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 abnormal ecg major surgical or invasive procedure: none. history of present illness: this is a 75 year old man with a history of pvd, barrett's esophagus admitted on to for elective le angiogram and underwent bilateral iliac stenting. shortly after the procedure, the patient became hypoxic and febrile and was diagnosed with aspiration pneumonia (started on ampicillin-sulbactam on ). also, at 2:00 am on , the patient had an episode of chest pain lasting 20 minutes associated with 1mm horizontal st depressions in v3-v6 that resolved in approximately 30 minutes. he had other episodes at 7:00am on , and 9:30pm on , and 12:41am on . the pain was initially relieved with sublingual nitroclyerin but due to recurrent episodes of rest pain, he was eventually started on nitroglycerin gtt and heparin gtt, aspirin and beta-blocker. he reportedly had 6 sets of negative troponins. of note, patient's hematocrit was 41.8 on admission and 31.8 at 4:30 am on . on the day of transfer, his hematocrit was 28.8 and he was transfused 1 unit prbc with 20mg furosemide iv. the patient's last episode of chest pain was at 2pm, responsive to nitrates. today patient was requiring 100% nrb to keep sats in the mid to high 90's. yesterday, sats were 88% on 6 liters. he was evaluated by cardiology consultation at and referred to for cardiac catheterization. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for chest pain and dyspnea as above. no history of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: # right carotid endarterectomy in # peripheral pvd, s/p bilateral iliac stenting # diet controlled dm # prior tobacco abuse # hypertension # gerd wit barrett's esophagus # hyperlipidemia # arthritis social history: social history is significant for the past tobacco use 50 pack-year history, quit eight years ago, and rare alcohol use. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: vs: t:99.3, bp:125/51 , hr:96 , rr:18 , o2 % 94 on 100% nrb gen: chronically ill-appearing elderly male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. dining. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. intermittent s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. crackles at bases bilaterally, but no wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+, +bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: 06:51pm glucose-138* urea n-15 creat-0.9 sodium-134 potassium-3.8 chloride-98 total co2-28 anion gap-12 06:51pm estgfr-using this 06:51pm ck(cpk)-160 06:51pm ck-mb-4 ctropnt-<0.01 probnp-994* 06:51pm calcium-8.4 phosphate-2.1* magnesium-1.7 06:51pm wbc-13.4* rbc-3.44* hgb-10.7* hct-30.5* mcv-89 mch-31.1 mchc-35.0 rdw-14.6 06:51pm plt count-281 06:51pm pt-12.3 ptt-49.5* inr(pt)-1.1 . ap chest (): extensive heterogeneous consolidation of the right lung more likely pneumonia or pulmonary hemorrhage than asymmetric pulmonary edema since the left lung shows only borderline vascular congestion and there may be a second region of consolidation at the medial aspect of the left lung base, and the heart is normal size. pleural effusion, if any, is minimal. there is suggestion of a hiatus hernia. . echo (): the left atrium is normal in size. the estimated right atrial pressure is 5-10 mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the left ventricular inflow pattern suggests impaired relaxation. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild left ventricular hypertrophy with normal systolic function and moderate diastolic dysfunction. mild right ventricular dilation with mild estimated pulmonary artery systolic hypertension. brief hospital course: pt was admitted to the ccu for further work-up and treatment of his shortness or breath, chest pain and fever. the following issues were adressed: . 1. aspiration pneumonitis pt was thought have aspirated causing a severe chemical pneumonitis as cxr suggested a large r sided infiltrates in both upper, middle and lower lung. pt had a mild fever on presentation and was on ampicillin sulbactam on presentation from osh but clinically never had a cough and no bump in the white count so pt likely did not have aspiration pneumonia. due to the large aa gradient and oxygen demand (pt had to be on no-rebreather for 48 hrs before transitioning placed on nasal canula) the abx course was finished with complete 7-day course on (in case there was a partial penumonia as part of the infiltrate) . 2. chest pain given absence of biomarker elevation and st depressions only in the setting of aspiration, hypoxia and anemia as well as improvement and resolution, the primary team had low suspicion for acute coronary syndrome. pt was monitored on tele without any significant events. cardiac enzymes were checked again and were negative. when pt first prsented, heparin gtt, nitroglycerin gtt, was continued but then eventually stopped. aspirin, atenolol, valsartan, lisinopril, and atorvastatin were continued (amlodipine was also continued for blood pressure control). tte was done on the morning after admission to assess for new wall-motion abnormality and demonstrated mild left ventricular hypertrophy with normal systolic function and moderate diastolic dysfunction (ef>55%). it also showed mild right ventricular dilation with mild estimated pulmonary artery systolic hypertension. he was discharged with instructions to follow-up with dr. for a stress test within 1 week. . 3. acute diastolic heart failure - patient clinically was found to have chf based on crackles at bilateral bases, bilateral infiltrates on chest x-ray. he was diuresed approximately 4 litres. he was discharged on prescription for furosemide 20mg daily to maintain his fluid balance. continued lisinopril, valsartan. . 4. gerd - continued pantoprazole . 5. diet-controlled dm - insulin sliding scale while in house. . 6. ppx - continued pantoprazole medications on admission: aspirin 81mg daily atenolol 50mg daily diovan 80mg daily amlodipine 5mg daily prinovil 20mg daily pantoprazole 40mg daily discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 6. atenolol 25 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. augmentin 875-125 mg tablet sig: one (1) tablet po every twelve (12) hours for 2 days. disp:*4 tablet(s)* refills:*0* 9. atorvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: # chemical pneumonitis . acute diastolic heart failure secondary diagnosis: # peripheral pvd, s/p bilateral iliac stenting # diet controlled dm # prior tobacco abuse # hypertension # gerd with barrett's esophagus # hyperlipidemia # arthritis discharge condition: stable, oxygenating well, respiratory distress resolved. discharge instructions: you were admitted for shortness of breath and chest pain and was diagnosed with pneumonia. the breathing problem improved with oxygen. you were prescribed antibiotics and have 2 more days left. please complete this course, even if you no longer have any symptoms. your atenolol dose was increased to 75mg daily and you have a new prescription for this. you were started on a new medication called furosemide 20mg once a day, and you also have a new prescription for this. it is important that you call your cardiologist to schedule a stress test within the next week. if you develop chest pain, worsening shortness of breath, fever greater than 101f or if you at any time become concerned about your medical condition please present to the nearest ed or call us at followup instructions: please follow-up with your cardiologist, dr. , (. you need to call his office to schedule a stress test. please call within the next 1 week. procedure: transfusion of packed cells diagnoses: anemia, unspecified esophageal reflux congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute on chronic diastolic heart failure peripheral vascular disease, unspecified personal history of tobacco use other and unspecified hyperlipidemia pneumonitis due to inhalation of food or vomitus osteoarthrosis, unspecified whether generalized or localized, site unspecified other chest pain barrett's esophagus 

Answer: The patient is high likely exposed to