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: liver hematoma major surgical or invasive procedure: none history of present illness: pt is a 83 yo portugese speaking male with htn, dm2, bilateral carotid stenosis, hypercholesterolemia who is s/p a liver biopsy six days ago at hospital who presented with r sided chest pain today. pt had a liver biopsy six days ago for a nodule and is in the midst of a workup for pleural effusions as well. . pt had r sided pleuritic chest pain this morning as well as 30 minutes of slurred speach witnessed by his wife. the daughter states that the patient was also "acting funny after that." pt presented to the ed and a code stroke was called. hct was found to be 22; tpa was not given. in speaking with the patient more, the chest pain is actually a right sided rib pain which he has had constantly since the liver biopsy. . in the ed, a ct abdomen/pelvis showed a subcapsular liver hematoma 2.5 cm in thickness surrounding the liver without extension in to the parenchyma. further read shows it extending in to the paracolic gutter. . on ros: increasing dyspnea on exertion over the past week. gets sob when walking up a flight of stairs which is new. no orthopnea/pnd. no cp. no dysuria, h/a, vision changes. past medical history: 1. dm2 2. htn 3. hypercholesterolemia 4. carotid stenosis: (80%, 90% last yr) - per neuro "had been considered for stent ; had seen dr. /neuro, and had mri with some lacunes/small vessel dz, post circ problems, carotids not felt to be the major contributing factor to his cerebrovascular disease/ischemic change, had recommended keeping bp on higher end of normal to incr cerebral perfusion" 5. bph 6. benign positional paroxysmal vertigo 7. lumbar stenosis- radiculopathy 8. work up of liver nodule-s/p bx as above. also s/p lung biopsy in . need vats. 9. dementia social history: lives at home with wife. retired vacuum company worker. quit smoking 40 years ago. 1 ppd x 20. no drugs. rare etoh family history: no cad, cva, seizure in family. physical exam: vs: t: 97.7, bp: 155/71; hr: 111; rr: low teens, o2: 98 2l gen: speaking in full sentences in nad heent: perrl 4-->3. could not follow command to follow finger. op clear. neck: no lad. no jvp. right carotid bruit. cv: rrr s1s2. no m/r/g lungs: good air movement. decreased air on left base, minimal changes to percussion. abd: soft, nt, nd back: right flank/over costovertebral angle at right lower ribs (site of liver biopsy) significant pain when i palpate the area. ext: no edema. dp +, pt 1+ b/l neuro: cn ii-xii tested and intact. knows we are in . thinks it is and the year of . 3 minute recall of three objects is . did not want to participate in subtraction exercise. knew the president was . biceps, brachio, patellar reflexes symmetric. pertinent results: ekg: sinus at 100, normal axis. normal intervals. no acute changes. nonspecific precordial st changes. . radiology: ap cxr -impression: sizable left-sided mostly pleural density of unknown cause. no evidence of significant chf in right lung. torso ct recommended. . ct abdomen/pelvis-wet read. subcapsular liver hematoma - large - 2.5 cm in thickness surrounding liver extending to paracolic gutter. right pleural effusion. left calcified pleural plaque - could be related to prior asbestos exposure. brief hospital course: mr. is a 83 year old portuguese-speaking male with a complicated pmh including htn, dm2, who presented s/p liver biopsy 6 days prior to admission with 30 minutes of slurred speech, and found to have a hct of 22 and a subcapsular liver hematoma. he was admitted to the micu for monitoring due to concern for bleeding. he received 2 units of prbcs and his hematocrit remained stable for 24 hours. he was then transferred to the medical floor. his hospital course is described below by problem. . #. subcapsular hematoma (blood loss anemia)- s/p liver biopsy 6 days ago for a new liver mass. a ct abdomen/pelvis showed a 2.5 thick subcapsular hematoma surrounding liver tracking down paracolic gutters. pt is guaiac negative, no coagulopathy. the trauma surgery team was consulted initially and decided no surgical intervention was needed as he was stable. his hct was 22 on admission (baseline 28). he received 2 units of prbcs. his aspirin was held initially given his risk of bleeding. his hct responded to the transfusions and he was stable throughout the admission. . #. slurred speech- seen by neurology consult-stroke team in the ed given his report of 30 mins of dysarthria that morning. it was thought that this was a tia given his low hct (ddx also included transient hypoxia, cardiac etiology, infection). his blood pressure was allowed to auto-regulate. a ct head showed no new areas of infarct. a cta of the head/neck showed severe narrowing of , moderate narrowing of right ica. he had a known history of sereve atherosclerotic disease. his aspirin was restarted on discharge given his high risk of stroke. . # htn- he was started on metoprolol 12.5mg in the micu. on the floor, the metoprolol was discontinued and he was started on lisinopril before discharge. . #. left sided pleural effusion- chronic. being worked up as an outpatient at hospital. requires intermittent tapping. stable while in hospital without evidence of shortness of breath. he was given the interventional pulmonology phone number to schedule an appointment as an outpatient to further work this up. in the setting of the new liver mass, the effusion was thought to likely be malignant. he was discharged on his home dose of furosemide. . #. dm2- initially, his metformin was held in setting of dye load (cta). restarted glipizide and put on aggressive ssi. he was discharged on his glipizide/metformin combination home regimen. . #. hyperlipidemia- continued lovastatin. . # bph- continued on tamsulosin. . # physical therapy- patient was sent home with physical therapy to work on strength and conditioning. . contact: daughter (c: ) is health care proxy . code status: dnr/dni. discussed with patient and daughter. . medications on admission: glipizide/metformin 2.5/500 lovastatin 20 mg po qday flomax 0.4 mg po qday asa 81 mg po qday lasix 20 mg po qday kchlor discharge medications: 1. glipizide-metformin 2.5-500 mg tablet sig: one (1) tablet po twice a day. 2. lovastatin 20 mg tablet sig: one (1) tablet po once a day. 3. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 4. furosemide 20 mg tablet sig: one (1) tablet po once a day. 5. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 6. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: discharge diagnosis: primary diagnosis: subcapsular liver hematoma blood loss anemia tia carotid stenosis chronic pleural effusion . secondary diagnosis: htn dm2 bph lumbar stenosis liver nodule discharge condition: stable on ra. hct stable discharge instructions: you were admitted with a hematoma on your liver (large bruise). this bleeding in the liver made your blood levels low and likely caused you to have the episode of slurred speech. . you should follow up with your pcp regarding your liver biopsy results. . you have a pleural effusion (fluid in your lung) which was being worked up as an outpatient. you should keep your appointment with the intervential pulmonologists (see below) to have this drained and worked up further. . you are being sent home with physical therapy to help your walking and strength. . you should continue to take your medications as prescribed. . you should call your pcp or go to the emergency room if you have fevers >101, chills, shortness of breath, chest pain, nausea, vomiting, bleeding, increased flank pain or any other symptoms which are concerning to you. followup instructions: you should follow up with dr. in weeks. his office was closed and we could not make the appointment for you. please call to schedule an appointment. . you should follow up with dr. , cardiology, within 4 weeks. please call ( to schedule the appointment. . you should follow up with the intervential pulmonology group to have your pleural fluid drained off of your lung. please call to schedule an appointment. you will likely need to be off aspirin for 7 days prior to this intervention. procedure: transfusion of packed cells diagnoses: unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) occlusion and stenosis of carotid artery without mention of cerebral infarction spinal stenosis, lumbar region, without neurogenic claudication other specified disorders of liver 

Answer: The patient is high likely exposed to