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: sob, chest pain major surgical or invasive procedure: none history of present illness: 68yo male with hx copd, htn, prostate ca s/p bilateral orchectomy, hypercholesterolemia p/w sob, cough, and l sided pleritic chest pain. patient first noticed cough on which temporarily improved over the weekend but then worsened. cough productive of white sputum. patient denies n/v, fever, chills, recent travel, sick contacts. received a flu shot in . ed course: vitals 99.2 107 85/39 24 96% on 4l the patient was tachycardic, febrile, tachypnic, and hypotensive. he did not show an adequate response to 3l ns and met sepsis criteria. in the ed, he received combivent and albuterol nebs, azithromycin, solumedrol, toradol, ceftriaxone, and was started on a levophed gtt titrated to sbp > 100. he was admitted to the micu service for sepsis protocol. cta chest revealed a foci of consolidation in the lingula, rul, and rll. central venous o2 saturation was initially 77. stress dose steroids with hydrocortisone 50mg iv q6h were started. ceftriaxone and azithromycin were continued for a combined diagnosis of sepsis/pneumonia. the patient's chest pain was alleviated with toradol. past medical history: 1. copd 2. htn 3. hypercholesterolemia 4. prostate ca, score 8, s/p bilateral orchectomy 5. osteoporosis social history: history of tobacco use 2ppd and now at 1ppd. total > 100 pack-years. lives in , alone. veteran of korean war. has a daughter. family history: nc physical exam: g: dyspneic male heent: dry mm, anicteric lungs: distant bs, occ crackles/wheezes cv: distant s1s2, no m/r/g abd: soft, nt, nd, bs decr ext: no e/c/c neuro: grossly intact pertinent results: admission labs: 11:55pm pt-13.1 ptt-25.5 inr(pt)-1.1 11:55pm plt count-545* 11:55pm neuts-86.8* lymphs-8.4* monos-4.5 eos-0.2 basos-0.2 11:55pm wbc-15.7*# rbc-4.30* hgb-12.8* hct-37.4* mcv-87 mch-29.7 mchc-34.1 rdw-12.6 11:55pm calcium-9.9 phosphate-3.4 magnesium-2.2 11:55pm ck-mb-notdone ctropnt-<0.01 11:55pm ck(cpk)-56 11:55pm glucose-128* urea n-37* creat-1.6* sodium-133 potassium-4.6 chloride-93* total co2-30* anion gap-15 02:05am lactate-1.6 02:05am comments-green tube 03:00am pt-13.7* ptt-28.7 inr(pt)-1.2 03:00am plt smr-high plt count-447* 03:00am hypochrom-1+ anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 03:00am neuts-94.3* bands-0 lymphs-4.0* monos-1.6* eos-0.1 basos-0 03:00am wbc-17.5* rbc-3.40* hgb-10.1* hct-30.1* mcv-89 mch-29.6 mchc-33.5 rdw-12.7 03:00am crp-18.16* 03:00am cortisol-324.9* 03:00am acetone-negative osmolal-291 03:00am albumin-3.4 calcium-7.9* phosphate-2.8 magnesium-1.9 03:00am lipase-28 03:00am alt(sgpt)-17 ast(sgot)-17 alk phos-65 amylase-79 tot bili-0.5 03:00am glucose-147* urea n-32* creat-1.2 sodium-132* potassium-3.9 chloride-101 total co2-23 anion gap-12 03:37am lactate-1.6 ct chest w/contrast 12:16 am ct chest w/contrast; ct 150cc nonionic contrast impression: 1) no pulmonary embolus detected. 2) consolidative and ground-glass opacities in the lingula and right upper lobe may represent pneumonia. irregular right lower lobe consolidative opacity is also noted. follow-up examination after treatment should be considered within three months to assess for change or resolution. 3) emphysema. 4) calcified pleural plaques suggesting prior asbestos exposure. chest (portable ap) 2:57 am impression: 1) internal jugular line in right atrium. 2) probable mild failure. patchy opacities in both lungs may represent pneumonia. brief hospital course: 68m with hx copd (>100 pack-years), htn, prostate ca s/p bilateral orchectomy p/w cough and pleuritic cp. the patient noted that he developed the cough on , and that it initially improved over the weekend, but then yesterday got dramatically worse. the must protocol was initiated after his sbp 74 did not increase significantly with 3l ns. levophed gtt was started. he was given combivent/albuterol nebs, azithro/ctx for cap, solumedrol 125mg iv, toradol 30mg iv. his exam in the ed was notable for diffuse expiratory wheezes. cxr was normal initially, repeat for rij confirmation also showed rll infiltrate. he was placed on droplet precautions for flu. cta was negative for pe/dissection, notable for emphysema, calcified pleural plaques suggesting asbestos exposure, and ground-glass opacities in the lingula possibly c/w infection, and irregular rll consolidative opacity. ekg was notable for sinus tachy at 114, no changes. admitted to micu on for sepsis/pneumonia. ceftriaxone and azithromycin continued. stress dose steroids with hydrocortisone 50mg iv q6h started. after 1 day in micu, dramatically improved with no oxygen or pressor requirement. tolerating pos. no wheezes on exam. transferred to medicine . prednisone and azithromycin continued. started on atrovent, fluticasone, and serovent mdi. received nursing training for proper usage of mdi. assessment/plan: 1. pneumonia: --ceftriaxone 1g iv q24h --azithromycin 500mg po q24h -- nicotine td and bupropion for smoking cessation -- physical therapy consult -- prednisone 60mg po qd, plan taper over 6 days 2. anemia - last hct 27.4 - guiaic stools - iron studies, b12 pnd 3. hyperglycemia - likely steroid induced - riss, qid fingersticks 4. constipation - bisacodyl, docusate 5. ppx: pantoprazole, sc heparin medications on admission: 1. lisinopril 20mg po qd 2. hctz 25mg po qd 3. calcium 4. simvastatin 40mg po qd 5. prostate ca meds discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): please take one pantoprazole on each day you take prednisone. disp:*6 tablet, delayed release (e.c.)(s)* refills:*0* 2. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*30 patch 24hr(s)* refills:*2* 3. azithromycin 250 mg capsule sig: one (1) capsule po twice a day. disp:*14 capsule(s)* refills:*0* 4. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 1* refills:*2* 5. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). disp:*60 disk with device(s)* refills:*2* 6. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. prednisone 10 mg tablet sig: one (1) tablet po see instructions below: day 1: 30mg day 2: 30mg day 3: 20mg day 4: 20mg day 5: 10mg day 6: 10mg. disp:*12 tablet(s)* refills:*0* 10. atrovent 18 mcg/actuation aerosol sig: one (1) inhalation twice a day: start twice a day but use up to three times a day if needed. disp:*1 1* refills:*2* 11. vitamin d 400 unit capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 12. tums 500 1,250 mg tablet, chewable sig: one (1) tablet, chewable po twice a day. disp:*60 tablet, chewable(s)* refills:*2* discharge disposition: home discharge diagnosis: pneumonia/sepsis discharge condition: good discharge instructions: please return to the emergency room should you experience worsening shortness of breath, chest pain, severe dizziness, loss of consciousness, or other alarming symptom. please discuss your decision to stop smoking with your primary care physician . so that he assist with this goal. followup instructions: please call you primary care physician . to make an appointment following your discharge from the hospital. it is recommended that you have repeat chest ct imaging once your pneumonia resolves. procedure: venous catheterization, not elsewhere classified infusion of vasopressor agent diagnoses: pneumonia, organism unspecified pure hypercholesterolemia tobacco use disorder unspecified essential hypertension unspecified septicemia personal history of malignant neoplasm of prostate obstructive chronic bronchitis with (acute) exacerbation sepsis constipation, unspecified septic shock asbestosis painful respiration 

Answer: The patient is high likely exposed to