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: dyspnea major surgical or invasive procedure: - cqrdiac catheterization - 1. resection of left atrial appendage. 2. coronary bypass grafting x3 of the left internal mammary artery to left anterior descending artery, and reverse saphenous vein graft to the posterior descending artery and the first diagonal artery. history of present illness: 71m with h/o hypertension and hyperlipidemia. he has had 2 episodes of chest pain and sob in the preceeding 2 weeks. symptoms come on at rest. he presented to the ed 3 days ago in a-fib with rvr. he was successfully cardioverted to sr this morning. cath revealed 3 vessel cad. cardiac surgery is consulted to evaluate for coronary artery revasularization. past medical history: gout prostate ca s/p brachytherapy in (followed by onc, uro), last psa 0.1 hypertension. hypercholesteremia. erectile dysfunction. skin cancers. diverticulosis. social history: lives in w wife/, works at field pushing barrels of beer -tobacco history: stopped 20yrs ago, 2pk per wk x 20yrs -etoh: six packs per weekend -illicit drugs: none family history: mother deceased at age 63yo from mi, brother deceased aat 65yo from mi, brother deceased at 44 from sudden death (murmur) physical exam: admission pe vs: 98.4 144/92 66 18 98/2l general: wdwn caucasian male in nad. oriented x3. mood, affect appropriate. heent: sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: obese, supple jvp unable to assess given body habitus cardiac: pmi displaced laterally to l axillary line, irregularly irregular, normal s1, s2. no m/r/g. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. b/l crackles extending midway up lung fields abdomen: soft, obese, ntnd. no hsm or tenderness. +bs extremities: no c/c, 1+ pitting edema b/l le, +varicosities b/l. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: wbc rbc hgb hct mcv mch mchc rdw plt ct 07:25 6.7 4.79 13.3* 39.3* 82 27.7 33.8 14.2 180 07:25 6.7 4.88 13.4* 40.3 83 27.5 33.2 14.2 175 07:00 7.0 5.29 14.2 44.2 84 26.9* 32.2 14.3 181 07:15 6.3 5.02 14.1 40.7 81* 28.0 34.6 14.3 168 07:30 5.6 4.83 13.1* 40.4 84 27.0 32.3 14.3 146* 15:20 4.9 4.71 13.0* 39.5* 84 27.6 32.9 14.1 154 . neuts bands lymphs monos eos baso atyps metas 15:20 65.9 23.1 8.4 1.4 1.2 . pt ptt inr(pt) 07:25 14.3 70.9 1.2* 21:16 44.6 heparin dose: 800 07:25 13.8 26.9 1.2* 07:00 15.1 64.3 1.3* 07:15 14.9 60.2 1.3* 07:30 15.1* 62.2* 1.3* 00:43 64.6* heparin dose: 1000 15:20 14.0* 27.7 1.2* . glucose urean creat na k cl hco3 angap 07:25 121 13 1.0 143 3.9 105 28 14 07:25 148 13 1.0 141 4.1 103 29 13 07:00 125 13 1.0 141 3.8 103 28 14 19:28 155 16 1.2 140 4.0 100 27 17 07:15 131 15 1.1 141 4.0 100 30 15 07:30 109 15 0.9 142 4.0 104 27 15 15:20 105 17 1.0 139 4.4 102 26 15 . alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 07:25 46 35 215 52 0.8 07:25 511 07:30 631 15:20 861 . ck-mb ctropnt probnp 07:25 4 0.04 19:28 0.13 07:15 0.16 07:30 4 0.41 15:20 0.52 15:20 4 6294 . totprot albumin globuln calcium phos mg uricacd iron cholest 07:25 4.1 9.0 3.4 2.1 07:25 9.1 3.4 2.1 07:00 9.2 3.4 2.1 19:28 9.2 4.0 2.1 07:15 9.1 3.7 2.1 tnt added @1714 07:30 9.1 4.1 2.2 111 . %hba1c 07:30 6.1 . cholest triglyc hdl chol/hd ldlcalc 07:30 111 661 57 1.9 41 . studies cta chest ct chest with and without iv contrast: coronary artery calcifications are noted. otherwise, the heart and pericardium are unremarkable without pericardial effusion. there is no evidence for pulmonary embolism. there are enlarged mediastinal lymph nodes, with right paratracheal lymph nodes measuring up to 17 mm in short axis. aortopulmonary window lymph nodes measure up to 10 mm in short axis. there is a small right pleural effusion associated with bibasilar atelectasis. there are scattered bilateral pulmonary nodules. for example, in the right upper lobe (3:3), a nodule measures 4 mm. also within the right upper lobe (3:26), a nodule measures 5 mm. within the right middle lobe (3:34), a nodule measures 5 mm. within the right lower lobe are several peripherally located nodules, the largest measuring up to 5 mm. the largest nodule in the left upper lobe (3:14) measures up to 7 mm. there is diffuse interlobular septal thickening, suggestive of mild pulmonary edema. perihilar ground-glass opacities also likely reflect volume overload. limited views of the upper abdomen reveal bilateral renal cysts, with a right renal cyst measuring up to 2.8 cm and a left renal cyst measuring up to 2.5 cm. colonic diverticulosis is partially imaged. osseous structures: no suspicious lytic or sclerotic lesions are identified. multilevel degenerative changes are noted throughout the thoracic spine with large anterior osteophytes. impression: 1. no evidence of pulmonary embolism. 2. diffuse interlobular septal thickening with perihilar ground-glass opacities, likely reflective of volume overload. associated tiny right pleural effusion. 3. numerous bilateral pulmonary nodules. a close interval follow-up chest ct in 3 months is recommended given a history of prostate cancer, as these nodules may reflect metastases. . tee the left atrium is moderately dilated. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. there is moderately depressed left ventricular function (lvef = 30-35 %). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. impression: suboptimal image quality. emergency study by fellow. moderately depressed left ventricular systolic function. please see same day full study for details . tee/cardioversion the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the right atrial appendage ejection velocity is depressed (<0.2m/s). no atrial septal defect is seen by 2d or color doppler. lv systolic function appears depressed. with borderline normal right ventricular free wall function. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. impression: no intracardiac thrombus identified. depressed left ventricular systolic function. moderate (2+) mitral regurgitation. . cardiac catheterization 1. selective coronary angiography in this right dominant system revealed three vessel disease. the lmca had a 20% distal lesion. the lad had an ostial 50% stenosis followed by a hazy 90% stenosis involving the d1 which has a hazy 50% lesion. the lcx has a proximal 40% lesion at the the origin of the lmca. the rca has a distal 60% stenosis at the pda/pl bifurcation. 2. limited resting hemodynamics demonstrated mildly elevated central aortic pressures 141/83 with a mean of 100 mmhg. final diagnosis: 1. three vessel coronary disease 2. mild systemic hypertension . chest xray pa and lateral indication: recent nstemi, evaluation before cabg surgery. comparison: . findings: as compared to the previous radiograph, there is no relevant change. borderline size of the cardiac silhouette without evidence of pulmonary edema. no focal parenchymal opacity suggesting pneumonia. moderate tortuosity of the thoracic aorta. extensive spondylophytes, no larger pleural effusions. no lung nodules or masses. . carotid series findings: duplex evaluation was performed of bilateral carotid arteries. on the right there is mild heterogeneous plaque in the ica. on the left there is mild heterogeneous plaque in the ica. on the right systolic/end diastolic velocities of the ica proximal, mid and distal respectively are 57/15, 60/12, 62/23, cm/sec. cca peak systolic velocity is 65 cm/sec. eca peak systolic velocity is 91 cm/sec. the ica/cca ratio is .9. these findings are consistent with <40% stenosis. on the left systolic/end diastolic velocities of the ica proximal, mid and distal respectively are 76/17, 56/18, 42/17, cm/sec. cca peak systolic velocity is 92 cm/sec. eca peak systolic velocity is 76 cm/sec. the ica/cca ratio is .8. these findings are consistent with <40% stenosis. there is antegrade right vertebral artery flow. there is antegrade left vertebral artery flow. impression: right ica stenosis <40%. left ica stenosis <40%. . venous duplex preop patent bilateral greater saphenous veins. on the right, it is diminutive mostly from the low thigh down through the knee but gets larger towards the ankle. on the left it is diminutive below the knee and has another area that is small in the mid thigh. . cardiac mri cmr demonstrated 20% likelihood of recovery of function of anterolateral wall and 60% likelihood of recovery of anterior wall. interseptal akinesis and distal scar . brief hospital course: mr. was admitted to the on for further management of his myocardila infarction. a cta upon admission was negative for a pulmonary embolism however numerous bilateral pulmonary nodules were discovered. a repeat ct scan was recommended in 3 months for further evaluation. aspirin and heparin were started. as he was in atrial lfibrillation, he was successfully cardioverted back into a normal sinus rhythm on . a cardiac catheterization was performed which revealed severe three vessel coronary artery disease. a viability study demonstrated 20% likelihood of recovery of function of anterolateral wall and 60% likelihood of recovery of anterior wall. he was worked-up by the ccradiac surgical service in the usual preoperative manner including a carotid ultrasound which showed less then 40% stenosis bilaterally. lasix intravenously was continued for mild heart failure symptoms. on , mr. was taken to the operating room where he underwent three vessel coronary artery bypass grafting with left atrial appendage ligation. please see operative note for details. postoperatively he was taken to the intensive care unit for moitoring. over the next several hours, he awoke neurologically intact and was extubated without difficulty. he was weaned off all drips and beta blockade, aspirin and a statin were initiated. pod#1 he was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility.pod#2 his rhythm went into atrial fibrillation and he was treated medically with amiodarone and increased beta-blocker. anticoagulation was started with coumadin, inr>2.0. the remainder of his hospital course was essentially uneventful. he continued to progress and on pod# 4 dr. cleared him for discharge to home with vna. all follow up appointments were advised. medications on admission: lipitor 10 mg daily viagra 50 mg 2 (two) tablet(s) by mouth prn erectile dysfunction (not taking) quinapril 20 mg daily vitamin d 1,000 unit once a week aspirin 81 mg daily atenolol 50 mg tab daily bacitracin 500 unit/g eye ointment caverject impulse 20 mcg intracavernosal kit (not taking) diflorasone 0.05 % ointment cardura 8 mg tab 1 tablet(s) by mouth once a day men's multi-vitamin tab 1 tablet(s) by mouth daily discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. quinapril 20 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 3. doxazosin 4 mg tablet sig: two (2) tablet po daily (daily). 4. furosemide 20 mg tablet sig: two (2) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: 2.5 tablets po 1x/week (). 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 1 week, then 400mg daily x 1 week, then 200mg daily until further instructed. disp:*120 tablet(s)* refills:*2* 8. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 10. outpatient lab work labs: pt/inr coumadin for a-fib goal inr first draw - then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by dr. results to phone (confirmed with johany) 11. coumadin 1 mg tablet sig: one (1) tablet po once a day: for afib goal inr 2.0-3.0. disp:*30 tablet(s)* refills:*2* 12. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). discharge disposition: home with service facility: vna discharge diagnosis: non-st elevation myocardial infarction coronary artery disease hypertension hyperlipidemia erectile dysfunction skin cancer diverticulosis prostate cancer (s/p brachytherapy ) gout discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema +1 bilaterally 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 with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. 1:30pm cardiologist: 2:40pm please call to schedule appointments with your primary care dr. in weeks labs: pt/inr coumadin for a-fib goal inr first draw - then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by dr. results to phone (confirmed with johany) **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** previously scheduled appointments: department: gerontology when: monday at 11:30 am with: , rnc building: lm campus: west best parking: garage department: cardiac services when: wednesday at 2:40 pm with: , md building: campus: east best parking: garage department: dermatology when: thursday at 1 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnostic ultrasound of heart atrial cardioversion excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension gout, unspecified atrial fibrillation personal history of malignant neoplasm of prostate personal history of tobacco use other and unspecified hyperlipidemia other diseases of lung, not elsewhere classified diverticulosis of colon (without mention of hemorrhage) impotence of organic origin 

Answer: The patient is high likely exposed to