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 / heparin agents attending: chief complaint: respiratory distress major surgical or invasive procedure: none history of present illness: 82 yo m with dilated cardiomyopathy with ef 60%, severe tr, htn, h/o vf, dm2, paf, h/o pe and ugib who presents with respiratory distress from rehab. he was supposed to be discharged from rehab today, but had this complication. his hct was reportedly slow trending down, so he was given 1 unit of prbc yesterday for hct 27.9, and today developed respiratory distress. (of note, hct at nursing home increased to 31.9 this morning after transfusion.) per nursing home notes, he desat to 88% with exertion and was given lasix 40mg x1 and then 80mg iv x1. an abg was done and he was 7.46/54/78 on 50% ventimask. his vitals signs there were t 98, bp 106/66, hr 85, rr 20 and no recorded oxygen sat at that time. he was brought to the ed. . in the ed, his vitals were t98.2, bp 88/54, hr 50, rr 20, o2sat 99% 6l nc. per ed notes, he was 88-96 on ra then placed on 3l nc with sats in the mid to upper 90's. he had an ekg and a cxr which showed fluid overload. his blood pressures were staying in the 90-100 range systolic and no diuretics were given for concern over hypotension. he was admitted to the micu for further care. 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: vitals: t 97.8, bp 98/62, hr 81, rr 18, o2sat 94% on 3l nc general: nad lying in bed. alert and oriented to person, place and year. heent: mmm, perrl, eomi cv: irreg irreg 3/6 systolic murmur heard best at the base. pm on left chest wall. lungs: diminished bs bilaterally about way up. then ctab at the apices abdomen: +bs, soft ntnd rectal in the ed per notes: guiac negative extremities: venous statis changes bilaterally. 2+ edema bilaterally skin: ecchymoses throughout. dry skin on legs. pertinent results: imaging: chest (portable ap) 12:55 pm impression: massive cardiomegaly and evidence of congestive heart failure. . chest (portable ap) 4:28 am impression: cardiomegaly, likely improving chf. question retrocardiac airspace disease, atelectasis versus pneumonia. . micro data: none . labs: 01:30pm wbc-4.3 rbc-4.07* hgb-11.1* hct-33.0* mcv-81* mch-27.3 mchc-33.7 rdw-17.3* 01:30pm ck-mb-notdone ctropnt-0.03* probnp-1163* 01:30pm alt(sgpt)-9 ast(sgot)-33 amylase-22 tot bili-1.6* 01:30pm ck(cpk)-16* 01:30pm glucose-126* urea n-29* creat-1.5* sodium-140 potassium-5.2* chloride-94* total co2-41* anion gap-10 01:58pm d-dimer-3098* 10:51pm ck-mb-notdone ctropnt-0.03* 10:51pm ck(cpk)-14* brief hospital course: 82 yo m with dilated cardiomyopathy with ef 55%, severe tr, htn, h/o vf, dm2, paf, h/o pe and ugib who presents with respiratory distress from rehab. . # respiratory failure: likely from fluid overload after transfusion. he also has significant pleural effusions bilaterally which are chronic. currently stable on 3l nc. seems to have responded to furosemide at rehab fairly well. bnp is at baseline value. of note, his ddimer is elevated, but he has h/o of pe and currently unclear what etiology. patient responded well to lasix and breathing was back to baseline at discharge. he had a therapeutic/diagnostic thoracentesis on 10.20 which removed 1200cc of exudative fluid. patient was to be discharged on home oxygen as per orders from rehab for - 2l at rest and 4l with exertion. . # recurrent pleural effusion: unclear etiology but pt has asbestosis exposure concerning for malignancy. previous cytology have been negative however was transudative in the past. has been getting tapped in the past. offered vats in the past, but pt and family declined and wanted pursue repeat thoracenteses based on symptoms. currently effusions look similar to prior cxr. patient at home oxygen level on 2-3l, which is his baseline. received thoracentesis on 10.20 which removed 1200cc of exudative effusion. pt will f/u on cytology drawn during thoracentesis with his pcp. . # hypotension: resolved, currently normotensive with volume repletion following diuresis. patinet's anti-hypertensives held while in house and restarted on day of discharge - tolerated well. . # acute renal failure: cr elevated to 1.5 from baseline 1.1.-1.2. curently at 1.4 with volume repletion. likely due to volume depletion following diuresis. will have follow up labs as outpatient when discharged. . # htn: initially held bp meds; restarted and tolerated well on day of discharge. . # diabetes mellitus type 2: diet controlled . # cardiomyopathy: significant dilated cardiomyopathy and valvular disease. currently no surgical intervention planned. has pacemaker but defibrillator turned off per old notes in omr. discharged back on home dose of asa, bblocker, bumex at discharge. . # paroxysmal afib: currently rate controlled in the 70s. rate control with metoprolol was continued. not on anticoagulation more than asa given history of severe gi bleeding . # psychiatric: continued seroquel 25 mg qhs . # demenita: continued donepezil . . after discussion with the patient, patient's family, and medical staff, all were in agreement that the patient was a suitable candidate for discharge. please follow up on your pleural effusion cytology with dr. . medications on admission: -senna 8.6 mg tablet sig: one (1) tablet po bid prn -donepezil 5 mg tablet sig: one (1) tablet po hs -aspirin 81 mg tablet, chewable sig: one (1) tablet daily -omeprazole 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, po q24h -docusate sodium 100 mg capsule sig: one (1) capsule po bid -ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily -quetiapine 25 mg tablet sig: one (1) tablet po hs -albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) neb inhalation q6h prn -ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h prn -metoprolol tartrate 12.5mg po bid -bumetanide 2mg po bid discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 2. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 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. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q4h (every 4 hours) as needed. 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). 9. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 10. oxygen therapy patient will require continuous oxygen therapy via nasal cannula at 2-3l per minute in order to maintain oxygen saturations > 92%. 11. metoprolol tartrate 25 mg tablet sig: 0.5 (one-half) tablet po twice a day. tablet(s) 12. bumex 2 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home with service facility: clinical vna discharge diagnosis: primary diagnosis: 1) shortness of breath from volume overload 2) hypotension due to iatrogenic overdiuresis 3) pleural effusion s/p thoracentesis . secondary diagnoses: 1. paroxysmal atrial fibrillation not on anticoagulation now given gib 2. dementia: hallucinates at night 3. dilated cardiomyopathy with ef 60% per echo 4. hypertension 5. ventricular fibrillation w/ aicd/pm but aicd fxn off per omr notes 6. psoriasis 7. diabetes, diet controlled 8. macular degeneration 9. basal cell carcinoma 10. valvular heart disease (mild mr and severe tr per echo ) 11. osteoarthritis w/ decreased mobility from pain 12. varicose vein 13. pe - rll segmental 14. ugib gastritis 15. recurrent pleural effusion- unclear etiology, cytology negative in the past 16. asbestosis exposure 17. left superior cerebellar stroke ' discharge condition: afebrile, stable vital signs on oxygen, tolerating pos, ambulating with assistance. discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1200 . you were admitted with shortness of breath due to volume overload following a blood transfusion. you were given a diuretic at the outside hospital which increased your urine output and helped your breathing. you did not require any further medical interventions at . . 1. please take all medications as prescribed. 2. please make all medical appointments. 3. please return to the emergency room if you have any concerning symptoms. followup instructions: please make a follow-up appointment with your pcp: , . procedure: thoracentesis diagnoses: other primary cardiomyopathies unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation acute on chronic diastolic heart failure other persistent mental disorders due to conditions classified elsewhere acute respiratory failure hypotension, unspecified 

Answer: The patient is high likely exposed to