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: salsalate / ace inhibitors attending: chief complaint: melena, hct drop major surgical or invasive procedure: endoscopy with push enteroscopy history of present illness: mr. an 81 m with history of af on coumadin until recent ugib (gastritis) in the setting of inr 22, prior history of pe, mr/tr, recurrent pleural effusion who was transferred back to from with persistently dropping hct and melena. at last admission, he presented with a hct of 12.5 and confusion in the setting of inr 22. his inr was reversed with vitamin k and 4 units of ffp. he received a total of 10 units of prbc during that admission. on prior admission, an egd was performed which showed only mild gastritis and no active bleeding. a colonoscopy showed moderate diverticulosis but also no signs of active bleeding. a benign appearing polyp was also removed. he was discharged after several days of stable hematocrits. his hospital course was complicated by subacute l superior cerebellar stroke, and he was placed back on lovenox and coumadin. . since his discharge, the patient is complaining of dyspnea with exertion over last 2 days but no rest dyspnea. denies abd pain, n/v, hematemasis, brbpr, melena, chest pain, lh, orthopnea, pnd, weight gain. pt is not sure about melena as he doesn't check his stools. inr 1.4 at os lab. . in ed, + melenic stools with positive guaiac. pt did not tolerated ng lavage due to deviated septum with obstructed l nare. pt was given iv protonix and 1 unit of prbc for hct 25 (prior to d/c on hct 30). there was a question of st depression laterally and 1st cardiac enzymes were negative. . in the ed patient got 1 unit of prbc. he remained hemodynamically stable. small bowel enteroscopy and egd which showed gastritis and a small angioectasia in the proximal ileum which was treated with thermal therapy. gi is recommending q8h hct checks. per gi, it is okay to resume heparin. most recent hct 27.6 (up from 23.6). . currently, pt has no complaints. he is resting comfortable after egd/enteroscopy. past medical history: 1. paroxysmal atrial fibrillation 2. dementia: hallucinates at night 3. dilated cardiomyopathy with ef 55% 4. hypertension 5. ventricular fibrillation w/ aicd 6. psoriasis 7. diabetes, diet controlled 8. macular degeneration 9. basal cell carcinoma 10. valvular heart disease (severe mr ) 11. osteoarthritis w/ decreased mobility from pain 12. varicose vein 13. pe - rll segmental 14. recent ugib gastritis 15. recurrent pleural effusion- unclear etiology, cytology negative in the past. 16. asbestosis exposure. social history: denies tobacco, etoh, illicits. recently at , but previously living with wife on . retired teacher and coach. family history: notable for a father who had macular degeneration. his mother lived to be 90 and was reported to be healthy. he has one younger sister who died from cancer. there is no family history of any memory disorders. physical exam: t 96.5 hr 66 bp 97/51 rr 14 o2sat 97% on ra. gen: pleasant male in nad heent: op clear, + conjunctival pallor, lungs: decreased bs at left base with crackles way up, decreased breath sound at r base, otherwise clear. cardiac: irregularly irregular s1/s2, holosystolic murmur radiating to axilla abdomen: obese, soft nt nabs ext: nonpitting edema of le b/l, + venous stasis changes neuro: awake, alert, oriented to place, ms r>l + ue. le, cn ii-xii intact. ftn intact. skin: pale pertinent results: ecg: af at 64, lad, ivcd, no acute st/ t wave changes compared to ecg. . echo : the left atrium is markedly dilated. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). the right atrium is markedly dilated. the left ventricle is normal in wall thickness, caviity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. the right ventricular cavity is moderately dilated with free wall hypokinesis. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a small inferolateralpericardial effusion. compared with the prior study (images reviewed) of , minimal aortic stenosis is now suggested and a very small inferolateral pericardial effusion is now identified. . colonoscopy: findings: protruding lesions a single sessile 6 mm polyp of benign appearance was found in the proximal rectum at 14cm. a piece-meal polypectomy was performed using a cold forceps. the polyp was completely removed. grade 1 internal hemorrhoids were noted. excavated lesions multiple diverticula with medium openings were seen in the proximal sigmoid colon and mid-sigmoid colon.diverticulosis appeared to be of moderate severity. impression: grade 1 internal hemorrhoids polyp at 14cm in the proximal rectum (polypectomy) diverticulosis of the proximal sigmoid colon and mid-sigmoid colon otherwise normal colonoscopy to cecum . egd: brief hospital course: 8a/p: 81yo m with recurrent left-sided pleural effusion of unclear etiology, afib on anticoagulation, recent embolic stroke (while off anti-coagulation), admitted with recurrent gi bleed, transferred to icu with acute respiratory failure. . # respiratory failure (hypoxic and hypercarbic): the patient with history of chronic left sided pleural effusion s/p several taps in the last year. the source is unknown but concerning for malignant process given history of asbestos exposure, but cytology has been negative. the acute respiratory event is most likely secondary to left sided pleural effusion reaccumulation vs. hemothorax in the setting of anticoagulation. bedside thoracentesis was attempted but aborted due to difficulties with aspiration. other possible explanations for decompensation include pe (less likely as no significant tachycardia and the patient has been anticoagulated), mucous plugging, chf, flash pulmonary edema. on , pt intubated for increasing hypercarbia & work of breathing. a left sided thoracentesis was performed by ip with drainage of 600cc of bloody fluid. a chest tube was then placed. ct chest showed trapped l lung w/ incompletely drained l effusion. large right sided effusion w/ associated atelectasis +/- consolidation. pt's acute respiratory failure thought to be due to worsening left hemothorax, which may have worsened spontaneously with bleeding on anti-coagulation vs pleural bleeding after unsuccessful thoracentesis on vs malignancy. other contributors to pt's respiratory failure include possible hospital acquired pna, ? copd, and possibly chf. pt treated for all of the above. respiratory failure resolving as of . his chest tube removed. pt extubated on . - treated for copd exacerbation with nebs standing, steroids and vanc & zosyn - pt diuresed w/ lasix - bipap if necessary - strict ins/outs - patient was seen by dr. and offered surgical options, but pt and family declined and wanted pursue thoracenteses for right-sided effustion. - antibiotics discontinued on after 8day course w/ vanc/zosyn for possible pna . # af: currently hd stable. - continue beta blocker if bps tolerates. - no anti-coagulation given recurrent gi bleed as well as recent hemothorax. . # cardiomyopathy: ef stable at 55%. - giving lasix to diurese orn - strict ins/outs - beta blocker - patient elected not tu turn on his icd. he was aware of risks. . # gib: avm seen on enteroscopy which has been treated with thermal therapy. also has gastritis. status post multiple units of prbcs on this admission (last ) - transfusion for hct ~21 - maintain active t&s with 2 peripheral ivs - continue to monitor on tele - continue iv ppi - on iron therapy . # renal. pre-renal in setting of hypovolemia & hypotension. now resolving s/p ivf. - renally dose meds . # dm: previously diet controlled, has had elevated sugars during hospital stay - hiss, started glargine on . # h/o of pe - patient with history of pe in however cta did not show any pe. holding anticoagulation. . # fen: pureed, thin liquids, cleared by s+s, asp precautions. patient had ng tube placed before discharge for tubefeedings. . # ppx: ppi, on coumadin/heparin . # comm: wife is health care proxy. contact is daughter cell - . # dnr but intubation ok . # access: 2 piv . # dispo: icu care medications on admission: 1. warfarin 1 mg tablet sig: three (3) tablet po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. feosol 325 (65) mg tablet sig: one (1) tablet po twice a day. 4. lasix 20 mg tablet sig: three (3) tablet po once a day. 5. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 6. aricept 5 mg tablet sig: one (1) tablet po once a day. 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. enoxaparin 120 mg/0.8 ml syringe sig: one hundred-ten (110) units subcutaneous q12h (every 12 hours): needs to be continued until inr therapeutic for two days. . 9. humalog 100 unit/ml solution sig: per sliding scale. per sliding scale subcutaneous qachs: patient has very little insulin requirement. please use standard sliding scale. . from rehab: asa 81 mg daily protonix 40 mg docusate 100 mg prn mag gluconate tid kcl 60 meq regular insulin mupirocin ointment zinc oxide paste nystatin powder donepezil 5 mg daily metoprolol 50 mg daily lasix 60 mg daily ferrous sulfate 325 tid warfarin per protocol mag hydroxide tylenol prn bisacodyl supp prn mag hydroxide 30 ml daily psyllium 3.7 gm discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 9. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 10. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q6h (every 6 hours). 11. insulin regular human 100 unit/ml cartridge sig: per sliding scale injection four times a day. 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 13. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 14. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 15. morphine sulfate 1 mg iv q2h:prn dyspnea hold for oversedation or rr <15 discharge disposition: extended care facility: & rehab center - discharge diagnosis: respiratory distress discharge condition: extubated, ng tube in place discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet please take all your meds as prescribed. followup instructions: with pcp dr procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube fiber-optic bronchoscopy thoracentesis other intubation of respiratory tract transfusion of packed cells other destruction of lesion of small intestine, except duodenum diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified protein-calorie malnutrition chronic airway obstruction, not elsewhere classified atrial fibrillation acute respiratory failure hypotension, unspecified personal history of other malignant neoplasm of skin automatic implantable cardiac defibrillator in situ angiodysplasia of intestine with hemorrhage backache, unspecified unspecified late effects of cerebrovascular disease unspecified gastritis and gastroduodenitis, without mention of hemorrhage personal history of contact with and (suspected) exposure to asbestos personal history of colonic polyps foreign body in main bronchus 

Answer: The patient is high likely exposed to