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: ibuprofen / aspirin / lipitor / imdur attending: chief complaint: doe; angina major surgical or invasive procedure: cabg x 4 (lima->lad, svg->om, svg->diag, svg->pda) history of present illness: 69 yo male with + ett showing a small scarred fixed defect and large inferolateral and anterolateral mildly reversible defect with mild peri-infarct ischemia. ef was 54% on perfusion scan. has had known cad since . referred for cabg evaluation. past medical history: gerd cad/acs htn niddm elev. lipids gout obesity metabolic syndrome mi dil. asc. aorta melanoma pleural asbestosis psh: left ing. herniorrhaphy, removal nasal polyps, removal melanoma back social history: retired lives with wife occasional cigar drinks etoh daily family history: no premature cad physical exam: 5'8" 250# nad with rash on face eomi, op benign, broken dental pin neck supple, no jvd or carotid bruits appreciated;short,squat neck ctab rrr s1 s2, no murmur soft, obese, non-tender, non-distended, no hsm or cva tenderness warm, well-perfused, no edema peripherally no varicosities noted neuro grossly intact, mae strengths, nonfocal exam pertinent results: 06:20am blood wbc-8.5 rbc-3.25* hgb-10.5* hct-29.7* mcv-91 mch-32.1* mchc-35.2* rdw-14.3 plt ct-204 06:20am blood plt ct-204 06:20am blood glucose-117* urean-13 creat-0.6 na-136 k-3.8 cl-98 hco3-29 angap-13 radiology final report chest (portable ap) 6:50 pm chest (portable ap) reason: post chest tube removal. ? ptx medical condition: 69 year old man with cabg reason for this examination: post chest tube removal. ? ptx history: cabg, question pneumothorax status post chest tube removal. chest, 1 vw compared with , multiple lines and tubes have been removed. the patient is status post sternotomy. prominence of the cardiomediastinal silhouette is consistent with recent surgery. there is increased retrocardiac density, consistent with collapse and/or consolidation. no gross effusion, though a small effusion, particularly on the left, cannot be excluded. no pneumothorax is identified. linear density over the left first rib appears to represent a rib contour. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sun 3:50 pm cardiology report echo study date of *** report not finalized *** preliminary report patient/test information: indication: intraoperative tee for cabg status: inpatient date/time: at 10:21 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw4-: test location: anesthesia west or cardiac technical quality: suboptimal referring doctor: dr. r. measurements: left ventricle - ejection fraction: 40% to 45% (nl >=55%) aorta - valve level: 3.6 cm (nl <= 3.6 cm) aorta - ascending: *3.9 cm (nl <= 3.4 cm) aorta - descending thoracic: *2.7 cm (nl <= 2.5 cm) interpretation: findings: right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: mildly depressed lvef. right ventricle: mildly dilated rv cavity. aorta: normal aortic diameter at the sinus level. simple atheroma in aortic root. mildly dilated ascending aorta. simple atheroma in ascending aorta. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. trace ar. mitral valve: mildly thickened mitral valve leaflets. moderate (2+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. suboptimal image quality. the patient appears to be in sinus the patient. conclusions: pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. overall left ventricular systolic function is mildly depressed (lvef= 40-45 %). 3. the right ventricular cavity is mildly dilated. 4. there are simple atheroma in the aortic root. the ascending aorta is mildly dilated. there are simple atheroma in the ascending aorta. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. trace aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. 7. the tricuspid valve leaflets are mildly thickened. post-bypass: 1. maintained biventricular function. 2. improvement of mitral regurgitation mild (1+) mr noted. 3. aortic contours are intact. 3. physician: () brief hospital course: admitted and underwent cabg x4 with dr. . transferred to the csru in stable condition on phenylephrine and propofol drips. extubated that afternoon and transferred to the floor on pod #1 to begin increasing his activity level. beta blockade titrated and gently diuresed toward his preoperative weight.plavix restarted as pt. has allergy to aspirin. chest tubes and pacing wires removed without incident. made excellent progress and cleared for discharge to home with services on pod #4. pt. is to make all followup appts. as per discharge instructions. medications on admission: plavix 75 mg daily atenolol 50 mg daily allopurinol 300 mg daily gemfibrozil 600 mg cozaar 25 mg daily omeprazole 20 mg daily metformin 500 mg daily glyburide 5 mg daily zocor 20 mg daily nitro spray 0.4 mg prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. 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* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 7. metformin 500 mg tablet sig: one (1) tablet po daily (daily). 8. glyburide 5 mg tablet sig: one (1) tablet po daily (daily). 9. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: cad mi obesity metabolic syndrome dilated ascending aorta niddm htn hyperlipidemia pleural asbestosis melanoma gerd gout discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. 4 weeks dr. 1-2 weeks dr. 2-3 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified obesity, unspecified asbestosis personal history of malignant melanoma of skin dysmetabolic syndrome x 

Answer: The patient is high likely exposed to