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: penicillins attending: chief complaint: shortness of breath major surgical or invasive procedure: none history of present illness: mr. is a 55 year old male with nonocclusive right femoral and popliteal dvt, obstructive sleep apnea and obesity who was doing well until two days ago. he reports waking up with left groin pain. he went for lunch and then noticed acute onset of shortness of breath with minimal exertion leading him to present to hospital. at osh ed, his inital vitals were 134/83 107 95%3lnc and breathing 24-26. due to creatinine of 1.6, he got a v/q scan to evaluate for pulmonary embolism which showed high probability for pulmonary embolism. lenis showed dvt. cta confirmed saddle pulmonary embolism. he was given fundoparinaux 10 mg and transferred to icu. tte showed right ventricular strain with paradoxic motion of the septum, right ventricular dilatation ands severe pulmonary hypertension. he was offered tpa vs osh transfer for thrombectomy. he opted for osh transfer for thrombectomy and thus icu transfer. at micu, he reports 20% improvement in his shortness of breath at rest though no chest pain or dizziness. past medical history: multiple right lower extremity dvts approximately two years ago. he was treated with coumadin for six months and has been off of the coumadin for over a year. he saw a hematologist who could not find any cause for the multiple dvts. hypercoagulable workup did not reveal any causes high triglycerides obstructive sleep apnea, uses cpap at home obesity past surgical history bilateral knee surgery for torn meniscus three years ago ruptured appendix s/p emergent lapraroscpic appendectomy social history: occupation: he is a safety director. tobacco: never alcohol: none recreational drugs: none family history: significant for coronary artery disease or myocardial infarction. he denies a family history of blood clots or bleeding disorders. physical exam: admission exam 76 114/72 96% 2lnc general: the patient is a middle-aged obese male, in no acute distress. neuro: alert and oriented x3, pleasant, and cooperative. heent: head is atraumatic and normocephalic. trachea is midline. neck: supple. no carotid bruits noted. lungs: increase work of breathing. clear to auscultation bilaterally. heart: regular rate and rhythm. s3 present. abdomen: soft, obese, and nontender. no masses noted. he has an umbilical hernia. extremities: he has + right lower extremity edema. 2+ left lower extremity edema. he has a palpable posterior tibial pulse bilaterally. discharge exam vs 98-98.3 66-75 136/91-98 18 96%ra gen alert, oriented, no acute distress, breathing comfortably heent ncat mmm eomi sclera anicteric, op clear neck supple, no jvd, no lad pulm good aeration, ctab no wheezes, rales, ronchi cv rrr normal s1/s2, no mrg abd soft nt nd normoactive bowel sounds, no r/g ext wwp 2+ pulses palpable bilaterally, 2+ pitting edema b/l r>l. no calf tenderness. neuro cns2-12 intact, motor function grossly normal skin no ulcers or lesions pertinent results: admission labs 07:15pm blood wbc-8.0# rbc-4.70 hgb-13.7* hct-41.8 mcv-89 mch-29.2 mchc-32.8 rdw-14.0 plt ct-137* 07:15pm blood neuts-71.9* lymphs-22.0 monos-4.4 eos-1.3 baso-0.5 07:15pm blood pt-11.6 ptt-30.4 inr(pt)-1.1 07:15pm blood glucose-114* urean-15 creat-1.1 na-139 k-4.3 cl-106 hco3-25 angap-12 07:15pm blood alt-39 ast-27 ld(ldh)-238 alkphos-71 totbili-0.3 07:15pm blood ctropnt-0.04* probnp-* 07:15pm blood albumin-3.9 calcium-8.9 phos-2.3* mg-2.0 08:30pm blood d-dimer-2609* 06:00am blood wbc-6.2 rbc-4.80 hgb-13.8* hct-41.9 mcv-87 mch-28.8 mchc-33.0 rdw-13.8 plt ct-151 07:15pm blood neuts-71.9* lymphs-22.0 monos-4.4 eos-1.3 baso-0.5 06:00am blood plt ct-151 06:00am blood pt-13.4* ptt-39.6* inr(pt)-1.2* 04:45pm blood pt-12.3 ptt-37.4* inr(pt)-1.1 06:10am blood pt-11.9 ptt-37.4* inr(pt)-1.1 02:51pm blood pt-12.1 ptt-73.3* inr(pt)-1.1 06:10am blood glucose-110* urean-11 creat-0.9 na-139 k-4.3 cl-104 hco3-27 angap-12 02:09am blood calcium-8.5 phos-3.5 mg-2.0 08:30pm blood d-dimer-2609* tte : the left atrium is mildly dilated. the estimated right atrial pressure is at least 15 mmhg. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. the right ventricular cavity is mildly dilated with severe global free wall hypokinesis. there is abnormal systolic septal motion/position consistent with right ventricular pressure overload. the descending thoracic aorta is mildly dilated. a 1cm mobile echogenic mass is seen at the pulmonary artery bifurctation (clip ) c/w possible saddle embolus. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is severe pulmonary artery systolic hypertension. there is no pericardial effusion. impression: suboptimal image quality. right ventricular cavity size with free wall hyopkinesis and severe pulmonary artery systolic hypertension. possible saddle embolus. brief hospital course: # pulmonary embolism: he has known history of hypercoagulable state. lenis at osh revealed dvt. cta and v/q at osh showed saddle pulmonary embolism with right heart strain on tte. troponin i elevated at 0.1. pt transferred to for possible thrombectomy, but remained hemodynamically stable to procedure not indicated. initially on iv heparin transitioned to lovenox and coumadin given hemodynamic stability. inr rose slightly to 1.2 during admission, but pt was not yet therapeutic, so lovenox continued. pt was discharged home on both medications with close pcp and instructions to have repeat inr drawn in two days. plan is to continue lovenox for five days and until coumadin is therapeutic for at least 24 hours (goal 2.0-3.0). patient should have repeat tte next week to reassess rh function. # hld: chronic, stable. continued tricor. aspirin d/c'ed while on coumadin/lovenox. transitional issues: # health maintenance: given unexplained hypercoaguability, patient should have age-appropriate cancer screening (colonoscopy, psa if pcp ). # incidental lung nodule: pcp should arrange . medications on admission: 1. aspirin 325 mg po daily 2. multivitamins 1 tab po daily 3. tricor 48 mg po qdaily discharge medications: 1. enoxaparin sodium 150 mg sc q12h rx *enoxaparin 150 mg/ml q12hrs disp #*10 syringe refills:*0 2. warfarin 7.5 mg po daily16 rx *warfarin 7.5 mg 1 tablet(s) by mouth daily disp #*20 tablet refills:*0 3. multivitamins 1 tab po daily 4. outpatient lab work draw pt/inr icd 415.19 (acute pulmonary embolism) fax results to attn: 5. tricor *nf* (fenofibrate nanocrystallized) 145 mg oral daily discharge disposition: home discharge diagnosis: pulmonary embolism discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , you were transferred to our hospital for treatment of your pulmonary embolus (blood clot in your lungs). we treated you with heparin to ensure that your clot did not expand and with oxygen to help you breath more comfortably. when your breathing improved, we changed your iv heparin to injections of enoxaparin (low molecular weight heparin). we also started you on coumadin tablets. we have been checking your inr, which is a blood test used to make sure that you are getting the correct dose of coumadin. your goal inr value is between 2.0 and 3.0. you will have to have your inr checked regularly and your coumadin dose adjusted to make sure your inr stays between 2.0 and 3.0. your last inr was 1.2. you will have to continue taking enoxaparin (lovenox) until your inr is above 2.0. please have your blood drawn tomorrow () to check your inr. we have made the following changes to your medications: 1. enoxaparin (lovenox) - we have added this medication 2. coumadin - we have added this medication 3. aspirin - we have stopped this medication we have scheduled a follow-up appointment with your primary care physician. you cannot keep this appointment, please call to reschedule. followup instructions: name: , r address: 382 dw hwy, , phone: date/time: wednesday, 12:15pm procedure: non-invasive mechanical ventilation diagnoses: thrombocytopenia, unspecified obstructive sleep apnea (adult)(pediatric) other chronic pulmonary heart diseases pure hyperglyceridemia other and unspecified hyperlipidemia other acquired absence of organ family history of ischemic heart disease primary hypercoagulable state obesity, unspecified acute venous embolism and thrombosis of deep vessels of proximal lower extremity other abnormal glucose heart disease, unspecified body mass index 39.0-39.9, adult other nonspecific abnormal finding of lung field saddle embolus of pulmonary artery screening for unspecified disorder of blood and blood-forming organs 

Answer: The patient is high likely exposed to