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: angina major surgical or invasive procedure: cabg x 3 (lima-lad / svg-om / svg-rca) history of present illness: 47 yo f preop for gastric bypass surgery in near future, with increasing anginal symptoms and doe over past couple of months. cath showed 3 vd, referred for surgery. being followed for anemia, and received epogen preop as she is a jehovahs witness. past medical history: iddm, retinopathy, morbid obesity, neuropathy, claudication laser eye surgery, c-sxn x3, carpal tunnel (l) social history: works as hr assistant quit tobacco 14 years ago rare etoh family history: + premature cad physical exam: admission vs:hr 92 rr 12 gen:wdwn f in nad pulm: ctab cv: rrr no m/r/g abdomen: obese soft, nt extrem: warm, well perfused. no edema. no varicose veins. 2+pp discharge vs 98.6 76 110/68 20 93%ra neuro: non focal exam pulm: cta-b cv: rrr, no murmur. sternum stable, incision cdi abdm: soft, nt/+bs ext: warm, well perfused. 2+ pedal edema bilat pertinent results: echocardiography report , (complete) done at 10:11:32 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 47 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. chest pain. coronary artery disease. hypertension. icd-9 codes: 402.90, 786.51, 440.0 test information date/time: at 10:11 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% to 60% >= 55% aortic valve - peak gradient: 3 mm hg < 20 mm hg aortic valve - mean gradient: 2 mm hg findings left atrium: normal la size. no spontaneous echo contrast in the body of the laa. no spontaneous echo contrast or thrombus in the body of the laa. no mass/thrombus in the laa. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: mildly dilated ra. no spontaneous echo contrast in the body of the ra or raa. a catheter or pacing wire is seen in the ra and extending into the rv. dynamic interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. mildly dilated rv cavity. aorta: normal aortic diameter at the sinus level. simple atheroma in aortic root. normal ascending aorta diameter. simple atheroma in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. mild mitral annular calcification. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is normal in size. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no mass/thrombus is seen in the left atrium or left atrial appendage. no thrombus is seen in the left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. the right ventricular cavity is mildly dilated. 4. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. trivial mitral regurgitation is seen. 7. there is no pericardial effusion. post-cpb: on infusion of phenylephrine. preserved biventricular systolic function. lvef is 60 %. trace mr. aortic contour is preserved post decannulation. 01:34pm urea n-15 creat-0.5 chloride-108 total co2-26 01:34pm wbc-25.5*# rbc-3.93* hgb-11.6* hct-34.3* mcv-87 mch-29.5 mchc-33.9 rdw-14.5 01:34pm plt count-267 01:34pm pt-13.8* ptt-32.8 inr(pt)-1.2* 01:00pm alt(sgpt)-14 ast(sgot)-13 alk phos-47 amylase-36 tot bili-0.6 01:00pm tot prot-7.0 albumin-4.2 globulin-2.8 01:00pm urine color-yellow appear-slcloudy sp -1.036* 01:00pm urine blood-lge nitrite-neg protein-tr glucose-1000 ketone-tr bilirubin-sm urobilngn-neg ph-5.0 leuk-neg 01:00pm urine rbc-230* wbc-0 bacteria-none yeast-none epi-<1 complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:16pm 11.0 3.65* 10.5* 32.0* 88 28.7 32.7 14.3 397 basic coagulation (pt, ptt, plt, inr) pt ptt plt smr plt ct inr(pt) 05:16pm 397 chemistry renal & glucose glucose urean creat na k cl hco3 angap 10:45am 13 0.6 4.6 radiology final report chest (pa & lat) 10:50 am chest (pa & lat) reason: r/o ptx medical condition: 47 year old woman with reason for this examination: r/o ptx history: 47-year-old female, rule out pneumothorax. comparison: . chest, pa and lateral: small left apical pneumothorax is minimally decreased in size. minimal increased opacification of the retrocardiac region is unchanged. lungs are otherwise clear. heart size is normal. sternotomy wires are intact and unchanged. hilar and mediastinal contours are normal. tiny calcific density projecting over lateral aspect of the humeral head is seen likely represents calcific tendinitis. impression: small left apical pneumothorax, minimally decreased in size compared to prior study. the study and the report were reviewed by the staff radiologist. dr. dr. brief hospital course: she was taken to the operating room on where she underwent a cabg x 3(please see or report for details). she tolerated the operation well and was transferred to the icu in critical but stable condition on neo and propofol. she did well in the immediate post-op period, her anesthesia was reversed and she was extubated later that day. she was transferred to the floor on pod #1. she was transferred back to the unit on pod #2 for elevated blood sugars and was restarted on an insulin drip. she was seen by for glucose management. her epicardial wires were cut. on pod 3 she was found to have a greater than 50 % l pneumothorax and a chest tube was inserted, it was removed on pod7. her bblockade and diuretics continued to be titrated and on pod8 it was decided she was ready for discharge home. medications on admission: glipizide xl 20' metformin 1000" lantus 35 hs asa 81' atenolol 12.5' lipitor 40' lisinopril 5' procrit 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. 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* 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. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 2 weeks. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* 5. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. disp:*28 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 7. glucotrol xl 10 mg tab,sust rel osmotic push 24hr sig: two (2) tab,sust rel osmotic push 24hr po once a day: resume preop dosing. 8. metformin 1,000 mg tablet sig: one (1) tablet po twice a day: resume preop dosing. 9. lantus 100 unit/ml solution sig: thirty five (35) units subcutaneous at bedtime: resume preop dosing. 10. lipitor 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. discharge disposition: home with service facility: discharge diagnosis: cad now s/p cabg pmh: iddm, retinopathy, morbid obesity, neuropathy, claudication laser eye surgery, c-sxn x3, carpal tunnel (l) 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 or driving until follow up with surgeon. p instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension atherosclerosis of native arteries of the extremities with intermittent claudication polyneuropathy in diabetes 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 long-term (current) use of insulin morbid obesity background diabetic retinopathy diabetes with neurological manifestations, type ii or unspecified type, uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to