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: salsalate / ace inhibitors attending: addendum: patient transferred from icu to floor . initially had dobhoff feeding tube which was placed at radiology. however patient pulled this out during night. otherwise has been stable on nasal canula. patient required electrolyte repletion. chief complaint: gi bleed major surgical or invasive procedure: intubation thoracentesis history of present illness: mr. an 81 m with history of af on coumadin until recent ugib (gastritis) in the setting of inr 22, prior history of pe, mr/tr, recurrent pleural effusion who was transferred back to from with persistently dropping hct and melena. at last admission, he presented with a hct of 12.5 and confusion in the setting of inr 22. his inr was reversed with vitamin k and 4 units of ffp. he received a total of 10 units of prbc during that admission. on prior admission, an egd was performed which showed only mild gastritis and no active bleeding. a colonoscopy showed moderate diverticulosis but also no signs of active bleeding. a benign appearing polyp was also removed. he was discharged after several days of stable hematocrits. his hospital course was complicated by subacute l superior cerebellar stroke, and he was placed back on lovenox and coumadin. . since his discharge, the patient is complaining of dyspnea with exertion over last 2 days but no rest dyspnea. denies abd pain, n/v, hematemasis, brbpr, melena, chest pain, lh, orthopnea, pnd, weight gain. pt is not sure about melena as he doesn't check his stools. inr 1.4 at os lab. . in ed, + melenic stools with positive guaiac. pt did not tolerated ng lavage due to deviated septum with obstructed l nare. pt was given iv protonix and 1 unit of prbc for hct 25 (prior to d/c on hct 30). there was a question of st depression laterally and 1st cardiac enzymes were negative. . in the ed patient got 1 unit of prbc. he remained hemodynamically stable. small bowel enteroscopy and egd which showed gastritis and a small angioectasia in the proximal ileum which was treated with thermal therapy. gi is recommending q8h hct checks. per gi, it is okay to resume heparin. most recent hct 27.6 (up from 23.6). . on arrival, pt has no complaints. he is resting comfortable after egd/enteroscopy. past medical history: 1. paroxysmal atrial fibrillation 2. dementia: hallucinates at night 3. dilated cardiomyopathy with ef 55% 4. hypertension 5. ventricular fibrillation w/ aicd 6. psoriasis 7. diabetes, diet controlled 8. macular degeneration 9. basal cell carcinoma 10. valvular heart disease (severe mr ) 11. osteoarthritis w/ decreased mobility from pain 12. varicose vein 13. pe - rll segmental 14. recent ugib gastritis 15. recurrent pleural effusion- unclear etiology, cytology negative in the past. 16. asbestosis exposure. social history: denies tobacco, etoh, illicits. recently at , but previously living with wife on . retired teacher and coach. family history: notable for a father who had macular degeneration. his mother lived to be 90 and was reported to be healthy. he has one younger sister who died from cancer. there is no family history of any memory disorders. physical exam: t 96.5 hr 66 bp 97/51 rr 14 o2sat 97% on ra. gen: pleasant male in nad heent: op clear, + conjunctival pallor, lungs: decreased bs at left base with crackles way up, decreased breath sound at r base, otherwise clear. cardiac: irregularly irregular s1/s2, holosystolic murmur radiating to axilla abdomen: obese, soft nt nabs ext: nonpitting edema of le b/l, + venous stasis changes neuro: awake, alert, oriented to place, ms r>l + ue. le, cn ii-xii intact. ftn intact. skin: pale pertinent results: 09:01pm comments-green top 09:01pm hgb-8.6* calchct-26 06:59pm comments-green top 06:59pm glucose-132* 06:59pm hgb-8.6* calchct-26 06:49pm glucose-139* urea n-32* creat-1.2 sodium-138 potassium-4.5 chloride-101 total co2-32 anion gap-10 06:49pm estgfr-using this 06:49pm ctropnt-0.01 06:49pm calcium-8.6 phosphate-3.3 magnesium-2.5 06:49pm wbc-3.5* rbc-2.86* hgb-8.5* hct-25.8* mcv-90 mch-29.6 mchc-32.8 rdw-20.1* 06:49pm neuts-56.0 lymphs-33.5 monos-6.0 eos-3.3 basos-1.2 06:49pm plt count-145* 06:49pm pt-15.0* ptt-28.1 inr(pt)-1.3* ecg: af at 64, lad, ivcd, no acute st/ t wave changes compared to ecg. . echo : the left atrium is markedly dilated. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). the right atrium is markedly dilated. the left ventricle is normal in wall thickness, caviity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. the right ventricular cavity is moderately dilated with free wall hypokinesis. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a small inferolateralpericardial effusion. compared with the prior study (images reviewed) of , minimal aortic stenosis is now suggested and a very small inferolateral pericardial effusion is now identified. colonoscopy: protruding lesions a single sessile 6 mm polyp of benign appearance was found in the proximal rectum at 14cm. a piece-meal polypectomy was performed using a cold forceps. the polyp was completely removed. grade 1 internal hemorrhoids were noted. excavated lesions multiple diverticula with medium openings were seen in the proximal sigmoid colon and mid-sigmoid colon. diverticulosis appeared to be of moderate severity. impression: grade 1 internal hemorrhoids polyp at 14cm in the proximal rectum (polypectomy) diverticulosis of the proximal sigmoid colon and mid-sigmoid colon otherwise normal colonoscopy to cecum . egd: erythema in the fundus compatible with mild gastritis . small capsule endoscopy erythema and congestion in the antrum compatible with mild gastritis angioectasia in the proximal ileum (thermal therapy) otherwise normal small bowel enteroscopy to proximal jejunum brief hospital course: 8a/p: 81yo m with recurrent left-sided pleural effusion of unclear etiology, afib on anticoagulation, recent embolic stroke (while off anti-coagulation), admitted with recurrent gi bleed, transferred to icu with acute respiratory failure. . # respiratory failure (hypoxic and hypercarbic): the patient with history of chronic left sided pleural effusion s/p several taps in the last year. the source is unknown but concerning for malignant process given history of asbestos exposure, but cytology has been negative. the acute respiratory event is most likely secondary to left sided pleural effusion reaccumulation vs. hemothorax in the setting of anticoagulation. bedside thoracentesis was attempted but aborted due to difficulties with aspiration. on , pt intubated for increasing hypercarbia & work of breathing. a left sided thoracentesis was performed by ip with drainage of 600cc of bloody fluid. a chest tube was then placed. ct chest showed trapped l lung w/ incompletely drained l effusion. large right sided effusion w/ associated atelectasis +/- consolidation. pt's acute respiratory failure thought to be due to worsening left hemothorax, which may have worsened spontaneously with bleeding on anti-coagulation vs pleural bleeding after unsuccessful thoracentesis on vs malignancy. other contributors to pt's respiratory failure include possible hospital acquired pna, ? copd, and possibly chf. pt treated for all of the above with nebs standing, steroids and vanc & zosyn. patient was offered surgical options, but pt and family declined and wanted pursue thoracenteses for right-sided effustion. antibiotics discontinued on after 8day course w/ vanc/zosyn for possible pna patient discharged on 3l nasal canula. . # af: currently stable. - continued on beta blocker. - no anti-coagulation given recurrent gi bleed as well as recent hemothorax. - after discussion of risk/benefits with the family the icd was turned off. . # cardiomyopathy: ef stable at 55%. - contunued lasix, strict ins/outs, beta blocker. - patient elected not to turn on his icd. he was aware of risks. . # gib: avm seen on enteroscopy which has been treated with thermal therapy. also has gastritis. status post multiple units of prbcs on this admission (last ). patient has had stable hct. patient now on protonix . . # renal. pre-renal in setting of hypovolemia & hypotension. resolved by discharge . # dm: previously diet controlled. sent out on lantus and humalog sliding scale. . # h/o of pe - patient with history of pe in however cta did not show any pe. holding anticoagulation bleeding risks. . # fen: pureed, thin liquids, cleared by s+s, asp precautions. patient had ng tube placed before discharge for tubefeedings, however he pulled this out on . . # ppx: ppi, heparin sc . # comm: wife is health care proxy. . # dnr but intubation ok medications on admission: asa 81 mg daily protonix 40 mg docusate 100 mg prn mag gluconate tid kcl 60 meq regular insulin mupirocin ointment zinc oxide paste nystatin powder donepezil 5 mg daily metoprolol 50 mg daily lasix 60 mg daily ferrous sulfate 325 tid warfarin per protocol mag hydroxide tylenol prn bisacodyl supp prn mag hydroxide 30 ml daily psyllium 3.7 gm discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 9. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 10. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q6h (every 6 hours). 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 13. furosemide 40 mg tablet sig: one (1) tablet po every twelve (12) hours. disp:*60 tablet(s)* refills:*2* 14. insulin glargine 100 unit/ml cartridge sig: ten (10) units subcutaneous at bedtime. disp:*qs * refills:*2* 15. humalog 100 unit/ml solution sig: sliding scale units subcutaneous four times a day: humalog sliding scale. 16. potassium chloride 20 meq packet sig: two (2) packets po once a day. 17. magnesium gluconate 500 mg tablet sig: two (2) tablet po three times a day. discharge disposition: extended care facility: & rehab center - discharge diagnosis: respiratory failure atrial fibrillation hemothorax cardiomyopathy avm leading to gi bleed diabetes type ii h/o pulmonary embolism discharge condition: stable breathing on nasal canula discharge instructions: please take all medications as listed in the discharge paperwork. please make all appointments as listed in the discharge paperwork. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. please your md or go to the emergency room for fevers, chills, chest pain, shortness of breath, abdominal pain, nausea, vomitting, diarrhea, or any other concerning symptoms. patient has needed electrolyte repletion. please follow k, mg, and phos closely and replete. followup instructions: please follow up in weeks with your primary care provider . . md procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube fiber-optic bronchoscopy thoracentesis other intubation of respiratory tract transfusion of packed cells other destruction of lesion of small intestine, except duodenum diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified protein-calorie malnutrition chronic airway obstruction, not elsewhere classified atrial fibrillation acute respiratory failure hypotension, unspecified personal history of other malignant neoplasm of skin automatic implantable cardiac defibrillator in situ angiodysplasia of intestine with hemorrhage backache, unspecified unspecified late effects of cerebrovascular disease unspecified gastritis and gastroduodenitis, without mention of hemorrhage personal history of contact with and (suspected) exposure to asbestos personal history of colonic polyps foreign body in main bronchus 

Answer: The patient is high likely exposed to