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: the patient is an 86 year old gentleman transferred from the va for complaints of shortness of breath and worsening fatigue over the past few months. no syncope. chest x-ray showed chf. a subsequent echo showed an aortic valve gradient. cardiac cath showed no cad, but severe valvular aortic stenosis with mild aortic regurgitation. at the same time chest ct showed extensive consolidation of the bases of the lungs without calcifications and a nodule in the right mid-chest. the diagnosis of aspiration pneumonia with lung ca was made. a ct guided biopsy of the right lower lobe was done with the complaint of right pneumothorax. this was all at the outside hospital. aspirate smear showed a few clusters of cells and cytologic dysplasia favor reactive versus degenerative changes. patient was admitted to for avr and question of open lung biopsy for definite diagnosis to rule out lung cancer and was transferred here. past medical history: significant for gerd, anemia, status post turp, bph, aortic stenosis, intention tremor. medications on admission: iron, primidone, aspirin, oxybutynin, protonix, ascorbic acid, vitamin e, vitamin b, lopressor 25 b.i.d., colace. physical examination: pulsatile exam showed that he had warm feet and palpable popliteals, dopplerable dps and pts. no evidence of ischemia. hospital course: plastic surgery was consulted and patient was taken to the operating room on for a vats procedure which subsequently showed no evidence of cancer, most likely fibrotic changes. patient was then transferred to the floor with chest tubes which were discontinued after the vats without incident. infectious disease was consulted because patient spiked a fever. workup revealed that patient most likely had noninfectious etiology most likely related to postoperative atelectasis. levaquin was started empirically which had a complete course. after the concurrence with id that patient had no ongoing infectious issues, patient was taken to the operating room on for cabg times one and avr with tissue valve. the patient tolerated the procedure well. postoperatively patient had increased bleeding because of a fractured sternum. blood products and ffp were administered to which patient responded well. patient stayed in the icu for two days after which he was transferred out to the floor. his chest tubes were discontinued. his wires were discontinued. he did well. p.t. worked with him. he ambulated well. he returned to his preoperative weight and lasix was discontinued. beta blockade was continued. patient is being discharged home on . his sternum is stable. his incisions are clean and dry, both leg and chest. he is taking colace 100 mg p.o. b.i.d., primidone 50 mg p.o. b.i.d., oxybutynin 5 mg p.o. t.i.d., protonix 40 mg p.o. once a day, morphine sulfate as needed, metoprolol 50 mg p.o. b.i.d., aspirin once a day. patient is going home with prescriptions for lopressor 50 b.i.d., colace 100 mg p.o. b.i.d., percocet 50 tablets of 325 mg/5 mg apiece. he will go home with prescriptions for aspirin and colace as mentioned previously. patient will resume his other preoperative medications. he is doing well. he will follow up with dr. , who performed the case, in about four weeks. he will follow up with his pcp. is afebrile with vital signs stable. he is going to go home with vna for wound care and safety checks. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery decortication of lung other pleural biopsy open and other replacement of aortic valve with tissue graft other incision of pleura diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux aortic valve disorders pulmonary collapse hemorrhage complicating a procedure postinflammatory pulmonary fibrosis 

Answer: The patient is high likely exposed to