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: exertional dyspnea major surgical or invasive procedure: five vessel coronary artery bypass grafting utilizing left internal mammary to left anterior descending artery, with vein grafts to left anterior descending artery, diagonal, obtuse marginal and posterior descending artery. history of present illness: mr. is a 61 year old male with complaints of exertional dyspnea and positive stress test. he was admitted to and underwent cardiac catheterization which was signficant for severe three vessel coronary artery disease. he was transferred to the for surgical revascularization surgery. past medical history: hypertension hypercholesterolemia diabetes mellitus type ii diabetic nephropathy social history: quit tobacco over one year ago. denies etoh. married with children. family history: no premature history of coronary artery disease. physical exam: vitals: t 98.9, bp 122/62, hr 73, rr 20, sat 97 on room air general: well developed male in no acute distress heent: oropharynx benign, neck: supple, no jvd, bilateral carotid bruits noted bilaterally heart: regular rate, normal s1s2, no murmur or rub lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 2+ distally neuro: alert and oriented, cn 2-12 intact, nonfocal pertinent results: 05:05pm blood wbc-7.8 rbc-4.71 hgb-12.3* hct-35.5* mcv-75* mch-26.2* mchc-34.8 rdw-13.2 plt ct-185 05:05pm blood pt-11.7 ptt-24.0 inr(pt)-1.0 05:05pm blood glucose-95 urean-20 creat-0.9 na-139 k-4.2 cl-107 hco3-27 angap-9 05:05pm blood alt-27 ast-19 ld(ldh)-148 alkphos-113 totbili-0.3 05:05pm blood %hba1c-7.0* carotid ultrasound: 1. less than 40% internal carotid artery stenoses bilaterally. 2. peak systolic velocities and ratios in the common carotid arteries suggest approximately 60-69% cca stenosis on the left and 40-59% on the right. head ct scan: there is an acute/subacute infarct involving the right cerebellar hemisphere and a larger extensive infarct involving the right occipital and temporal lobes in a posterior cerebral artery distribution. there is associated mass effect from this infarct with obliteration of the trigone and occipital of the right lateral ventricle. there are also lacunar infarcts involving the right thalamus and left subinsular region in addition to scattered hypodensities most prominent in the right frontal lobe centrum semiovale. these findings are of unclear chronicity. head cta: 1. dominant left vertebral artery with mild stenosis of its origin and severe stenosis of the v4 segment. 2. severe stenosis of the origin of a tiny right vertebral artery as well as multi-segmental severe stenoses throughout its course. the right vertebral artery essentially disappears at the v4 segment. pica branches from either vertebral artery are not well seen. 3. there is a fetal right posterior cerebral artery which abruptly terminates at the p2 segment, consistent with acute thromboembolism. 4. small right cerebellar infarct and large right posterior cerebral artery infarct. head ct: allowing for technical differences, no significant change since . large right parietal occipital temporal infarct with some small areas of petechial hemorrhage within it. no significant change in the right to left subfalcine herniation measuring approximately 4-5 mm 06:30am blood wbc-8.9 rbc-4.00* hgb-10.7* hct-32.3* mcv-81* mch-26.8* mchc-33.1 rdw-15.6* plt ct-367 06:30am blood plt ct-367 04:50am blood pt-12.5 ptt-23.3 inr(pt)-1.1 06:30am blood glucose-76 urean-12 creat-0.8 na-138 k-4.4 cl-102 hco3-27 angap-13 05:05pm blood alt-27 ast-19 ld(ldh)-148 alkphos-113 totbili-0.3 brief hospital course: mr. was admitted under cardiology and underwent routine preoperative testing. he remained pain free on medical therapy. preoperative workup was unremarkable and he was cleared for surgery(see result section). on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see seperate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he was extubated without incident. on postoperative day two, he was noted to left homonymous hemianopia and left sided neglect associated with some cognitive deficits. head ct scan was obtained which revealed an acute/subacute infarct involving the right cerebellar hemisphere and a larger extensive infarct involving the right occipital and temporal lobes in a posterior cerebral artery distribution. neurology recommended to continue only aspirin as further anticoagulation was contraindicated given the size and circumstances of the infarct. a head cta was also obtained to further evaluate head and neck vessels. later that same day he complained of headache and repeat ct showed multiple new foci of high-attenuation within the area of the right occipitotemporal infarct together with slight interval increase in overall infarct size and increased contralateral midline shift are concerning for hemorrhagic infarction with slow interval hemorrhage. he was treated with mannitol. he subsequently improved however remained with l homonymous hemianopsia and blurry/shadowy vision. he was seen by opthamology who diagnosed him with likely diabetic macular edema, and recommended follow up with his local opthamologist in one week. he was ready for discharge to rehab on . medications on admission: lisinopril 40 qd lopressor 50 qd hctz 25 qd simvastatin 40 qd aspirin 325 qd glyburide 2.5 qd norvasc 5 qd discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 5. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. lisinopril 10 mg tablet sig: three (3) tablet po daily (daily). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 8. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 9. glyburide 2.5 mg tablet sig: one (1) tablet po daily (daily). 10. menthol-cetylpyridinium cl 2 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed). 11. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. 12. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 5 days. discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease - s/p cabg postoperative stroke hypertension diabetes mellitus type ii hypercholesteremia diabetic nephropathy discharge condition: good discharge instructions: follow medications on discharge instructions. do not lift more than 10 lbs. for 2 months. do not drive for 4 weeks. shower daily, let water flow over wounds, pat with a towel. do not use powders, creams, or lotions on wounds. call our office for sternal drainage, temp.> 101.5 followup instructions: make appointments with the following: dr. in weeks. dr. in weeks. dr. /dr. (neurology) or local neurologist in weeks local opthamologist in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries continuous intra-arterial blood gas monitoring diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension personal history of tobacco use intracerebral hemorrhage diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled iatrogenic cerebrovascular infarction or hemorrhage nonproliferative diabetic retinopathy nos diabetic macular edema 

Answer: The patient is high likely exposed to