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: iodine attending: chief complaint: cp major surgical or invasive procedure: - cabgx3 on iabp. (left internal mammary-left anterior descending artery, vein->first obtuse marginal artery, vein->second obtuse marginal artery.) - cardiac catheterization with placement of iabp history of present illness: the patient is 75-year-old man who presented with a history of metastatic squamous cell carcinoma who presented with increasing chest pain. catheterization showed severe circumflex and left main disease. an intra-aortic balloon pump was placed and he was referred for surgery. the patient has been coughing and had elevated white count for several weeks. it was felt that he had resolving pneumonia. it was elected to proceed with bypass surgery. past medical history: nstemi hocm hyperlipidemia htn metastatic squamous cell cancer shoulder displacement cad sciatica osteoarthritis glaucoma social history: retired. lives alone. drinks 3 alcoholic drinks daily. former smoker with 10 pack-year history family history: father with cad physical exam: 74 130/80 69" 158lbs gen: wdwn in nad skin: warm, dry, no clubbing or cyanosis.' heent: perrl, anicteric sclera, op benign neck: supple, no jvd, from. lungs: cta bilaterally. heart: sb, holosystolic murmur abd: soft, nd/nt/nabs ext:warm, well perfused, no bruits, no varicosities neuro: no focal deficits. pertinent results: 07:20pm wbc-14.1* rbc-3.64* hgb-12.2* hct-35.7* mcv-98 mch-33.6* mchc-34.3 rdw-12.8 09:00am glucose-190* urea n-29* creat-0.9 sodium-140 potassium-4.1 chloride-103 total co2-27 anion gap-14 09:13pm urine color-straw appear-clear sp -1.004 07:20pm wbc-14.1* rbc-3.64* hgb-12.2* hct-35.7* mcv-98 mch-33.6* mchc-34.3 rdw-12.8 07:20pm plt count-254 cardiac cath 1. selective coronary angiography of this right dominant system demonstrated severe coronary artery disease. the lmca had a 80% complex area of stenosis. the lcx had 95% stenosis at its origin and a 90% stenosis at its mid portion. the mid lad had 30% stenosis. the rca had a 40% stenois at its mid portion. 2. resting hemodynamic measurement demonstrated elevated left sided filling pressure with an pcwp of 25 mmhg. the mean pap was elevated at 39 mmhg. the rvedp was within normal at 11 mmhg. the calculated fick c.i. was preserved at 2.5 l/min/m2 echo the left atrium and right atrium are normal in cavity size. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with severe hypokinesis of the basal half of the inferior and inferolateral walls. the remaining segments contract normally (lvef = 40-45 %). right ventricular chamber size and free wall motion are normal. right ventricular chamber size is normal. the ascending aorta is mildly dilated. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with mild regional systolic dysfunction c/w cad. mild mitral regurgitation. dilated ascending aorta. mild pulmonary artery systolic hypertension. carotid ultrasound bilateral heterogeneous calcific ica plaque, that on the right associated with an approximately 40% stenosis. that on the left, unassociated with any significant stenosis (graded as less than 40%). conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are moderately thickened. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. an iabp is in the proximal descending aorta, just beyond the subclavian artery. post-cpb: patient is av-paced, on no infusions. good biventricular systolic fxn. 1+ tr, 2+mr, trace ai. aorta intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 10:46 , m 75 radiology report chest (portable ap) study date of 11:23 am , csru sched chest (portable ap) clip # reason: ? ptx s/p ct removal medical condition: 75 year old man with s/p cabg reason for this examination: ? ptx s/p ct removal final report study: single portable ap chest radiograph. indication: status post cabg with chest tube removal. comparison: . findings: left-sided chest tube has been removed without pneumothorax identified. there is mild bibasilar atelectasis. the cardiomediastinal silhouette is stable in appearance. no appreciable effusion or pneumothorax detected. impression: removal of left-sided chest tube without pneumothorax. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 10:56 pm imaging lab ?????? brief hospital course: mr. was admitted to the on with chest pain. a cardiac catheterization was performed which showed severe left main and single vessel disease. an intra-aortic balloon pump was placed for coronary perfusion.heparin was started for anticoagulation. given the severity of his disease, the cardiac surgical service was consulted for surgical management. he was worked-up in the usual preoperative manner including a carotid duplex ultrasound which revealed a 40% right and less then 40% left internal carotid artery stenosis. on , mr. was taken the operating room where he underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring.within 24 hours he awoke neurologically intact and was extubated. his iabp was also removed within 24 hours. he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strenght and mobility.pacing wires removed on pod #3. he developed urinary retention and foley will remain in place with pt. to follow up with his own outpatient urologist.he also went into a fib and was started on amiodarone and coumadin. target inr is 2.0-2.5 for a fib. coumadin dosing to be followed by dr. . first blood draw tomorrow . cleared for discharge to home with vna services on pod #6. pt is to make all followup appts. as per discharge instructions. medications on admission: lipitor 40mg lisinopril 10mg daily metoprolol 75mg aspirin 81mg timolol 0.5% once daily 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) for 1 months. disp:*60 capsule(s)* refills:*0* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 5. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 6. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic daily (daily). disp:*1 vial* refills:*2* 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 9. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 2 days: for 2 days until , then 200 mg until , and then 200 mg daily starting ongoing. disp:*60 tablet(s)* refills:*1* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. 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:*2* 12. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 weeks. disp:*14 tablet(s)* refills:*0* 13. warfarin 5 mg tablet sig: one (1) tablet po once (once) for 1 doses: today only, then all further daily dosing per dr. . disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad s/p cabg x3 nstemi hocm htn hyperlipidemia sciatica osteoarthritis glaucoma metastatic squamous cell cancer postop a fib urinary retention discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. 8) coumadin dosing per dr. first blood draw -fax results to dr. at followup instructions: please follow-up with dr. in 1 month. please follow-up with dr. in weeks. please follow-up with dr. in 2 weeks. please follow-up with your local urologist as soon as possible after discharge. please call all providers for appointments. first blood draw - target inr 2.0-2.5 for a fib- please fax results to dr. scheduled appointments: provider: , md phone: date/time: 9:00 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries implant of pulsation balloon nonoperative removal of heart assist system continuous intra-arterial blood gas monitoring diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation unspecified glaucoma alcohol abuse, unspecified other and unspecified hyperlipidemia retention of urine, unspecified family history of ischemic heart disease urinary complications, not elsewhere classified acute on chronic systolic heart failure 

Answer: The patient is high likely exposed to