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: no known allergies / adverse drug reactions attending: chief complaint: hemoptysis major surgical or invasive procedure: bronchoscopy history of present illness: this is a 80yo m with h/o cad s/p cabg, systolic chf, aortic stenosis, afib, dvt, and pulmonary fibrosis who presents with hemoptysis, shortness of breath, and hypoxia. he went to pulmonary clinic today with hemoptysis. he has had intermittent hemoptysis for about 2.5 weeks. it has been gradually increasing in severity, initially mild but now moderate. today he coughed up 1 teaspoon every few hours. denies fever/chills, but endorses increasing o2 requirement. typically he only wears o2 at night but now has been wearing it during the day due to desats to the 80's. also reports decreased peak flows on his spirometer. denies changes in weight recently. denies peripheral edema or orthopnea. denies pnd. denies chest pain. in the ed, initial vs were 99.5 90 95/61 18 97% 2l. on exam, pt has no tachypnea but does have bibasal crackles. hr is irregular, and no jvd or edema appreciated. labs revealed inr 3.4 and bnp elevated at 3789. no elev wbc, no bands and cr of 1.7 (cr 1.6 in ) was noted. cxr showed evidence of rul pneumonia. ekg showed a. fib, 90, left axis deviation, no stemi. tnt was neg. pt was given aspirin 325 and lasix 40 mg iv to which he diruresed 1l. pt then received 1l ns bolus for sbp 80s. bp now 102. bld cx and urine cx were sent. antibiotics for community acquired pneumonia were started (ctx/azithro). pt had no hemoptysis while in ed. and resp status remained stable. pe was considered but cta was not done due to creatinine of 1.7, discussed this with dr. . on transfer, vs were 99.2 92 18 97/60 94% 4l. given 3l fluid total. past medical history: cad, s/p mi, s/p cabg , anatomy unknown chronic systolic chf, lvef 40-45% aortic stenosis (valve 1.0-1.2cm2 on ) paroxysmal atrial fibrillation hypertension hyperlipidemia pulmonary fibrosis: ?secondary to amiodarone pulmonary hemorrhage dvt testicular cancer colon cancer s/p left hemicolectomy corticosteroid-induced hyperglycemia shingles and post-herpetic neuralgia t7 compression fracture social history: he lives with his wife in for five months of the year and is in for the remainder. he is a retired chemistry teacher. he does not smoke, rarely drinks. he has three children and grandchildren. family history: non-contributory. no family history of early mi or arrhythmias. father had heart disease. physical exam: vitals: afebrile 107 91/61 25 93%4l general: alert, oriented, chronically ill appearing male in no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp elevated to midneck, no lad cv: irregularly irregular with iii/vi systolic murmur at lusb without radiation to the carotids lungs: velcro crackles bilaterally r>l abdomen: soft, protuberant, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs: 05:10pm wbc-7.7 rbc-4.32* hgb-12.0* hct-34.3* mcv-80* mch-27.8 mchc-35.0# rdw-18.5* 05:10pm neuts-70.6* lymphs-15.9* monos-10.8 eos-2.3 basos-0.4 05:10pm plt smr-low plt count-96* 05:10pm pt-34.0* ptt-35.0 inr(pt)-3.4* 05:10pm probnp-3789* 05:10pm ctropnt-<0.01 05:10pm glucose-124* urea n-46* creat-1.7* sodium-139 potassium-4.2 chloride-98 total co2-33* anion gap-12 reports: ecg : atrial fibrillation with a controlled ventricular response. left axis deviation. non-specific intraventricular conduction delay. there are q waves in the inferior leads consistent with myocardial infarction. there is a late transition in the anterior leads consistent with possible prior anterior wall myocardial infarction. non-specific st-t wave changes. compared to the previous tracing of atrial fibrillation has replaced sinus rhythm and the qrs duration is longer. cxr : 1. new patchy opacity within the periphery of the right upper lung field concerning for an infectious process. followup radiographs after interval treatment are recommended to ensure resolution of this finding. 2. pulmonary fibrosis. 3. interval vertebroplasty of multiple compression deformities within the thoracic and lumbar spine. lenis : no evidence of deep vein thrombosis in either leg. ct chest : 1. new diffuse bilateral ground glass opacities superimposed upon underlying pulmonary fibrosis. the differential diagnosis is broad including hemorrhage, widespread infection (including pcp or viral pneumonia), acute exacerbation of underlying interstitial pneumonia, and asymmetric edema. 2. pulmonary fibrosis with a basal predominance which is incompletely assessed on this ct. 3. pulmonary artery enlargement suggests underlying pulmonary hypertension but this finding has lower specificity for hypertension in the setting of diffuse interstitial lung disease. 4. multiple thoracic vertebral compression fractures some of which have progressed from cxr of . 5. extensive atherosclerotic disease. tte : mildly dilated left ventricle with severely reduced left ventricular systolic function. moderately dilated and depressed right ventricle. at least moderate to severe mitral regurgitation, directed posteriorly. moderate to severe tricuspid regurgitation. severe pulmonary artery systolic hypertension. brief hospital course: 80yo m with h/o cad s/p cabg, systolic chf, aortic stenosis, afib, dvt, and pulmonary fibrosis who presents with hemoptysis, shortness of breath, and hypoxia. #. hemoptysis/hypoxia: on admission there was a wide differential diagnosis for his hemoptysis including pneumonia, pe, chf/mr, bronchiectasis, dah, or trauma. he was initially treated for cap with ceftriaxone/doxycycline, although he did not have elevated wbc or fevers. he underwent ct chest which showed bilateral ground glass opacities that could represent hemorrhage, infection, interstitial pneumonia, or edema. he then underwent bronch which showed some bloody secretions potentially consistent with dah vs infection vs bland bleed in the setting of ild. he was started on prednisone for worsening lung disease. he had a tte on that showed worsening of his lvef to 20-25% and worsening mr, and he was transferred to the ccu team for further management. #. acute on chronic renal failure: creatinine 1.7 on admission which improved with diuresis and medical management. #. hypotension: he had blood pressures in the 80s/50's while mentating well with good urine output. these values were felt to be close to his baseline blood pressures. #. paroxysmal atrial fibrillation: in afib with rates 100's on admission. he was continued on his home dronedarone and metoprolol. #. acute on chronic systolic chf: he was diuresed with iv lasix for volume overload as above and his hypoxia mildly improved. #. thrombocytopenia: platelets 96 from baseline of 140-150 on admission. they remained stable during his stay. #. cad s/p cabg: no ecg changes to suggest ischemia on admission. he was continued on his home beta blocker, statin, and aspirin. #. hyperlipidemia: continued on his home statin #. h/o post-herpetic neuralgia: home pregabalin medications on admission: dronedarone 400mg po bid furosemide 40-80mg po daily lidocaine-prilocaine 2.5%-2.5% cream daily daily as soon as possible metoprolol succinate 25mg po daily pantoprazole 40mg po daily miralax 17g po daily pregabalin 75mg po qam, 150mg po qpm simvastatin 20mg po daily spironolactone 25mg po daily warfarin aspirin 81mg po daily calcium carbonate-vitamin d3 600-400unit po bidac glucosamine/chondroitin-mv-min3 mvi 1 tab po daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*60 tablet(s)* refills:*1* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 3. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 4. pregabalin 75 mg capsule sig: one (1) capsule po qam (once a day (in the morning)). 5. pregabalin 75 mg capsule sig: two (2) capsule po qpm (once a day (in the evening)). 6. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 7. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 10. glucosamine-chondroitin oral 11. multivitamin tablet sig: one (1) tablet po daily (daily). 12. alendronate 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 13. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po 3x/week (mo,we,fr). disp:*90 tablet(s)* refills:*2* 14. warfarin 1 mg tablet sig: 2.5 tablets po once a day. disp:*75 tablet(s)* refills:*0* 15. furosemide 20 mg tablet sig: one (1) tablet po once (once) for 1 doses: dose adjusted by outpatient heart failure providers. 16. prednisone 10 mg tablet sig: four (4) tablet po once a day. disp:*120 tablet(s)* refills:*1* 17. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po three times a day: with meals. disp:*90 tablet, chewable(s)* refills:*2* 18. outpatient lab work please have inr's checked on and and call results to pcp . (phone: ) and dr. , md (phone ) 19. home oxygen please provide home oxygen at 1-2l per minute continuously. for goal oxygen saturation >90% 20. outpatient lab work please have inr's checked on and and call results to pcp . (phone: ) and dr. , md (phone ). please check chem 7 on as well and call into above numbers. 21. oxycodone 5 mg tablet sig: 0.5 tablet po at bedtime as needed for pain. disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: primary: pulmonary fibrosis secondary: coronary artery disease acute on chronic systolic congestive heart failure atrial fibrillation chronic deep vein thrombosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: it was a pleasure participating in your care at . you were admitted to the hospital for coughing up blood. this was ultimately believed to be caused by pulmonary fibrosis. you were treated for pneumonia initially but then steroids were added. regarding your medications... start: -pantoprazole 40mg daily -prednisone 40mg daily -alendronate 5 mg daily -vitamin d 800 units each day -calcium 500mg three times a day with meals -metoprolol tartrate 12.5 mg three times per day stop: -metoprolol succinate - 25 mg tablet extended release 24 hr daily -dronedarone - 400 mg tablet - 1 tablet(s) by mouth twice a day change: -lasix 20 mg daily -coumadin 2.5mg daily (please have your inrs checked as prescribed and faxed to your pcp and cardiologist) otherwise, it is very important that you take all of your usual home medications as directed in your discharge paperwork. otherwise, please followup with your primary care physician 7-10 days regarding the course of this hospitalization. weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: department: pulmonary function lab when: thursday at 10:40 am with: pulmonary function lab building: campus: east best parking: garage department: medical specialties : pulmonary medicine when: thursday at 11:00 am with: md rn building: sc clinical ctr campus: east best parking: garage department: cardiac services when: friday at 9:40 am with: , md building: campus: east best parking: garage name: , : internal medicine location: healthcare - group address: , , , phone: **we are working on a follow up appointment with dr. within 1 week. you will be called at home with the appointment. if you have not heard from the office within 2 days or have any questions, please call the number above.** . md procedure: closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortic valve disorders other chronic pulmonary heart diseases other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) osteoporosis, unspecified personal history of malignant neoplasm of large intestine personal history of malignant neoplasm of testis acute on chronic systolic heart failure herpes zoster with other nervous system complications tricuspid valve disorders, specified as nonrheumatic pathologic fracture of vertebrae 

Answer: The patient is high likely exposed to