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: hypoxia major surgical or invasive procedure: picc line placement. red blood cell transfusion. history of present illness: patient is a 79 year old male with history of interstitial lung disease on oral prednisone taper (5-10 mg) at home, 3-4l nasal cannula oxygen at night at home, diastolic congestive heart failure, type two diabetes mellitus, coronary artery disease with recent nstemi, unresectable cholangiocarcinoma status-post ex-laparotomy with roux-en-y hepaticojejunostomy () with positive margins, common bile duct excision, cholecystectomy, lymph node biopsy and percutaneous drain placement () who was admitted to an outside hospital on with fever, hypoxia, confusion thought to be pna/chf treated with levofloxacin and diuresis. he was found to have nstemi which was medically managed. he was transferred to for evaluation of possible abscess in setting of recent surgery, but ct abdomen was negative for abscess. . patient was transferred from surgery to medicine on after he was found to have hypoxia, with oxygen saturation of 70-80s on nc at transfer. he was given nebs but no diuresis since due to increased cr. he has been followed by pulmonary consult while in house - unable to get workup for pcp, for high res ct. has been on 5l nc and stable. on morning of transfer, around 4:15am, desat to 40-50s and found to be in respiratory distress with accessory muscle use and cyanotic. on 6l nc and high flow mask with o2 sat of 94% but with pao2 of 55 on abg. 7.48/34/55. lactate up to 3.2. cxr showing increased effusion with increased haziness on right side. given 20mg iv lasix, 60mg po prednisone, nitro sl. ekg unchanged. sbp 120s. . patient's code status still full code - from a cancer perspective, the patient has been told that his expected life expectancy in the 5 year range. past medical history: -cholangiocarcinoma - unresectable; s/p roux-en-y hepaticojejunostomy done by dr. on after had positive proximal and distal margins. percutaneous drain in place. -biliary stricture s/p and stenting -interstitial lung disease, on home o2 and taper of prednisone daily -dm2 -htn -dyslipidemia -arthritis -gerd - gi bleed in -osteoperosis -cataracts (bilateral) -diastolic chf -cad - s/p recent nstemi social history: patient is a former smoker. he quit 20 years ago and had smoked for 50 pack years prior. he drinks 1-3 beers a day. he was formerly a floor supervisor in a paint shop, where he worked with chemicals and electronics. family history: father with dm, mother died at 97 physical exam: at time of admission to medical intensive care unit: general - well-appearing man in nad, comfortable, appropriate heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear neck - supple, no thyromegaly, no jvd, no carotid bruits lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions lymph - no cervical, axillary, or inguinal lad neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, dtrs 2+ and symmetric, cerebellar exam intact, steady gait pertinent results: high resolution chest ct : impression: 1. recent changes over four days documented by conventional chest radiographs indicate that at least some of the reticular and ground-glass abnormalities in the lungs, which have worsened since are pulmonary edema. the progression of the same abnormalities between and could be due to some component of interstitial lung disease, which was clearly present on the earliest examination. 2. persistent pulmonary arterial hypertension and global cardiomegaly. severe coronary atherosclerotic calcification. aortic valvular calcification of uncertain significance. 3. large thyroid cysts or nodules. ultrasound examination recommended if not already obtained. transthoracic echocardiogram: the left atrium is elongated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. left ventricular systolic function is hyperdynamic (ef>75%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. compared with the prior study (images reviewed) of , no definite change. brief hospital course: mr. is a 79 year old male with past medical history of type two diabetes mellitus, interstitial lung disease, diastolic congestive heart failure, coronary artery disease status post nstemi with recent diagonsis of unresectable cholangiocarcinoma status post common bile duct excision, cholecystectomy, lymph node biopsy, percutaneous drain placement and roux-en-y hepaticojejunostomy, with no further surgical management, transferred to micu for hypoxia. . hypoxia - differential at time of arrival to medical intensive care unit included exacerbation of his interstitial lung disease, congestive heart failure, hospital-acquired pneumonia, and pcp. respiratory status was too tenuous to undergo bronchoscopy for further diagonostic purposes. given that he had been on long-standing steroids, and after a high-resolution ct was obtained as noted above, therapy for hospital acquired pneumonia with vancomycin and zosyn was initiated. patient was begun on steroids and bactrim for treatment of possible pcp as well. gentle diuresis was attempted, although it did not appear as though he was volume overloaded on exam. this was limited by borderline blood pressures with systolics in the 90's. he was ruled out for a myocardial infarction, and his symptoms were not felt to be consistent with acute coronary syndrome. no improvement was noted with the above therapies, and the intensive care team was unable to wean mr. from 100% oxygen high-flow mask. given that it appeared most likely that he had a flare and exacerbation of his pulmonary fibrosis, he was started on high dose pulse steroids. culture data was unrevealing for an infection. he was transfused red blood cells with subsequent diuresis without improvement in his dyspnea. during his time in the intensive care unit from onward, the patient became progressively more short of breath. he required both high flow mask of 100% oxygen as well as 10 l nasal cannula, and was only able to maintain oxygen saturations in the 80's as of . the patient, along with his family, pastor, and friends, made the decision to not pursue intubation or resuscitation, as the patient understood that it was unlikely that he would be able to be weaned off of the ventilator should he be intubated. his focus shifted towards lessening the feeling of his dyspnea as his respiratory status worsened. on the morning of , patient expressed that he wished to stop receiving oxygen therapy and focus solely on comfort measures. with his family at the bedside, his morphine drip was increased to provide him comfort. he passed away at 3:55 pm. his family declined an autopsy. during his stay, his transplant surgery team and oncology team were notified of his admission and assisted in his management. his outpatient pulmonologist was also notified and provided additional history regarding the patient's interstitial lung disease. medications on admission: at time of transfer: nitroglycerin sl 0.4 mg sl q5mn prn pain acetaminophen 650 mg po q4h:prn pantoprazole 40 mg po q24h albuterol 0.083% neb soln 1 neb ih q6h:prn aspirin ec 325 mg po daily clopidogrel 75 mg po daily prednisone 5 mg po daily furosemide 20 mg iv once duration: prednisone 60 mg po once heparin 5000 unit sc tid senna 1 tab po bid insulin sc (per insulin flowsheet) sliding scale & fixed dose simvastatin 80 mg po daily ipratropium bromide neb 1 neb ih q6h:prn metoprolol tartrate 12.5 mg po bid ursodiol 300 mg po tid multivitamins 1 tab po daily discharge medications: none. discharge disposition: expired discharge diagnosis: respiratory failure discharge condition: expired. discharge instructions: n/a followup instructions: n/a md, procedure: venous catheterization, not elsewhere classified transfusion of packed cells transfusion of other serum computerized axial tomography of thorax diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery 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 kidney failure, unspecified hyposmolality and/or hyponatremia acute on chronic diastolic heart failure other chronic pulmonary heart diseases other and unspecified hyperlipidemia heart valve replaced by other means acute respiratory failure hypotension, unspecified alkalosis osteoporosis, unspecified postinflammatory pulmonary fibrosis other postprocedural status leukocytosis, unspecified anemia in neoplastic disease arthropathy, unspecified, site unspecified other dependence on machines, supplemental oxygen malignant neoplasm of biliary tract, part unspecified site bacterial pneumonia, unspecified other nonspecific (abnormal) findings on radiological and other examinations of body structure 

Answer: The patient is high likely exposed to