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: lovenox / zosyn / restoril / ambien / risperidone attending: chief complaint: acetabular fracture major surgical or invasive procedure: - left hip percutaneous fixation of acetabular fracture history of present illness: 81 y/o male from osh s/p slip and fall on ice while walking out of home. pt presented initially to osh where he was found to have an acetabular fracture. he was afebrile, 98/72 100, satting 97%ra. patient was given morphine 1mg q15m prn pain and transferred to . he triggered on arrival for 77/52 hr 69 in afib but responded to fluids. the pt became tachycardic to 140s in afib w/rvr and dropped his pressures down to the 70s. he was cardioverted twice, at 100j and 200j -> briefly in sinus with bigeminy. he received 4l ns and 1u prbcs. because of his hypotension, he got zosyn. bcx sent, u/a clean. cxr showed low left lung volume with surrounding pleural thickening and calcified pleural plaques, consistent with prior asbestos exposure. he was also given vitamin k 10mg iv. comfortable with blood pressure 91/51, hr 85, rr 18, 100% nrb. no respiratory complaints. ortho and trauma consulted. non-con ct showed l acetabular fx near l common fem and sm amt of free fluid in pelvis. . on the floor, patient found to be 80s-100s/40s-50s, hr 80s-90s, satting 99% on 5l nc. patient a&ox3, states baseline sbps 80s-100s. denies cp, palpitations. states sob is at baseline as well. does endorse hip pain at rest with significant increase with movement. . past medical history: diverticulitis s/p hemicolectomy chf s/p quadruple bypass and tricuspid and mitral repair afib on coumadin hx tia skin ca on forehead copd social history: - tobacco: hx of cigars and pipes, hasn't smoked in years - alcohol: occasional 1-2drinks - illicits: none family history: nc physical exam: on admission: vitals: t: afebrile bp: 103/55 p:83 r: 18 o2:99% on 5l nc general: alert, oriented, no acute distress heent: sclera anicteric, dry mm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: irregular rhythm, crescendo/decrescendo systolic murmur, normal s1 + s2 abdomen: soft, llq tenderness, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley ext: warm, well perfused, no clubbing, cyanosis or edema on discharge: vitals: t: 98.8 bp: 101/70 p:86 r: 20 o2:98% on 2l nc general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: irregular rhythm, normal s1 + s2 abdomen: soft, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley ext: warm, well perfused, 2+ le edema with brawny skin changes pertinent results: labs on admission: 07:10pm blood wbc-9.7 rbc-4.17* hgb-11.2* hct-35.1* mcv-84 mch-26.9* mchc-32.0 rdw-16.4* plt ct-263 07:10pm blood neuts-89.7* lymphs-6.3* monos-3.1 eos-0.7 baso-0.2 07:10pm blood pt-29.7* ptt-36.3* inr(pt)-2.9* 07:10pm blood glucose-121* urean-30* creat-1.2 na-143 k-3.8 cl-101 hco3-30 angap-16 10:15pm blood ck(cpk)-274 10:15pm blood ck-mb-4 ctropnt-<0.01 . labs on discharge: 07:15am blood wbc-7.6 rbc-3.62* hgb-9.7* hct-30.7* mcv-85 mch-26.8* mchc-31.7 rdw-17.5* plt ct-227 07:15am blood glucose-116* urean-31* creat-1.0 na-135 k-5.1 cl-97 hco3-32 angap-11 07:15am blood calcium-8.5 phos-2.7 mg-2.1 . micro blood culture- no growth . imaging: ct head: 1. no intracranial hemorrhage or fracture. 2. chronic involutional changes. . ct a/p: 1. severely comminuted fracture of the left acetabulum, ischium and ilium. 2. hemorrhage in left and anterior pelvis, without evidence of active extravasation. 3. 3.3 cm infrarenal aaa. 4. left-sided pleural scarring/calcification, in conjunction with liver and splenic calcifications. this is most consistent with granulomatous infection (e.g. tuberculosis), differential diagnosis includes prior trauma with resolved hemothorax, and asbestos exposure. 5. cholelithiasis, without acute cholecystitis. . x-ray pelvis: impression: comminuted, displaced fracture of the left acetabulum, also with involvement of the left ilium and ischium. the left femoral head appears intact. no diastasis of the pubic symphysis or sacroiliac joints. . ct spine: impression: 1. no acute fracture 2. reversal of cervical lordosis centered at c6-7, with severe multilevel degenerative changes. 3. moderate left apical pleural thickening, secondary to known asbestos exposure. recommend comparison with prior studies/chest radiographs to assess for interval change in pleural thickening to exclude a more agressive process. . echo: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is severe regional left ventricular systolic dysfunction with anterior and septal hypo- to akinesis. there is mild hypokinesis of the remaining segments (lvef = 25-30%), however the overall lv systolic function may be underestimated in the context of tachycardia. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. a mitral valve annuloplasty ring is present. the prosthesis cannot be adequately assessed. a tricuspid valve annuloplasty ring is present. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. . cxr: (): one view. comparison with the previous study done, . calcified pleural thickening is noted on the left and there is volume loss in the left lung as before. there is interval clearing of right lung infiltrates and improvement in subsegmental atelectasis on that side. the patient is status post median sternotomy as before. mediastinal structures are unchanged. impression: clearing of pulmonary infiltrates likely due to resolution of congestive heart failure. brief hospital course: 81 year-old male with history of atrial fibrillation on coumadin, systolic heart failure who presented with hypotension and atrial fibrillation with rvr after acetabular fracture. . # atrial fibrillation with rvr: the patient was started on amiodarone load upon admission. he intermittently converted to normal sinus rhythm, then reverted back into atrial fibrillation with rates in 120s. following the amiodarone load, the patient was restarted on metoprolol, and titrated up to 75 mg po qid. for anticoagulation, the patient was started on heparin drip (chads2 of 4) as his coumadin was stopped on admission given his fracture. post-op the patient's heparin drip was held for 24 hours and restarted on pod #1 (). coumadin was restarted at 1mg po daily (lower than home dose given interaction with amiodarone), and uptititrated to 2 mg at discharge. his inr will need to be monitored at rehab facility. inr at discharge was 2.4. recommend alternating dose of coumadin between 1 mg and 2mg daily. consideration was given to discontinuation of amiodarone in favor of digoxin given his underlying lung disease. . # acetabular fracture: patient was taken to the or by orthopedic service on for stablization of his left acetabulum/hip. pt remained non-weight bearing following procedure. started on iv dilaudid and oxycodone, and pain was well-controlled throughout. he was touch down weight bearing the left lower extremity at discharge per ortho recommendations. patient will need outpatient orthopedic follow-up in two weeks following discharge. . #. chronic systolic heart failure: tte showed ef of 20-25% in the setting of afib and hr of 110s, which is slightly lower than 30-35% on tte previously. will need to have tte in next few months when his rate is appropriately controlled. ace-i was not added given limitation of low blood pressure, but should be considered as outpatient. . # hypoxia: patient was hypoxic requiring several liters nasal cannula during icu stay. fluid overload possible given net positive fluid balance in the setting of systolic heart failure. home lasix 40 mg daily held on admission and given iv lasix 20 mg x 1 on . cxr showed improvement of any volume overload by . patient restarted on home lasix on , sat-ing 98% on 2l oxygen. need further diuresis to wean oxygen requirement given continued le edema. would also recommend follow up chest ct to further evaluated pleural thickening noted on cxr. medications on admission: toprol xl 200mg daily lasix 40mg daily warfarin 3mg daily asa 81 discharge medications: 1. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 2. warfarin 2 mg tablet sig: one (1) tablet po mondays, wednesdays, fridays: please check inr on , then every three days thereafter for two weeks. adjust coumadin dose accordingly. 3. oxycodone 5 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 4. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po qid (4 times a day). 6. outpatient lab work please check inr on , and every three days thereafter for 2 weeks. adjust coumadin dose accordingly for goal inr . 7. warfarin 1 mg tablet sig: one (1) tablet po tuesdays, thursdays, saturdays, sundays. 8. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: rehab discharge diagnosis: primary diagnosis: - left acetabular fracture status-post repair - atrial fibrillation secondary diagnosis - chronic systolic heart failure discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: bedbound. discharge instructions: dear mr. , it was a pleasure taking care of you at . you were admitted to the hospital after fracturing your hip. prior to the surgery, you were admitted to the intensive care unit (icu) for management of your atrial fibrillation. here, you were placed on blood thinner medication prior to the surgery. during surgery, your hip was successfully repaired and you tolerated the procedure well. . please start the following medications: amiodarone 400 mg daily metoprolol 75 mg four times daily oxycodone 5 mg every three hours as needed for pain . please stop the following medications: toprol . please change the following medication: from coumadin 3 mg daily to 2 mg mondays, wednesdays, and fridays and 1 mg on tuesdays, thursdays, saturdays, and sundays followup instructions: please call your primary care doctor after you leave the rehabilitation facilty in order to schedule a follow-up appointment. please follow up at the ortho trauma clinic with in two weeks. the number for the clinic is . procedure: other electric countershock of heart open reduction of fracture with internal fixation, other specified bone diagnoses: congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation aortocoronary bypass status long-term (current) use of anticoagulants acute on chronic systolic heart failure fall from other slipping, tripping, or stumbling closed fracture of acetabulum 

Answer: The patient is high likely exposed to