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: penicillins / timoptic attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - coronary bypass grafting x5: left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from aorta to the first diagonal coronary artery; reverse saphenous vein single graft from aorta to first obtuse marginal coronary; reverse saphenous vein single graft from aorta to the second obtuse marginal coronary artery; as well as reverse saphenous vein single graft from aorta to posterior descending coronary artery. history of present illness: the patient is a 67-year-old gentleman who presented with a markedly positive stress test. cardiac cath showed totally occluded right coronary artery, as well as a totally occluded lad with filling of the distal right circulation via left-to-right collaterals and filling of the distal lad from left-to-left collaterals. there was also high-grade stenosis in the first diagonal coronary artery, as well as the main circumflex marginal and two large branches. the patient was, therefore, referred for coronary bypass grafting. past medical history: hyperlipidemia obesity arthritis bph glaucoma social history: retired photoshop owner. nonsmoker. lives with his wife. rare alcohol use. family history: mother and father with coronary artery disease in their 70's. physical exam: 63 sr 18 151/77 146/72 71" 260lbs gen: nad neck: supple, from, no jvd lungs: cta heart: rrr, no m/r/g abd: soft, nondistended, nontender, normal active bowel sounds ext: warm, well perfused, no edema, no varicosities, distal pulses poor but palpable. neuro: nonfocal, no carotid bruits pertinent results: echo pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the diameters of aorta at the sinus, ascending and arch levels are normal. 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 stenosis. trace aortic regurgitation is seen. 6. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. 7. there is a trivial/physiologic pericardial effusion. no sign of restricted filling due to pericardial restraint. dr. was notified in person of the results. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is being paced. 1. biventricular function is good 2. aorta appears intact post decannulation 3. other findings are unchanged. 06:57am blood wbc-7.5 rbc-3.96* hgb-12.1* hct-34.4* mcv-87 mch-30.4 mchc-35.0 rdw-13.7 plt ct-235# 06:20am blood glucose-93 urean-17 creat-0.6 na-135 k-4.1 cl-100 hco3-28 angap-11 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to five vessels. please see operative note for details. interaoperatively it was noted that his pericardium was adhesed to his heart and he was therefore placed on motrin post-operatively for one month for dressler's syndrome. postoperatively he was was taken to the cardiac surgical intensive care unit for monitoring. within the next 4-5 hours, mr. neurologically intact and was extubated. toradol was started for postoperative pericarditis. later on postoperative day one, mr. 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 strength and mobility. his chest tubes and pacing wires were removed. he was ready for discharge to home on post-operative day four. medications on admission: crestor 1omg daily toprol xl 25mg multivitamin glucosamine/chondroitin aspirin 81mg daily xalantan eye drops 1 drop each eye 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. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 5. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 1 months. disp:*90 tablet(s)* refills:*0* 6. lasix 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*2* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: cad s/p cabgx5 obesity hyperlipidemia htn bph discharge condition: good 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 or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in 2 weeks. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension unspecified glaucoma hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia obesity, unspecified postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to