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: heparin agents attending: chief complaint: palpitations major surgical or invasive procedure: none history of present illness: 83 m with pmhx of afib, cva, recent dx of high grade glioma in l cerebral peduncle) was enroute to for 1st session xrt, transport noted he was tachypneic, also had aspiration event. he was started on oxygen, at xrt he was noted to have a o2 sat of 97, but w/ an irregular rapid hr 158. . in ed, vs, 98.5 126 108/54 then 94/68 20 97ra received 1l ns bp rose to the 110s, then received dilt 10mg ivx2 hr decreased to 90s-105. also loaded with 60mg po dilt. he also received a cta, no noted pe, and head ct without significant change . on arrival, he did not complain of dizziness, chest pain, palpitations, nausea, vomitting. has felt subjective shortness of breath and feverish for x1 week, no cough. past medical history: l high grade glioma (left cerebral peduncle and posterior limb of the left internal capsule) atrial fibrillation (?atrial flutter), diagnosed - was on coumadin htn hyperlipidemia cva, (left inferior quadrantanopsia from a right medial occipital infarct) presbycusis (pt wears hearing aids) right carpal tunnel syndrome (well controlled with wrist splint worn at night) pvd with claudication for several years (followed by dr. peg placed probalance full: @ 75 cc/hr . psh: thyroid surgery () patient states "i had a benign growth removed" l inguinal hernia repair r rotator cuff repair social history: retired proof reader as above. married, 2 children and is raising his 2 grandchildren after his daughter was killed in a car accident. requires a cane to ambulate. 4-5 bottles of wine/week, no hx of withdrawal, nonsmoker family history: mother died 65y htn; father died 85y cause. no dementia. physical exam: vs 97.4 116 122/63 12 100ra gen: nad. comfortable heent: perrl, dentures, op clear, dry mm, no jvd chest: coarse rales possible left base cv: tachy irreg ireg no mrg gi: soft +bs nt/nd, peg tube ext; no c/c/e neuro: hemiparesis of r side with pronounced facial droop and some impairment of his eom. pertinent results: icu admission/stay: 11:45am blood wbc-13.1* rbc-4.01* hgb-13.6* hct-40.2 mcv-100* mch-33.9* mchc-33.8 rdw-16.0* plt ct-124* 11:45am blood neuts-90* bands-0 lymphs-3* monos-5 eos-1 baso-0 atyps-1* metas-0 myelos-0 11:45am blood hypochr-normal anisocy-1+ poiklo-1+ macrocy-2+ microcy-normal polychr-normal ovalocy-1+ 11:45am blood pt-12.3 ptt-25.4 inr(pt)-1.1 11:45am blood glucose-133* urean-25* creat-0.7 na-135 k-4.5 cl-99 hco3-26 angap-15 11:45am blood ck(cpk)-55 07:25pm blood ck(cpk)-38 03:04am blood ck(cpk)-35* 11:45am blood ck-mb-notdone ctropnt-0.02* 07:25pm blood ck-mb-3 ctropnt-<0.01 03:04am blood ck-mb-3 ctropnt-<0.01 07:25pm blood calcium-8.1* phos-3.1 mg-2.1 03:04am blood tsh-4.0 12:03am blood heparin dependent antibodies-pnd . studies ekg: aflutter variable block, and afib, tachy 112, irreg, na, no st-t changes. . studies: -cta impression: 1. no evidence of pulmonary embolism or aortic dissection. 2. slight decrease in size of bilateral pleural effusions. 3. stable appearance of sub 4-mm pulmonary nodules in the right lung. 4. calcified pleural plaques consistent with prior asbestos exposure. 5. small hiatal hernia. . ct head impression: 1. no evidence of acute intracranial hemorrhage or mass effect. 2. stable size and mild mass effect of mass lesions within the left cerebral peduncle and posterior limb of the left internal capsule. increased internal hypoattenuation within these lesions could represent interval necrosis. . of note, if further evaluation of the known underlying mass lesions is required, an with gadolinium would be recommended. tte : left atrium is moderately dilated. the right atrium is moderately dilated. the estimated right atrial pressure is 11-15mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%).the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. significant pulmonic regurgitation is seen. there is an anterior space which most likely represents a fat pad. compared with the prior study (images reviewed) of , there is rapid ventricular response to atrial fibrillation. the biventricular function and valvular regurgitation are similar. brief hospital course: 83 yo male with pmh of afib, high grade glioma who presented with afib/flutter with rvr in the 150s, hemodynamically stable. cardiovascular) patient presented with atrial flutter/fibrillation perhaps triggered by hypovolemia. initially admitted to the icu overnight then transferred to the medicine service the following day. no evidence of pe, infection, ischemia, medication noncompliance, substance use/withdrawal. the patient's lasix was held. cardiac enzymes were not elevated. patient received iv diltiazem with resumption of his outpatient medication regimen with short-acting form of diltiazem 60 mg po qid(on diltiazem sr 240 mg po qd as outpatient) and metoprolol with good rate control throughout the rest of his admission. since hypovolemia appeared to be a trigger for the patient's a-fib with rvr and since he has poor po intake, on discharge the patient's lasix was decreased from 40 mg po qd to 20 mg po qd. aspiration pna- the patient's levaquin/flagyl for question of aspiration pneumonia was completed on thrombocytopenia-the patient had decreasing platelets since down to 89 on . keppra had been started on . the patient's keppra was changed to dilantin. hit antibody came back positive. since there was now a clear explanation for the patient's thrombocytopenia, the patient's keppra was restarted and dilantin discontinued. glioma-the patient received 3 treatments of brain xrt on consecutive days before discharge. the patient is to follow-up at radiation oncology clinic at basement monday through friday (5 days a week for 28 consecutive treatments) at 2:30 pm. rehab is to arrange transport for patient. cva- hx of cva-on aspirin, warfarin contraindicated due to glioma. . fen: tubefeeds. speech and swallow evaluated the patient and noted that he is a silent aspiration risk and instructed that the patient not take any meds by mouth. the patient receives his meds via g-tube. ir evaluated the patient's g-tube on day of discharge and noted that it was in good working order and did not need to be replaced. medications on admission: furosemide 40 mg daily atorvastatin 20 mg daily allopurinol 300 mg daily diltiazem hcl 240 mg sr daily valsartan 160 mg metoprolol succinate 50 mg qd levetiracetam 1000 mg pantoprazole 40 mg tablet nystatin 100,000 unit/ml suspension : five (5) ml po qid prn aspirin 81 mg qd metronidazole 500 mg tid for 6 days. levofloxacin 500 mg qd for 6 days. () miconazole nitrate 2 % powder : topical qid prn fibersource 75cc.hr discharge medications: 1. atorvastatin 20 mg tablet : one (1) tablet po daily (daily). 2. allopurinol 300 mg tablet : one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. miconazole nitrate 2 % powder : one (1) appl topical qid (4 times a day) as needed. 6. diltiazem hcl 240 mg capsule, sustained release : one (1) capsule, sustained release po once a day. 7. valsartan 160 mg tablet : one (1) tablet po twice a day. 8. metoprolol succinate 50 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po once a day. 9. levetiracetam 1,000 mg tablet : one (1) tablet po twice a day. 10. pantoprazole 40 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po twice a day. 11. miconazole nitrate 2 % powder : one (1) topical qid as needed. 12. lasix 20 mg tablet : one (1) tablet po once a day: new med dose, decreased from lasix 40 mg po qd due to poor po intake and hypovolemia. discharge disposition: extended care facility: center discharge diagnosis: atrial fibrillation with rapid ventricular response discharge condition: vital signs stable discharge instructions: return to ed if short of breath, chest pain/pressure, palpitations with symptoms of discomfort. followup instructions: provider: phone: date/time: 11:20 provider: , md phone: date/time: 1:00 provider: , m.d. phone: date/time: 1:00 procedure: enteral infusion of concentrated nutritional substances other radiotherapeutic procedure diagnoses: unspecified essential hypertension atherosclerosis of native arteries of the extremities with intermittent claudication atrial fibrillation atrial flutter malignant neoplasm of brain, unspecified other and unspecified hyperlipidemia pneumonitis due to inhalation of food or vomitus late effects of cerebrovascular disease, hemiplegia affecting unspecified side anticoagulants causing adverse effects in therapeutic use hypovolemia attention to gastrostomy 

Answer: The patient is high likely exposed to