normal rv chamber size and free wall motion. aortic valve: normal aortic valve leaflets. mitral valve: normal mitral valve leaflets. tricuspid valve: normal pa systolic pressure. pericardium: small to moderate pericardial effusion. no rv diastolic collapse. no significant respiratory variation in mitral/tricuspid valve flows. conclusions: left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. the mitral valve leaflets are structurally normal. the estimated pulmonary artery systolic pressure is normal. there is a small to moderate sized partially echo filled predominantly anterior pericardial effusion (1.3cm around he basal right ventricle, 2.0cm anterior to the right atrium and distal right ventricle) without evidence for hemodynamic compromise. compared with the prior study (images reviewed) of , the size of the effusion is reduced, the ivc now demonstrates normal respiratory variation, and tamponade physiology is no longer suggested. electronically signed by , md on 12:51. physician: , j. chest (pa & lat) 1:43 pm chest (pa & lat) reason: s/p drain removal, eval ptx medical condition: 65 year old m s/p r. vats, pericardial window, drainage of loculated pericardial effusion. reason for this examination: s/p drain removal, eval ptx pa and lateral views of the chest reason for exam: s/p drain removal, evaluate pneumothorax. 65-year-old man s/p right vats with pericardial window. comparison is made with prior study performed a day before. findings: the right chest tubes have been removed. there is no pneumothorax. the right hemidiaphragm remains elevated with atelectasis in the adjacent right lower lobe. a small right pleural effusion. unchanged small retrocardiac atelectasis. persistent marked enlargement of the cardiac silhouette likely secondary to the patient's known pericardial effusion. impression: no pneumothorax. the study and the report were reviewed by the staff radiologist. dr. dr. approved: wed 11:46 am brief hospital course: the patient was admitted on to the csru for close monitoring. echo here revealed tamponade physiology and on hd#1 he underwent pericardiocentesis by dr. and 500 cc of fluid was drained. the patient tolerated the procedure well and his symptoms resolved. an echo the following morning revealed reaccumulation of the fluid and dr. of thoracic surgery was consulted. on he had a r vats for a loculated pericardial effusion and tolerated the procedure well. on pod#2 the drain was d/c'd and on pod#3, the other drain was d/c'd. he grew out gm + rods from the pericardial fluid and he was evaluated by id. he had a negative lyme titer and stool samples sent. they felt no furhter treatment was needed. he was discharged to home in stable condition on pod#4. medications on admission: colace 100 mg po bid asa 81 mg po daily lisinopril 40 mg po daily lipitor 40 mg po daily prilosec 20 mg po daily fluoxetine 40 mg po daily lopressor 25 mg po bid norvasc 10 mg po daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. 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* 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 8. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). disp:*30 capsule(s)* refills:*0* 9. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* discharge disposition: home discharge diagnosis: pericardial effusion/tamponade s/p cabg x 3 hyperlipidemia depression s/p spinal fusion discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pound sin one day or five in one week, no lifting more than 10 pounds. shower, no lotions, creams powders to incision. followup instructions: dr. 1-2 weeks dr. 2 weeks call for appointment procedure: pericardiocentesis pericardiotomy right heart cardiac catheterization diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status depressive disorder, not elsewhere classified unspecified disease of pericardium 

Answer: The patient is high likely exposed to