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: xanax / ativan attending: chief complaint: hemoptysis major surgical or invasive procedure: intubation and mechanical ventilation flexible bronchoscopy with therapeutic aspiration history of present illness: yo man with aortic stenosis, crf, left renal artery stenosis, copd, tobacco abuse who called ems for acute dyspnea/hemoptysis last night. had approx 5 tbl of brb followed by a few episodes of coin sized blood. per patient's wife, patient was lethargic and sleepy after d/c last week from hospital. wife awoke around 230am today when patient was coughing up blood and noted to be dyspneic. she also states that the vna noted some "abnormal sounds" in her right lung on exam. past medical history: # chronic renal failure - followed by dr. . on epogen. - baseline creatinine is 2.0 - 2.4. # claudication - walks 1.5 miles daily but has to stop and rest. # aortic stenosis - mean gradient 60 on last echo - declined avr or valvuloplasty # b12 deficiency # htn # gerd # pvd # h/o stomach cancer - s/p total gastrectomy and roux-en-y in late # left renal artery stenosis - s/p stenting # type 2 dm # hyperkalemia in the past attributed to dietary supplements # paroxysmal atrial fib - reported after gastrectomy but no h/o recurrence # copd # tia # abdominal aortic aneurysm repair # right ica 50% occluded, 90% occluded social history: lives at home with his wife. is a ed physician in . phone numbers are and . patient is a retired jazz musician--- played the clarinet and sax. no etoh or drugs. smoked ppd for 30 years but quit approximately 20 years ago. family history: no fam hx or early cad. physical exam: admission physical examination: vs:98.6, 60, 140/76, 24, 95%nrb (prior to intubation) gen: intubated and sedated, appears younger than stated age heent: ett 8- neck: trachea midline, no stridor, supple lymphatics: no cervical or supraclavicular lymphadenopathy, no thyromegaly chest: bs lll cv: reg rate, sm throughotu abd: soft, nt/nd, nabs, no hsm ext: no cce neuro: intubated and sedated, responds to pain pertinent results: 05:30am pt-36.1* ptt-38.3* inr(pt)-3.8* 05:30am plt count-230 05:30am neuts-86.6* lymphs-8.5* monos-3.1 eos-1.3 basos-0.5 05:30am wbc-3.4* rbc-4.30* hgb-11.9* hct-38.4* mcv-89 mch-27.8 mchc-31.0 rdw-15.6* 05:30am calcium-7.8* phosphate-2.3*# magnesium-1.7 05:30am ck-mb-notdone ctropnt-0.13* 09:33am pt-21.2* ptt-35.6* inr(pt)-2.0* 04:19pm pt-15.4* ptt-35.6* inr(pt)-1.4* cxr : lll infiltrate chest ct: 1. new small-to-moderate bilateral non-hemorrhagic pleural effusions. new left lower and upper lobe hemorrhage or pneumonia. 2. upper lobe predominant emphysema and signs of small airway disease. 3. severe atherosclerotic calcifications of all imaged vessels, with old aortic dissection, not imaged entirely, but grossly unchanged since . 4. cardiomegaly, left atrial enlargement and left ventricular hypertrophy. 5. fluid-filled esophagus. recent aspiration. 6. anemia. 7. severe aortic valve calcification. 8. left adrenal adenoma. 9. prior gastrectomy. 10. pulmonary hypertension. cxr: brief hospital course: after presenting to the er 0n , mr. was intubated for airway protection. a cxr demonstrated infiltrate in lll and his inr was found to be supratherapeutic at 3.9. mr. was then evaluated in the er by interventional pulmonology, who performed flexible bronchoscopy for his hemoptysis. the bronchoscopy revealed no active bleeding. he was found to have evidence of old bleeding in superior segment of the left lower lobe and friable airways throughout. no endobronchial lesions were noted. his coumadin was held and he received fresh frozen plasma to correct his coagulopathy. his repeat inr came back at 2.0. he was admitted to the cvicu and put on a ventilator. he remained stable overnight. on hospital day 2, he was extubated in the morning without complications. he remained stable throughout the day. that evening, he was transferred out of the cvicu to the floor, where he immediately developed shortness of breath and began coughing up a small volume of blood-tinged sputum. he maintained his saturations in the mid-90's on 4lnc and 40%fm. he was triggered for marked nursing concern and was then transferred to the cvicu, where after receiving iv lasix and morphine, he became considerably more comfortable. he had an uneventful night. on hospital day 3, a palliative care consult was obtained and it was determined that the patient wished not to pursue aggressive care any longer and wanted to be discharged home with hospice services. a referral was made to hospice. he was provided with liquid morphine for comfort. that evening, his care was transferred to the cardiac service. mr. was placed on a lasix drip and was diuresed as he has been volume overloaded. additionally, he refused oral medications except for morphine. on hospital day 4, he was discharged home with hospice. patient has chosen to not be rehospitalized. regarding code status, according to the patient's wishes and in consultation with his son, health care proxy, he was made dnr/dni. the dni order was temporarily rescinded while the patient was intubated for less than 24 hours, but was then put back into effect after extubation. at the time of discharge, his code status remained dnr/dni. medications on admission: sucralfate 100 mg/ml suspension sig: two (2) tspns po qid (4 times a day). tspns clopidogrel 75 mg tablet sig: one (1) tablet po q am (). pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q am (). ursodiol 300 mg capsule sig: one (1) capsule po bid (2 times a day). warfarin 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* amlodipine 5 mg tablet sig: one (1) tablet po hs (at bedtime). aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). atorvastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). ranitidine hcl 150 mg tablet sig: two (2) tablet po hs (at bedtime). toprol xl 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* amiodarone 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* omeprazole 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. epoetin alfa 10,000 unit/ml solution sig: one (1) inj injection once a week. outpatient lab work ipratropium bromide 17 mcg/actuation aerosol sig: one (1) aerosol inhalation every 6-8 hours as needed for shortness of breath or wheezing. disp:*1 canister* refills:*2* discharge medications: 1. home oxygen home oxygen 3-15 liters continuous to maintain comfort 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*60 tablet, delayed release (e.c.)(s)* refills:*3* 3. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*2* 4. ursodiol 300 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. ranitidine hcl 15 mg/ml syrup sig: one (1) po daily (daily). disp:*qs * refills:*2* 6. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. levofloxacin 750 mg tablet sig: one (1) tablet po q48h (every 48 hours) for 5 days. disp:*3 tablet(s)* refills:*0* 9. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*qs * refills:*2* 10. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 11. furosemide 10 mg/ml solution sig: 40-100mg miligrams prn injection twice to three times daily as needed for shortness of breath or wheezing. disp:*1 bottle* refills:*0* 12. hyoscyamine sulfate 0.125 mg tablet, rapid dissolve sig: tablet, rapid dissolves po twice a day as needed for secretions. disp:*30 tablet, rapid dissolve(s)* refills:*2* 13. scopolamine base 1.5 mg patch 72 hr sig: one (1) patch transdermal every seventy-two (72) hours as needed for secretions. disp:*10 patches* refills:*2* 14. compazine 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for nausea. disp:*60 tablet(s)* refills:*2* 15. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 16. furosemide 10 mg/ml solution sig: two (2) mililiters (20mg) po twice a day: also: can give in addition 20-100mg orally prn dyspnea. disp:*1 bottle* refills:*2* 17. nitroglycerin 0.4 mg/hr patch 24 hr sig: one (1) patch transdermal once a day. disp:*30 patches* refills:*2* 18. oxycodone 20 mg/ml concentrate sig: 1-20 mg po q1hr. disp:*90 ml* refills:*0* discharge disposition: home with service facility: good hospice discharge diagnosis: chronic renal failure followed by dr. . on epogen. baseline creatinine is 2.0 - 2.4. claudication: walks 1.5 miles daily but has to stop and rest. aortic stenosis: mean gradient 60 on last echo declined avr or valvuloplasty b12 deficiency htn gerd pvd h/o stomach cancer s/p total gastrectomy and roux-en-y in late left renal artery stenosis s/p stenting type 2 dm hyperkalemia in the past attributed to dietary supplements paroxysmal atrial fib copd tia abdominal aortic aneurysm repair right ica 50% occluded, 90% occluded discharge condition: stable discharge instructions: you were hospitalized because you had were short of breath. you were found to be bleeding from your lungs. you also had heart failure, with fluid in your lungs as well. after discussions with you, your family, and your physicians, it was descided to discharge you home, with the assistance of hospice care. please contact your hospice care takers or your pcp . if you require anything at all to make you more comfortable. followup instructions: follow-up with with your pcp . as needed. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus transfusion of other serum diagnoses: pneumonia, organism unspecified abnormal coagulation profile esophageal reflux congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified atherosclerosis of native arteries of the extremities with intermittent claudication hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortic valve disorders chronic kidney disease, unspecified other b-complex deficiencies atherosclerosis of renal artery other emphysema long-term (current) use of anticoagulants cardiac pacemaker in situ anticoagulants causing adverse effects in therapeutic use acute edema of lung, unspecified personal history of malignant neoplasm of stomach 

Answer: The patient is high likely exposed to