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: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass graft x 5 (lima to lad, svg to om, svg to diag, svg to rca to pda) history of present illness: 70y/o male c/o dyspnea on exertion and le claudication who had an abnormal ett. referred for cardiac cath which revealed three vessel coronary artery disease. past medical history: hypertension, hyperlipidemia, diabetes mellitus, depression, erectile depression, remote duodenal ulcer hx, s/p tonsillectomy, s/p vasectomy, s/p cataract , s/p left rotator cuff repair, s/p hemorrhoidectomy social history: current smoker of 1.5ppd x 53 yrs. denies etoh. family history: non-contributory physical exam: vs: 50 132/59 5'7: 210# gen: wdwn male in nad lying supine in bad skin: unremarkable heent: eomi, perrl, ncat neck: supple, from -jvd chest: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused -edema, -varicosities neuro: a&o x3, mae, non-focal pertinent results: 06:50am blood wbc-10.1 rbc-3.31* hgb-10.0* hct-30.2* mcv-91 mch-30.2 mchc-33.1 rdw-13.5 plt ct-435 01:27pm blood wbc-16.1*# rbc-3.40*# hgb-10.4*# hct-31.2* mcv-92 mch-30.7 mchc-33.4 rdw-13.6 plt ct-241 06:50am blood plt ct-435 02:57am blood pt-12.8 ptt-29.7 inr(pt)-1.1 01:27pm blood plt ct-241 01:27pm blood pt-14.0* ptt-34.2 inr(pt)-1.2* 01:27pm blood fibrino-308 06:50am blood glucose-155* urean-33* creat-1.2 na-141 k-5.1 cl-98 hco3-36* angap-12 02:49pm blood urean-23* creat-0.9 cl-111* hco3-27 06:50am blood mg-2.5 02:57am blood calcium-8.1* phos-3.2 mg-2.7* radiology final report chest (pa & lat) 9:58 am chest (pa & lat) reason: evaluate effusion medical condition: 70 year old man s/p cabg reason for this examination: evaluate effusion history: 70-year-old male status post cabg. pa and lateral radiographs of the chest: comparison is made with the chest radiograph of . sternotomy wires are unchanged in position and appear intact. the current study represents a better inspiration film. there continues to be mild interval decrease in postoperative mediastinal widening. no pneumothorax is seen. small left greater than right pleural effusions are seen. there has been interval improvement in left-sided atelectasis. impression: mild interval improvement in left-sided atelectasis and cardiomediastinal widening. small pleural effusions remain, greater on the left. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 9:30 am echocardiography report , (complete) done at 10:51:16 am final referring physician information , , status: inpatient dob: age (years): 70 m hgt (in): 67 bp (mm hg): 134/56 wgt (lb): 210 hr (bpm): 57 bsa (m2): 2.07 m2 indication: intraop cabg icd-9 codes: 440.0 test information date/time: at 10:51 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: 1 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.4 cm <= 5.6 cm left ventricle - ejection fraction: 60% to 65% >= 55% aorta - annulus: 2.2 cm <= 3.0 cm aorta - sinus level: 3.4 cm <= 3.6 cm aorta - sinotubular ridge: 2.8 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - descending thoracic: 2.5 cm <= 2.5 cm findings left atrium: normal la size. no spontaneous echo contrast is seen in the laa. good (>20 cm/s) laa ejection velocity. 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: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. no as. mitral valve: mildly thickened mitral valve leaflets. the mr vena contracta is <0.3cm. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial 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 appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre-bypass: 1. the left atrium is normal in size. no spontaneous echo contrast is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 4. right ventricular chamber size and free wall motion are normal. 5. there are complex (>4mm) atheroma in the descending thoracic aorta. 6. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis. 7. the mitral valve leaflets are mildly thickened. mild mitral regurgitation is seen. post-bypass: 1. biventricular function is maintained, lvef 60-65%. 2. degree of mitral regurgitation is unchanged 3. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician cardiology report ecg study date of 3:11:04 pm sinus rhythm. low limb lead voltage. compared to prior tracing of no diagnostic interim change. read by: , intervals axes rate pr qrs qt/qtc p qrs t 68 128 88 378/392 60 50 55 brief hospital course: mr. was a same day admit after undergoing pre-operative work-up while he had his cardiac cath. on day of admission he underwent a coronary artery bypass graft x 5. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta blockers and diuretics and gently diuresed towards his pre-op weight. later on this day he was transferred to the sdu for further care. he was seen by for his diabetes, and his nph was increased slightly. he required several visits from physical therpay but otherwise did well postoperatively and was ready for discharge home with services on pod #7. medications on admission: hctz 25mg qd, lisinopril 40mg qd, nifedipine 90mg qd, toprol xl 50mg qd, simvastatin 80mg qd, lexapro 15mg , , humulin n 30units qam, 20qpm 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: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. escitalopram 10 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. insulin nph human recomb 100 unit/ml suspension sig: 34 units subcutaneous once a day: 34 units before breakfast and 24 units before dinner . disp:*qs 1 month* refills:*0* 7. insulin nph human recomb 100 unit/ml suspension sig: 24 units subcutaneous q dinner: 34 units in am, 24 units in pm. disp:*qs 1 month* refills:*0* 8. lasix 40 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* 9. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. metoprolol tartrate 100 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 pmh: hypertension, hyperlipidemia, diabetes mellitus, depression, erectile depression, remote duodenal ulcer hx, s/p tonsillectomy, s/p vasectomy, s/p cataract , s/p left rotator cuff repair, s/p hemorrhoidectomy 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. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. followup instructions: dr. @ 3:15 in please go to outpatient lab prior to appointment and radiology in clinical center building at 1pm on prior to appointment for chest xray - orders in omr dr. 2 weeks already scheduled appointments: , md phone: date/time: 10:00 , md phone: date/time: 12:40 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension atherosclerosis of native arteries of the extremities with intermittent claudication other and unspecified hyperlipidemia other and unspecified angina pectoris diabetes with unspecified complication, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to