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: known asd. direct admission to operating room. major surgical or invasive procedure: asd repair(patch) history of present illness: known asd followed as part of heart study group. l->r shunt with ra/rv enlargement past medical history: asd s/p tonsillectomy social history: lives alone, denies etoh/tobacco family history: noncontributory physical exam: admission vs t98 hr 74 bp 132/75 rr20 o2sat ht 6'1" wt 195lbs gen: well appearing, nad skin: unremarkable heent: perrl/eomi anicteric. mmm beniegn oropharynx. supple, no lad chest: cta bilat cv: rrr abdm soft nt/nd nabs ext: warm, well perfused, no edema, no varicosities. pulses 2+ throughout neuro: grossly intact discharge: vs: t98.7 hr 80sr bp 130/64 rr 20 02sat 95% on ra neuro: nonfocal exam pulm: cta bilat cv: rrr, sternum stable incision with steris cdi abdm: soft, nt/nd/nabs ext: warm well perfused. trace edema bilat. rt groin eccymotic pertinent results: 11:38am glucose-95 na+-137 k+-4.2 11:32am urea n-11 creat-0.8 chloride-113* total co2-23 11:32am wbc-15.8* rbc-4.30* hgb-14.3 hct-39.4* mcv-92 mch-33.2* mchc-36.2* rdw-13.3 11:32am plt count-181 11:32am pt-13.9* ptt-46.6* inr(pt)-1.2* 08:12am blood wbc-7.8 rbc-3.69* hgb-11.8* hct-34.2* mcv-93 mch-31.9 mchc-34.4 rdw-13.1 plt ct-235# 03:48am blood pt-12.6 ptt-33.8 inr(pt)-1.1 08:12am blood glucose-122* urean-14 creat-0.9 na-138 k-3.4 cl-102 hco3-27 angap-12 chest (pa & lat) 9:08 am chest (pa & lat) reason: r/o inf, eff medical condition: 53 year old man with reason for this examination: r/o inf, eff history: rule out effusion, infiltrate. chest, two views the lungs are mildly hyperinflated. the patient is status post sternotomy, with prominence of the cardiomediastinal silhouette. there is subcutaneous emphysema in the anterior mediastinum, at the level of the xiphoid. there are small bilateral pleural effusions. there is atelectasis in the right mid zone. rounded density in the right infrahilar region most likely represents a combination of vascular structures and atelectasis, but is incompletely characterized on this examination. no pneumothorax is detected. the right ij central line has been removed. there is residual atelectasis at the left base, but interval clearing compared with . no chf or consolidation. impression: 1) atelectasis and small effusions, but no , chf, or pneumothorax. 2) prominent rounded opacity in right infrahilar lesion. this may very well represent a prominent pulmonary vessel (previous cxr report gives a history of eisenmenger's syndrome), but the presence of a pulmonary nodule cannot be entirely excluded on the basis of the radiograph. moreoever, the recent cardiac mri does not evaluate this finding in a conclusive fashion. if not further evaluated by cross-sectional imaging, then this finding should be evaluated by comparison to remote previous chest xrays or by follow-up cxr, e.g. at 3 months. dr. brief hospital course: mr was a direct admission to the operating room fro a scheduled asd repair. please see or report for details in summary he had an asd closure with a patch via median sternotomy. his bypass time was 44min with a crossclamp time of 21 minutes. he tolerated the operation well and was transfererd from the or to the cardiac surgery icu. he did well in the immediate postoperative period, his anesthesia was reversed, he was weaned from the ventilator and sucessfully extubated. on pod1 his ct were removed, he was off all vasoactive iv medications and was scheduled to be transferred to the floor however no beds were available. on pod2 he was transferred to the floors and pt/rehab initiated. on pod3 his epicardial pacing wires were removed and on pod4 it was decided he was stable and ready for discharge home with services. medications on admission: metoprolol 25mg 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. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 3. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 5 days. disp:*10 capsule, sustained release(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. 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* discharge disposition: home with service facility: vna discharge diagnosis: atrial septal defect s/p asd closeure with patch discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 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 no lifting more than 10 pounds for 10 weeks please call with any questions or concerns p instructions: dr in 4 weeks () please call for appointment dr in 1 week - please call for appointment dr in weeks - please call for appointment wound check appointment 2 as instructed by nurse () procedure: extracorporeal circulation auxiliary to open heart surgery other and unspecified repair of atrial septal defect diagnoses: ostium secundum type atrial septal defect 

Answer: The patient is high likely exposed to