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: chest pain major surgical or invasive procedure: coronary artery bypass graft x 3 (lima to lad, svg to om, svg to pda) history of present illness: 81 y/o female with new onset angina with minimal exertion. had ct angio which revealed severe calcification of lm/lad/rca. then underwent cardiac cath which revealed severe left main diseae and three vessel disease. then transferred to for surgical care. past medical history: hypertension, hypercholesterolemia, chronic obstructive pulmonary disease, lung cancer s/p right thoracotomy, pvd s/p left cea, s/p thyroid surgery, s/p tonsillectomy social history: current smoker of approximately 1/2ppd. and 45 pack years. 1 etoh/day. family history: father with mi in 70's. physical exam: vs: 98.7 68 163/59 16 96% gen: nad, lying flat in bed neuro: a&o x 3, non-focal heent: perrl, eomi, anicteric pulm: scattered rhonchi, right thoracotomy scar cv: rrr, -c/r/m/g abd: soft, nt/nd, +bs ext: warm, minimal varicosities pertinent results: echo: pre-cpb: 1. the left atrium is normal in size. no spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the left atrial appendage. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. there is mild symmetric left ventricular hypertrophy with normal cavity size. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 4. right ventricular chamber size and free wall motion are normal. the right ventricular free wall is hypertrophied. 5. there are simple atheroma in the aortic root. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. post-cpb: ventricular systolic function is preserved. the aortic contour is intact post-decannulation. trivial mitral regurgitation remains as per prebypass exam. cxr: since last exam (one day ago), all tubes and catheters have been removed. there are bilateral pleural effusions and associated basal atelectasis. no ptx identified on this semi-erect film. the heart is upper normal in size without vascular congestion. it is difficult to compare this exam with study one day ago with bibasilar atelectasis, having developed. 05:35pm blood wbc-7.5 rbc-4.05* hgb-12.4 hct-36.2 mcv-89 mch-30.7 mchc-34.4 rdw-14.0 plt ct-388 06:05am blood wbc-11.0 rbc-2.81* hgb-8.6* hct-25.3* mcv-90 mch-30.8 mchc-34.1 rdw-14.3 plt ct-266 05:35pm blood pt-12.4 ptt-26.9 inr(pt)-1.1 02:35am blood pt-12.0 ptt-30.3 inr(pt)-1.0 05:35pm blood glucose-95 urean-12 creat-0.7 na-139 k-3.9 cl-106 hco3-23 angap-14 06:05am blood glucose-102 urean-12 creat-0.7 na-135 k-3.9 cl-100 hco3-26 angap-13 02:35am blood calcium-8.0* phos-3.9 mg-2.4 brief hospital course: as mentioned in the hpi, ms. was transferred to for surgical care. upon admission pre-operative work-up was done. on she was brought to the operating room and underwent a coronary artery bypass graft x 3. please see operative note for details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. on post-op day one she was started on beta blockers and diuretics and gently diuresed towards her pre-op weight. also on this day her chest tubes were removed and she had some episodes of atrial fibrillation. afib was properly treated and she ultimately was started on amiodarone. on post-op day two she was transferred to the sdu for further care. on post-op day three he epicardial pacing wires were removed. she continued to recover slowly while working with physical therapy for strength and mobility. she recieved an extra dose of iv lasix for some dyspnea (cxr revealed bibasilar atelectasis w/small bilat. effusions, both of which have improved on follow-up x-ray today) on post-op day #5 she appeared to be doing well and was discharged to rehab facility. medications on admission: cozaar, lipitor, plavix, toprol xl, verapamil, albuterol discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 7. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 11. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 4 days: then decrease to 400 mg daily for 1 week, then decrease to 200 mg daily until discontinued by dr. . 12. ferrous gluconate 300 (35) mg tablet sig: one (1) tablet po daily (daily). 13. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: house nursing home - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 pmh: hypertension, hypercholesterolemia, chronic obstructive pulmonary disease, lung cancer s/p right thoracotomy, pvd s/p left cea, s/p thyroid surgery, s/p tonsillectomy 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. 7) call with any questions or concerns. followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation other and unspecified angina pectoris 

Answer: The patient is high likely exposed to