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 chest pain major surgical or invasive procedure: cardiac catheterization urgent off pump coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending, and saphenous vein grafts to diagonal and obtuse marginal. history of present illness: mr. is a 82 year old male with exertional chest pressure and intermittent dyspnea over the last six months. recent stress was abnormal, revealing st depressions in ii, iii, avf, and v3-v6. he was therefore referred for cardiac catheterization, which revealed left main and 3 vessel disease with preserved ef. he was then referred for coronary bypass grafting past medical history: hyperlipidemia type ii diabetes mellitus with le neuropathy chronic anemia thrombocytopenia erectile dysfunction diverticulosis internal hemmorhoids arthritis history of kidney stones - s/p surgery right hip replacement social history: quit tobacco over 40 years ago. admits to occasional etoh. he is married and lives with his wife and grandson. is an owner of a convenience store. family history: brother cad in his 60's. sister pci. father died of mi at age 78. physical exam: admission: vitals: 178/69, 63, 18 general: wdwn elderly male in nad heent: oropharynx benign, eomi neck: supple, no jvd lungs: cta bilaterally heart: regular rate and rhythm, normal s1s2, no murmur or rub abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted discharge vs pertinent results: 05:50am blood wbc-5.4 rbc-3.20* hgb-9.6* hct-27.3* mcv-86 mch-29.9 mchc-35.0 rdw-14.5 plt ct-150 05:50am blood plt ct-150 05:14pm blood pt-13.4 ptt-29.5 inr(pt)-1.1 05:50am blood glucose-120* urean-30* creat-1.2 na-136 k-4.1 cl-101 hco3-27 angap-12 radiology final report chest (pa & lat) 6:17 pm chest (pa & lat) reason: interval change medical condition: 82 year old man with pod 3 op cabg reason for this examination: interval change chest, two views, at 18:18 comparison study: at 08:38 clinical information: post-op day 3 from cabg, question interval change. findings: patient is status post median sternotomy and cabg. since the prior study, there is interval improvement in aeration of the lungs with increased expansion of the lungs. there is decreased bilateral pleural effusion. there is continued consolidation of the left lower lobe. there is continued right lower lobe atelectasis. the upper lung zones are relatively clear. heart and mediastinum are within normal limits. degenerative changes about the shoulders joint persist. impression: 1. improved aeration of the lungs. decreased bilateral pleural effusions. 2. persistent left lower lobe consolidation and right lower lobe atelectasis. the study and the report were reviewed by the staff radiologist. dr. dr. echocardiography report , portable tte (complete) done at 11:00:01 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 82 m hgt (in): 69 bp (mm hg): 113/65 wgt (lb): 185 hr (bpm): 87 bsa (m2): 2.00 m2 indication: h/o cardiac surgery. left ventricular function. coronary artery disease. icd-9 codes: 414.8 test information date/time: at 11:00 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: / 6 contrast: none tech quality: suboptimal tape #: 2008w006-0:00 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.9 cm <= 4.0 cm left atrium - four chamber length: *5.4 cm <= 5.2 cm left atrium - peak pulm vein s: 0.5 m/s left atrium - peak pulm vein d: 0.3 m/s left atrium - peak pulm vein a: 0.2 m/s < 0.4 m/s right atrium - four chamber length: *5.1 cm <= 5.0 cm left ventricle - septal wall thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.0 cm <= 5.6 cm left ventricle - systolic dimension: 2.9 cm left ventricle - fractional shortening: *0.28 >= 0.29 left ventricle - ejection fraction: 50% >= 55% left ventricle - stroke volume: 80 ml/beat left ventricle - cardiac output: 6.95 l/min left ventricle - cardiac index: 3.47 >= 2.0 l/min/m2 left ventricle - lateral peak e': 0.09 m/s > 0.08 m/s left ventricle - septal peak e': *0.06 m/s > 0.08 m/s left ventricle - ratio e/e': 8 < 15 aorta - sinus level: *3.7 cm <= 3.6 cm aorta - arch: *3.5 cm <= 3.0 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec aortic valve - lvot vti: 21 aortic valve - lvot diam: 2.2 cm mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 1.0 m/sec mitral valve - e/a ratio: 0.60 mitral valve - e wave deceleration time: 224 ms 140-250 ms tr gradient (+ ra = pasp): 16 to 20 mm hg <= 25 mm hg findings left atrium: mild la enlargement. right atrium/interatrial septum: normal ra size. the ivc was not visualized. the ra pressure could not be estimated. left ventricle: normal lv wall thickness. normal lv cavity size. low normal lvef. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. paradoxic septal motion consistent with prior cardiac surgery. aorta: mildly dilated aortic sinus. focal calcifications in aortic root. mildly dilated aortic arch. no 2d or doppler evidence of distal arch coarctation. aortic valve: mildly thickened aortic valve leaflets (3). no as. mitral valve: mildly thickened mitral valve leaflets. no mvp. mild mitral annular calcification. mild thickening of mitral valve chordae. calcified tips of papillary muscles. no ms. trivial mr. normal lv inflow pattern for age. tricuspid valve: normal tricuspid valve leaflets with trivial tr. no ts. normal pa systolic pressure. pulmonic valve/pulmonary artery: pulmonic valve not well seen. no ps. pericardium: no pericardial effusion. general comments: suboptimal image quality - bandages, defibrillator pads or electrodes. conclusions the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. electronically signed by , md, interpreting physician 12:06 brief hospital course: mr. cardiac catheterization on admission. coronary angiography showed a 90% left main lesion along with 80% stenosis in the left anterior descending artery, 80% stenosis in the first diagonal and 60% lesion in the mid circumflex. given his critical anatomy, cardiac surgery was consulted. he was urgently taken to the operating room later that day and off pump coronary artery bypass grafting surgery by dr. . for surgical details, please see seperate dictated operative note. following the operation, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. diuretics were initiated and low dose beta blockade was resumed. he maintained stable hemodynamics and transferred to the sdu on postoperative day one. he experienced oliguria for which postoperative echo was performed which ruled out pericardial effusion/tamponade(see result section). he required a course of nsaids for postop pericarditis. he was transfused for hct 19. his postoperative course was otherwise uneventful and he was eventually cleared for discharge on postoperative day 6. of note, he will need to remain on plavix for three months postop given the off pump procedure. medications on admission: aspirin 81 qd, plavix 75 qd, zocor 80 qd, metformin 1000 , spectravite 1 tab , nitro prn 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:*0* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. zocor 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 7. 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* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease, severe left main disease - s/p off pump cabgx1 (lima-lad,svg-diag,svg-om) postop pericarditis hyperlipidemia type ii diabetes mellitus chronic anemia thrombocytopenia discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt md procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome cardiac complications, not elsewhere classified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes pulmonary collapse other and unspecified hyperlipidemia hip joint replacement acute pericarditis, unspecified 

Answer: The patient is high likely exposed to