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: niacin / colestid / accupril attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass graft x 4 (left internal mammary artery to left anterior descending, saphenous vein graft to diagonal, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) bronchosccopy-reintubated history of present illness: is a 71-year-old gentleman who experienced an episode of congestive heart failure while in . work up was notable for abnormal stress test and he underwent cardiac catheterization, which was significant for severe three-vessel coronary artery disease. at the time of catheterization, there was also notable for severe mitral regurgitation and an ejection fraction of approximately 40%. given these findings, he was referred to me for cardiac surgical evaluation. currently, his symptoms include a cough and dyspnea on exertion. past medical history: coronary artery disease mitral regurgitation hypertension hypercholesterolemia congestive heart failure tobacco abuse carotid disease subclinical hypothyroidism fatty liver kidney stones social history: retired. quit smoking in after ppd x 40 years. denies alcohol use. family history: brother died from myocardial infarction at age 52. another brother had bypass surgery at age 62 physical exam: vital signs: pulse of 80, respirations of 16, and blood pressure of 112/72. in general, he was a well-developed and well-nourished male in no acute distress. his skin was unremarkable. his oropharynx was benign. he was noted to have poor dentition. neck was supple with full range of motion. there was no jvd. lungs were clear to auscultation bilaterally. heart had a regular rate and rhythm, normal s1 and s2, with a iii/vi holosystolic murmur best heard at the left lower sternal border and apex. abdomen was benign. extremities were warm and well perfused without edema. he had no varicosities of the greater saphenous vein. neurologically, he was alert and oriented x3. cranial nerves ii through xii were grossly intact. he had 5/5 strength and no focal deficits were appreciated. his distal pulses were 2+ and carotid bruits could not been appreciated secondary to his cardiac murmur. pertinent results: 02:17pm glucose-87 na+-138 k+-4.2 01:42pm urea n-23* creat-1.2 chloride-116* total co2-23 01:42pm wbc-22.2* rbc-3.05*# hgb-9.6*# hct-28.3*# mcv-93 mch-31.4 mchc-33.8 rdw-14.9 12:32pm wbc-16.2* rbc-2.29*# hgb-7.1*# hct-21.8*# mcv-95 mch-30.8 mchc-32.3 rdw-15.0 12:32pm plt count-151 06:10am blood hct-34.6* 05:29am blood wbc-14.3* rbc-3.89* hgb-11.5* hct-34.1* mcv-88 mch-29.4 mchc-33.6 rdw-16.4* plt ct-250 05:29am blood plt ct-250 05:23am blood pt-16.7* ptt-26.5 inr(pt)-1.5* 06:10am blood glucose-83 urean-38* creat-1.3* na-141 k-4.4 cl-104 hco3-27 angap-14 04:13am blood alt-34 ast-30 ld(ldh)-346* alkphos-96 amylase-226* totbili-0.7 echo: prebypass: 1. the left atrium is moderately dilated. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. 2. left ventricular wall thicknesses and cavity size are normal. lv ef is 60%. 3. right ventricular chamber size and free wall motion are normal. 4. there are complex (>4mm) atheroma in the aortic arch and descending thoracic aorta. epiaortic imaging at the site of cross clamping and aortic cannulation revealed simple atheroma. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and trace aortic regurgitation. 6. the mitral valve leaflets are mildly thickened. there is partial mitral leaflet flail. moderate to severe (3+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). 7. there is no pericardial effusion. 8. dr. was notified in person of the results during the surgery on at 821. postbypass: 1. patient is on epinepherine and phenylepherine infusions. av and later a paced. 2. there is a mitral annuloplasty ring insitu with a shortened posterior leaflet consistent with a mitral valve repair. there is trace mitral regurgitation. peak and mean gradients are less than 6 mm hg. 3. there is preserved biventricular function on low dose epinepherine infusion. initial septal diskinesis resolves when converted from av to a pacing. 4. aortic contours are intact. 5. remaining exam is unchanged. 6. all findings are discussed with surgeons at the time of the exam. , m 71 radiology report chest (pa & lat) study date of 10:45 am , r. csurg fa6a 10:45 am chest (pa & lat) clip # f/u ptx final report study: pa and lateral chest radiograph. indication: patient is status post cabg, mvr, for evaluation. technique: frontal and lateral chest radiographs were obtained. comparison: radiograph is compared to . report: the patient is status post sternotomy and mitral valve repair as well as lima grafting. there has been interval removal of a right-sided central line. the patient's right-sided pneumothorax probably effectively has resolved. there are persistent changes along the left pleura superiorly likely representing a loculated pleural process. interestingly, the left lower lobe effusion has somewhat improved and there is continued improved aeration in the left lower lobe. a small amount of blunting in the right costophrenic sulcus is unchanged. a right upper lobe opacity persists and continued attention to this is recommended. conclusion: effective resolution of pneumothorax. improved postoperative changes in the right and left lung bases, but with worsening left apical opacity which is lobulated and broad-based to the left pleura, suggesting pleural origin. small right-sided opacity for which continued followup is recommended. dr. brief hospital course: mr. was a same day admit after undergoing all pre-operative work-up as an outpatient. on day of admission he was brought to the operating room where he underwent a coronary artery bypass graft x 3 and mitral valve repair. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. he was weaned off nitro and milrinone by post-op day two and was transferred to the telemetry floor for further care. chest tubes and epicardial pacing wires were removed per protocol. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he developed atrial fibrillation for which amiodarone and coumadin were started. a chest x-ray revealed a right pneumothorax which had increased in size. the interventional pulmonology service was consulted who elected to place an anterior chest tube (dart). the procedure was hemoptysis requiring intubation. he was transferred back to the intensive care unit and a chest tube was placed. a bronchoscopy revealed fresh clot but patent airways. he developed hemodynamic instability which was thought to be related to a blood transfusion as his hemodynamics improved with steroids. a transesophageal echocardiogram was without significant abnormalities. as he fully stabilized, he was extubated the next day. he was transferred back to the step down unit for further recovery. he continued to make steady progress and was discharged home on pod 10. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: carvedilol 6025 mb , lisinopril 10mg daily, crestor 40mg daily, aspirin 81mg daily, lasix 20mg daily, plavix 75mg daily (stopped ), nitro 0.3mg sl prn discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature/pain. 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. rosuvastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day): x10 days then qd. disp:*40 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x7 days, then 400mg qd x7 days, then 200mg qd. disp:*60 tablet(s)* refills:*1* 8. carvedilol 3.125 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 9. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease mitral regurgitation hypertension hypercholesterolemia congestive heart failure tobacco abuse carotid disease subclinical hypothyroidism fatty liver kidney stones discharge condition: good discharge instructions: shower daily, no baths or swimming no lotions, creams or powders to incisions no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart insertion of endotracheal tube closed [endoscopic] biopsy of bronchus other incision of pleura other incision of pleura open heart valvuloplasty of mitral valve without replacement operations on chordae tendineae diagnoses: acidosis coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation other chronic pulmonary heart diseases accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified angina pectoris iatrogenic pneumothorax surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure rupture of chordae tendineae 

Answer: The patient is high likely exposed to