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: history of present illness: this is a 73-year-old male with a history of myelodysplastic syndrome that has transformed to acute myelogenous leukemia, and coronary artery disease, status post myocardial infarction times two with an ejection to for shortness of breath of unclear etiology. at that time he refused a lung biopsy after diffuse nodular infiltrates were wound on chest ct and decided to be do not resuscitate/do not intubate. he was discharged home on home oxygen and was able to get by, but has noted an increased shortness of breath and lower extremity edema times one week. his lasix dose was briefly increased, but he did not continue paroxysmal nocturnal dyspnea, and hemoptysis (which is chronic). he had no chest pain, fevers, chills, night sweats, lightheadedness, nausea, vomiting, changes in his bowel movements, melena, or bright red blood per rectum. he was admitted for workup of his shortness of breath for cardiac versus pulmonary causes. he is now willing to undergo a repeat bronchoscopy as the lesions on his chest x-ray have now increased in size. despite his reluctance in the past to undergo a workup of pulmonary process, the extent of his symptoms at this time have made him inclined to pursue a diagnostic workup. past medical history: 1. myelodysplastic syndrome with smoldering acute myelogenous leukemia that was diagnosed in . he refused induction chemotherapy. his code status is do not resuscitate/do not intubate/supportive care. his blast count was 5%. 2. diffuse pulmonary disease of unclear etiology diagnosed by chest ct in with shortness of breath and increased oxygen requirement. he has refused a open lung biopsy in the past. a bronchoscopy was negative. 3. coronary artery disease with 2-vessel disease; namely, 50% left main and 100% right coronary artery. he has had two myocardial infarctions in and in . his ejection fraction was 50% on an echocardiogram in . 4. history of gastrointestinal bleeding secondary to peptic ulcer disease associated with nonsteroidal antiinflammatory drugs. 5. history of bladder cancer, status post tumor excision in . 6. history of increased prostate-specific antigen of 8.7. 7. hearing loss. medications on admission: 1. imdur 30 mg p.o. q.d., 2. megace 400 mg p.o. b.i.d. 3. zoloft 100 mg p.o. q.d. 4. protonix 40 mg p.o. q.d. 5. atenolol 25 mg p.o. q.d. 6. carafate 1 g q.i.d. 7. lasix 20 mg p.o. q.i.d. allergies: no known drug allergies. social history: he is married and quit smoking 14 years ago after smoking two packs a day for 25 years. he does not use alcohol. he has three children and two step-children, and is a retired detective. family history: family history is negative for cancer, leukemia, and coagulopathies. his mother developed diabetes in her 80s. physical examination on presentation: physical examination revealed an elderly man who was slightly short of breath at rest. he was afebrile with a temperature of 97.6, a blood pressure of 122/58, pulse of 67, respiratory rate of 24, satting 94% on 5 liters nasal cannula. his head, ears, nose, eyes and throat examination was unremarkable. his lungs were clear, and his heart was regular with a 2/6 systolic ejection murmur at the base, and a 3/6 systolic murmur at the apex. his abdomen was benign except for a spleen tip that was palpable 3 cm below the costal margin. he had 2+ pitting edema to his knees. his neurologic examination was nonfocal. his skin revealed petechiae along his bilateral lower extremities. pertinent laboratory data on presentation: his laboratories were significant for a hematocrit of 25.4, platelet count of 97, and a white blood cell count of 3.5. his blood urea nitrogen and creatinine were at their baseline at 38 and 1. his differential revealed 42% neutrophils, 16% bands, 25% lymphocytes, 4% monocytes, 5% metas, 3% myelocytes, 4% blasts, and 1 nucleated red blood cell. radiology/imaging: his chest x-ray showed an increased alveolar and interstitial markings bilaterally; especially, in the left middle and left lower lobe, corny background of chronic lung disease with question of alveolar hemorrhage versus multifocal pneumonia versus asymmetric congestive heart failure. he also had small bilateral pleural effusions. hospital course: mr. was admitted with a congestive heart failure exacerbation and diuresed around 4 liters with improvement in his shortness of breath and lower extremity edema. there was no change in his oxygen needs, and he continued at his baseline of 5 liters nasal cannula with an oxygen saturation in the lower 90s. he was transfused 3 units of packed red blood cells. he expressed an interest in further workup of his pulmonary process found during his last admission when he refused workup at that time. a high-resonance ct and echocardiogram were performed. his ct revealed worsening diffuse interstitial an alveolar lung disease with progression in the left upper lobe, periphery of the right apex and right middle lobe, as well as in the anterior and lateral left lower lobe. his differential diagnosis included infection, vasculitis, bronchiolitis obliterans-organizing pneumonia. also noted on the ct was a slight increase in his bulky mediastinal lymph node enlargement and increased size in the bilateral pleural effusions. the pulmonary consultation team stated that the lesions seen on ct could be biopsied by bronchoscopy. however, his echocardiogram revealed moderate-to-severe pulmonary arterial hypertension with pafp of 50 mmhg to 61 mmhg. this was a new finding since his last echocardiogram in . he had no change in his ventricular function. as his pulmonary hypertension was so severe, transbronchial biopsy would be dangerous as an accidental injury to the pulmonary artery to lead to exsanguination. pulmonary stated that a video-assisted thoracic surgery would be the safest and best option for diagnosis. after extensive discussion with the patient he stated that he did not want aggressive interventions such as surgical biopsy and understood that this would mean that the progressive lung process could therefore not be diagnosed. given the underlying mds, cardiac disease and progressive infection the patient wanted the emphasis to be on supportive care and going home. patient understood his condition was progressive and carried significant risk if he went home. patient decided to go home with supportive care and supplemental oxygen. condition at discharge: condition on discharge was unchanged with ongoing oxygen requirement. discharge diagnoses: 1. congestive heart failure exacerbation. 2. pulmonary process of unknown etiology. 3. myelodysplastic syndrome transforming into acute myelogenous leukemia. medications on discharge: 1. imdur 30 mg p.o. q.d., 2. megace 400 mg p.o. b.i.d. 3. zoloft 100 mg p.o. q.d. 4. protonix 40 mg p.o. q.d. 5. atenolol 25 mg p.o. q.d. 6. carafate 1 g q.i.d. 7. lasix 80 mg p.o. q.i.d. (until seen in clinic next thursday when it will be adjusted as needed). , m.d. dictated by: medquist36 procedure: non-invasive mechanical ventilation diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified other pulmonary insufficiency, not elsewhere classified other chronic pulmonary heart diseases cardiac arrest old myocardial infarction acute myeloid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to