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: sulfa (sulfonamide antibiotics) / lipitor attending: chief complaint: chest pain major surgical or invasive procedure: - coronary artery bypass grafting x3 with the left internal mammary artery to the left anterior descending artery, and reverse saphenous vein grafts to the posterior descending artery and the third obtuse marginal artery. history of present illness: 69 yo m with history of hypertension with complaints of throat pain with exertion, radiating to both arms. pt had a positive stress test and was referred for cardiac catheterization today. found to have 3vessel cad and we are asked to evaluate for surgical revascularization. past medical history: past medical history: hypothyroidism hypertension palpitations/pvcs l1-5, s1 herniations- no stenosis past surgical history: appendectomy age 16 social history: race:caucasian last dental exam:6 weeks ago lives with:alone occupation:retired 6 weeks ago from :denies etoh:denies family history: uncle died of an mi his 70s, son s/p cabg; father and mother without premature cad physical exam: vs: t: 99.1 hr: 73 sr bp 100/69 sats: 91 ra weight: 99.2 kg preop 97.0 kg general: no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr normal s1,s2 no mumur gallop or rub resp: bibasilar crackles otherwise clear gi: benign extr: warm 2+ edema incision: sternal, chest tube sites clean dry intact, no erythema neuro: non-focal pertinent results: echo pre bypass no mass/thrombus is seen in the left atrium or left atrial appendage. 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. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post bypass normal biventricular systolic function. thoracic aorta is intact. no significant changes from pre-bypass study cxr: findings: as compared to the previous radiograph, there is improved ventilation of the lung. unchanged alignment of sternal wires, borderline size of the cardiac silhouette without signs of overhydration, no pleural effusions, no focal parenchymal opacities. wbc-10.3 rbc-3.70* hgb-10.9* hct-32.2* plt ct-152 glucose-136* urean-22* creat-1.2 na-137 k-4.4 cl-100 hco3-29 mg-2.3 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively he was taken to the intensive care unit for monitoring. over the next several hours, he awoke neurologicalluy intact and was extubated. beta blockade, aspirin and a statin were resumed. on postoperative day one, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. his temporary pacing wires were removed on pod3. his pain was well controlled with acetminophen and hydromorphone. he continued to make steady progress and was discharge to rehab on pod4. medications on admission: norvasc 10 mg po daily, toprol xl 50mg po daily, levothyroxine 50 mcg daily, pantoprazole 40mg po daily, asa 325mg po daily, mvi daily, coenzyme q 10 daily, fish oil, vit e, albuterol prn, metamucil discharge medications: 1. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. furosemide 20 mg tablet sig: 0.5 tablet po daily (daily) for 3 days: stop if weight downs 3 pounds. 7. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 9. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. discharge disposition: extended care facility: for the aged - discharge diagnosis: cad s/p cabg hypothyroidism hypertension palpitations/pvcs l1-5, s1 herniations- no stenosis discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in weeks. please follow-up with dr. in weeks. call all above providers for appointments. scheduled appointments: provider: , md phone: date/time: 4:20 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension unspecified acquired hypothyroidism 

Answer: The patient is high likely exposed to