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: coumadin / heparin agents attending: chief complaint: ascites major surgical or invasive procedure: thoracentesis cardiocentesis history of present illness: 89 yo m history of chf, afib, cad, htn, cri, pah, cmy (ef 25%), transferred from osh with large ascites and significant left sided pleural effusion. patient states that he had been in subacute rehab and was transferred to for ct scan on friday which was read this morning and he was subsequently transferred here for further management of his ascites and pleural effusion. . patient complains of left-sided headache above his eye. intermittent lightheadedness and dizziness, sob on exertion and increased abdominal girth. he does note, however, that he still has a good appetite. past medical history: chf right-sided heart failure cardiac amyloidosis mild pulmonary hypertension moderate mr hyperlipidemia cri (baseline cr 2.0) cad s/p mi and s/p angioplasty in cll diagnosed glaucoma undescended testicle hernia repair social history: lives with his wife. quit tobacco 30y ago but had 20-40 pack year history. very rare alcohol. pt is a ww2 veteran who was in the infantry. has 2 adopted sons. family history: brother with copd, sister with liver ca, father died age , mother died of cirrhosis in her 70s. physical exam: vs - t: 95.3 bp: 102/60 p:69 r:20 o2 94%ra gen: elderly, cachectic male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: no jvd. cv: distant hear sounds, iii/vi holosystolic murmur. rr, normal s1, s2. no thrills, lifts. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, scattered bilateral crackles and expiratory wheezes abd: protruberant, + ascites and fluid wave, hepatosplenomegaly, erythema around umbilicus. ext: 2+ pitting pedal edema. cool to touch skin: extensive bruising, irritated skin tag on back pertinent results: admission labs: 05:31pm wbc-4.7 rbc-4.46* hgb-13.1* hct-40.5 mcv-91 mch-29.3 mchc-32.3 rdw-17.2* 05:31pm plt count-187 05:31pm alt(sgpt)-11 ast(sgot)-23 ld(ldh)-214 alk phos-225* tot bili-0.8 05:31pm albumin-3.7 calcium-9.4 phosphate-4.9* magnesium-3.1* 05:31pm glucose-90 urea n-56* creat-2.2* sodium-140 potassium-5.3* chloride-98 total co2-30 anion gap-17 05:31pm pt-17.5* ptt-32.9 inr(pt)-1.6* admission echo: biventricular hypertrophy with echogenic myocardium, restrictive filling pattern, thickened valvular structures, and a large circumferential pericardial effusion without overt echo signs of tamponade (which may be masked in the setting of severe pulmonary hypertension and right ventricular hypertrophy). findings consistent with amyloid cardiomyopathy. compared with the prior study (images reviewed) of , the pericardial effusion is slightly larger. the estimated pulmonary artery pressures are higher. post pericardial effusion drainage: there is severe symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. lv systolic function appears depressed. right ventricular systolic function appears depressed. there is mild pulmonary artery systolic hypertension. there is a small pericardial effusion. the effusion appears circumferential. there are no echocardiographic signs of tamponade. no right atrial or right ventricular diastolic collapse is seen. compared with the findings of the prior study (images reviewed) of , a small circumferential pericardial effusion has reaccumulated; no evidence of cardiac tamponade. brief hospital course: patient is a 89 yo m history of chf, afib, cad, htn, cri, pah, cmy (ef 25%), transferred from osh with large ascites and significant left sided pleural effusion for therapeutic intervention. . #. cad - h/o cardiac cath with occluded rca, unable to recanulize - on asa, bb and statin, no acei hypotension . #. pump - h/o chf predominantly right-sided failure secondary to probable cardiac amyloidosis - not biopsy-proven. ef 40%, severe biventricular diastolic dysfunction with low cardiac output. major volume overload, pleural effusion and ascites on admission with pericardical effusion that responded well to pericardiocentesis. echo revealed a large pericardial effusion that was also noted in , although appeared larger. though no echocardiographic signs of tamponade were seen, it was thought that tamponade could be masked in setting of rv hypertrophy and pulmonary htn. the pt was taken to cath lab and was found to have hemodynamics midly suggestive of tamponade with cvp 22, pa 67/29, wedge 28, pericardium 14, with mild improvement in ci from 1.42 to 1.48 after resolving tamponade. follow-up echo after pericardiocentesis did not reveal reaccumulation. patinet initially on lasix gtt for peripheral volume overload after the pericardiocentesis with good diuresis and transitioned to po lasix with continued improvemnet. patient was also continued on bb and aldactone. ace was held in setting of hypotension. patient remained normotensive while in house and was discharged in stable condition. patient was discharged on lasix 40 mg and was getting lasix 80 mg in house. if patient appears to be getting volume overloaded patient can be transitioned back to lasix 8- mg . patient was close to his dry weight upon discharge. . #. rhythm - irreg, irreg, chronic afib - on bb, asa - no coumadin allergy/sensitivity . pleural effusion: thoracentesis was done which revealed a transudate with wbc 615, rbc 1475 though gram stain showed no pmns, no microorganisms. the patient was sent to ccu for pericardial drain management . ascites: patinet with ascites in absence of liver disease, likely due to poor cardiac output. this was not intervened on as it was not bothersome to the patient and it actually responded slightly to aggressive diuresis. . #.renal failure - likely acute on chronic. this improved with improved cardiac output after pericardiocentesis and diuresis. patient's nadir with respect to cr was 1.5 and was discharged at 1.6 suggesting good diuresis. patient was close to his dry weight upon discharge. . . after discussion with the patient and the medical staff, all were in agreement that mr. was a suitable candidate for discharge. medications on admission: milk of magnesia 10 ml po hs aluminum-magnesium hydrox.-simethicone 15-30 ml po qid:prn multivitamins 1 cap po daily aspirin 325 mg po daily oxazepam 10 mg po hs brimonidine tartrate 0.15% ophth. 1 drop both eyes daily pilocarpine 1% 1 drop both eyes q6h carvedilol 12.5 mg po bid potassium chloride 40 meq po daily duration: 24 hours dorzolamide 2%/timolol 0.5% ophth. 1 drop both eyes senna 2 tab po hs docusate sodium 100 mg po bid simvastatin 20 mg po daily with supper at 1800 erythromycin 0.5% ophth oint 0.25 in ou hs furosemide 80 mg po bid discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 2. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. brimonidine 0.15 % drops sig: one (1) drop ophthalmic daily (daily). 5. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. erythromycin 5 mg/g ointment sig: one (1) ophthalmic qhs (once a day (at bedtime)). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 9. hexavitamin tablet sig: one (1) cap po daily (daily). 10. oxazepam 10 mg capsule sig: one (1) capsule po hs (at bedtime). 11. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 12. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 13. pilocarpine hcl 1 % drops sig: one (1) drop ophthalmic q6h (every 6 hours). 14. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). 15. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 16. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 17. furosemide 40 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: center - discharge diagnosis: primary diagnosis: chf, pericardial effusions . secondary diagnoses: chf right-sided heart failure cardiac amyloidosis mild pulmonary hypertension moderate mr hyperlipidemia cri (baseline cr 2.0) cad s/p mi and s/p angioplasty in cll diagnosed glaucoma undescended testicle hernia repair discharge condition: afebrile, stable vital signs, tolerating pos, ambulating with assistance. discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1200 cc . 1. please take all medication as prescribed. 2. please attempt to make all medical appointments. 3. please return to the emergency room if you have any concerning symptoms. followup instructions: please call dr. @ to make a follow-up appointment. . please call your pcp, , . to make a follow-up appointment. procedure: coronary arteriography using two catheters angiocardiography of left heart structures pericardiocentesis thoracentesis right heart cardiac catheterization diagnoses: mitral valve disorders unspecified pleural effusion urinary tract infection, site not specified 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 aortocoronary bypass status unspecified glaucoma chronic kidney disease, unspecified unspecified disease of pericardium long-term (current) use of anticoagulants combined systolic and diastolic heart failure, unspecified chronic lymphoid leukemia, without mention of having achieved remission hallucinations 

Answer: The patient is high likely exposed to