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: shortness of breath major surgical or invasive procedure: coronary artery bypass graft x 2 (left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal) history of present illness: 55 yo f with history of hypertension, hyperlipidemia, and tobacco use with complaints of shortness of breath and mid scapular pressure associated with exertion. stress test was abnormal and pt was referred for cardiac catheterization. now asked to evaluate for surgical revascularization. past medical history: hypertension hyperlipidemia thallasemia past surgical history: s/p i&d of a vaginal sebaceous cyst social history: occupation: clerical work at ups last dental exam: one month ago lives with: roommate; no children race: caucasian tobacco:quit ; <1ppd x 25 yrs etoh: rare family history: father with "heart condition" s/p heart surgery in his 40s. physical exam: pulse:64 resp:18 o2 sat:100% ra b/p right: 160/97 left: 154/87 height: 5'2" weight:150 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none 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 right: none left: none pertinent results: 09:50am hgb-11.4* calchct-34 09:50am glucose-120* lactate-1.0 na+-136 k+-3.9 cl--97* 12:41pm glucose-147* lactate-2.1* na+-132* k+-4.5 cl--100 12:42pm pt-14.7* ptt-31.7 inr(pt)-1.3* 12:42pm plt count-159 12:42pm wbc-11.5*# rbc-3.72*# hgb-7.2*# hct-23.0*# mcv-62* mch-19.3* mchc-31.3 rdw-16.2* ================================= 07:20am blood wbc-8.3 rbc-3.87* hgb-7.7* hct-25.2* mcv-65* mch-20.0* mchc-30.7* rdw-15.4 plt ct-146* 07:20am blood plt ct-146* 01:49pm blood pt-14.4* ptt-31.1 inr(pt)-1.2* 07:20am blood glucose-104 urean-14 creat-0.8 na-141 k-5.1 cl-105 hco3-28 angap-13 ================================= echocardiography report left ventricle - ejection fraction: 50% >= 55% left atrium: no mass/thrombus in the laa. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. mild regional lv systolic dysfunction. overall normal lvef (>55%). 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: three aortic valve leaflets. no as. no ar. mitral valve: trivial mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. physiologic (normal) pr. pericardium: trivial/physiologic pericardial effusion. regional left ventricular wall motion: 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. there is mild regional left ventricular systolic dysfunction with mild anterior and antero-septal apical hypokinesis. 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 aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. trivial mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is in sinus rhythm. 1. biventricular function is unchanged. 2. aortic contours appear intact post decannulation. 3. other findings are unchanged ===================================== radiology report chest (pa & lat) study date of 9:49 am reason: eval for pleural effusions medical condition: 55 year old woman s/p cabg final report pa and lateral upright chest radiograph was compared to . the right internal jugular line has been removed. the cardiomediastinal silhouette is stable with stable post-sternotomy wires. there is still present left retrocardiac opacity, but with overall improved aeration of both lower lobes. pleural effusion is seen bilaterally, left more than right and there is no evidence of pneumothorax. dr. brief hospital course: ms. was a same day admision after a pre-operative work-up at the time of her cardiac cath. on she was brought directly to the operating room where she underwent a coronary artery bypass graft x2. please see operative report for surgical details. in summary she had cabg x2 with left internal mammary artery to left anterior descending artery and saphenous vein graft to obtuse marginal artery. her bypass time was 47 minutes with a crossclamp of 32 minutes. she tolerated the operation well and following surgery she was transferred to the cvicu in stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. on postoperative day 1 she was transferred to the floor for the remainder of her care. chest tubes and pacing wires were removed as per protocol. physical therapy worked with her with improvement of strength and endurance. she was cleared for discharge home with visiting nurses on postoperative day #4 by dr. . medications on admission: atenolol 50mg daily hctz 25 mg daily asa 325 mg daily plavix 75 mg daily plavix - last dose: 300mg , 75 mg discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*2* 2. potassium chloride 20 meq packet sig: one (1) po once a day for 10 days. disp:*10 * refills:*2* 3. 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:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 2 past medical history: hypertension hyperlipidemia thallasemia past surgical history: s/p i&d of a vaginal sebaceous cyst discharge condition: good discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming monitor wounds for infection and report any redness, warmth, swelling, tenderness or drainage please take temperature each evening and report any fever 100.5 or greater report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: wound check in 2 weeks on 6-appt to be scheduled before discharge dr. (cardiac surgery) in 4 weeks dr. (pcp) in weeks needs to obtain cardiologist as soon as possbile please call to schedule all appointments procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of tobacco use other and unspecified hyperlipidemia other thalassemia 

Answer: The patient is high likely exposed to