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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: none. history of present illness: this is a 71 y/o male with esrd on hd (last hd friday), htn, dm2, diastolic chf, who presented to the ed today with dyspnea since saturday. patient was last dialyzed on friday on a m/w/f , however over the course of the weekend, developed progressive doe and orthopnea. no pnd. no chest pain, cough, palpitations, f/c/s. recently admitted from with similar symptoms which improved with dialysis. his exacerbations are thought to be to dietary indiscretions. . in the ed, initial vs were t 97.2, bp 167/66, hr 78, rr 26, sao2 97%/2l nc. he was given 40 mg iv lasix (although makes little urine at baseline), nebs, and solumedrol x 1 given h/o copd. cxr with evidence of chf. he was initially going to be admitted to the floor, however while in the ed, became more tachypneic with increasing o2 requirement and was put on niv to alleviate his respiratory symptoms. of note, renal is aware and plans to dialyze the patient this am (pt is due for hd today anyway). . ros otherwise negative. past medical history: 1. esrd on hd, began dialysis . av graft placed in lue on . congenital absence of one kidney. gets hd mwf in /--followed by dr. . on , underwent attempted thrombectomy, left upper arm av graft. ligation of left upper arm av graft and placement of right femoral quinton catheter. 2. htn 3. hypercholesterolemia 4. dm, type 2 5. diastolic chf, ef >55% 6. copd 7. h/o gi bleeding 8. unilateral kidney 9. s/p cataract surgery h/o gastric lipoma, 11. pvd, s/p angioplasty. 12. h/o vre uti 13. restless legs syndrome 14. cmml - diagnosed 6 months ago, pt of dr. . diagnosed by bone marrow biopsy, did not have any symptoms. not being treated. social history: pt is a retired medical record coder at the va. he is widowed with 4 children and 5 grandchildren. lives with 1 daughter. 120 pack year hx, quit 20 years ago. quit smoking 14 years ago, but smoked ppd for 40+ years. no etoh. no drug use. pt was in the army from -. family history: m: died at 64 of mi; dm f: died at 41 of mi aunts maternal and paternal with dm. physical exam: physical exam - vs: tc 97.2, bp 159/74, hr 89, rr 27, sao2 95%/4 l nc general: pleasant male, dyspneic, ao x 3 heent: nc/at, perrl, eomi. mmm, op clear neck: supple, jvp approx 7 cm chest: bibasilar crackles with diffuse exp wheezes in upper lung fields cv: rrr s1 s2 normal, no m/g/r abd: soft, nt/nd, nabs ext: no c/c/e; +lue av fistula with thrill and bruit pertinent results: 09:18am type-art temp-36.7 po2-73* pco2-53* ph-7.37 total co2-32* base xs-3 intubated-not intuba 01:48am k+-4.3 01:40am glucose-138* urea n-42* creat-7.8*# sodium-140 potassium-4.3 chloride-100 total co2-24 anion gap-20 01:40am ck(cpk)-76 01:40am ck-mb-notdone ctropnt-0.07* probnp-greater th 01:40am wbc-14.5* rbc-3.47* hgb-9.6* hct-30.1* mcv-87 mch-27.7 mchc-32.0 rdw-20.2* 01:40am pt-14.0* ptt-28.7 inr(pt)-1.2* . radiology preliminary report chest (portable ap) 12:45 am . chest (portable ap) . reason: please compare to prior film for volume status/effusions . medical condition: 71 year old man with sob in setting of vol overload reason for this examination: please compare to prior film for volume status/effusions ap chest, 4:18 a.m. . history: shortness of breath. volume overload. . impression: ap chest compared to through : . severe pulmonary and mediastinal vascular congestion and mild-to-moderate enlargement of the cardiac silhouette have worsened since . borderline interstitial edema is present. a large bore right supraclavicular central venous line ends in the low svc. no pneumothorax. pleural effusion, if any, is minimal, on the left. leftward deviation of the trachea at the thoracic inlet due to a goiter is longstanding problem, unchanged. healed bilateral rib fractures with overlying pleural thickening are also chronic. . cardiology report ecg study date of 1:23:30 am . sinus rhythm with baseline artifact. compared to the previous tracing of the findings are similar. . read by: , s. intervals axes rate pr qrs qt/qtc p qrs t 77 186 90 78 67 . brief hospital course: this is a 71 y/o male with esrd, copd, cml who presented with dyspnea, relieved with hemodialysis secondary to volume overload. dyspnea - given that there was a rapid improvement after large volume dialysis as well as no signs of copd exacerbation, his dyspnea was likely caused only by fluid overload. he rapidly improved significantly with hemodialysis in which 5 kilos were removed on . he was continued on his outpatient copd medication: tiotropium, advair, albuterol nebs prn. no iv steroids were given. leukocytosis - appears to be at patient's baseline and likely seconary to cmml as documented previously. in the absence of fever or any other localizing symptoms, did not culture. cis. esrd - hd mwf s/p hd yesterday. he was dialyzed two consecutive days and had an excess of l removed. he was again counselled on the necessity of adherance to a low salt diet. addtionally, a nutrition consultant spoke with the patient and daughter (caretaker). copd - continue spiriva, adavir, and albuterol; no need for systemic steroids cmml - diagnosed 6 months ago, and the patient is not being treated at this time. persistently elevated wbc count likely due to cmml. already being followed by oncology ( ) dm - he was treated with nph, regular insulin sliding scale qid htn - toprol xl, lisinopril, diltiazem medications on admission: 1. aspirin 81 mg qd 2. fosinopril 10 mg qd 3. requip 0.25 mg 4. diltiazem 30 mg tid tu/th/sa/ 5. toprol xl 25 mg qhs 6. calcium acetate 1334 mg tid 7. tiotropium qd 8. sevelamer 1600 tid 9. colace 100 mg 10. nephrocaps qd 11. advair 250/50 12. omeprazole 20 mg qd 13. vitmain e 400 units qd 14. lovastatin 10 mg qhs 15. insulin nph 15 units qhs, riss discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 3. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. diltiazem hcl 30 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for on tu/th/sa/. 6. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po hs (at bedtime). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. sevelamer 800 mg tablet sig: two (2) tablet po tid (3 times a day). 9. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 10. lovastatin 10 mg tablet sig: one (1) tablet po at bedtime. 11. fosinopril 10 mg tablet sig: one (1) tablet po once a day. 12. ropinirole 0.25 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 13. insulin nph human recomb 100 unit/ml suspension sig: fifteen (15) subcutaneous at bedtime: and continue regular insulin sliding sclae. 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 15. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: home discharge diagnosis: fluid overload, end stage renal disease secondary: chronic obstructive pulmonary disease, congestive heart failure, hypertension, hypercholesterolemia, diabetes, peripheral vascular disease, chronic myelomonocytic leukemia discharge condition: improved breathing discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: no more than 1250 ml daily. ( cups) . you were admitted after you had trouble breating because of too much fluid. it is very important that you do not eat foods with high sodium (salt) and that you do not drink too much fluids. please adhere to a low salt, kidney diet. . please return to the ed if you have any shortness of breath, vomiting, chest pain, fever, chills or any other concerning symptoms followup instructions: please continue with your regularly scheduled dialysis. please follow up with your primary care physician . at 8:45 am. if you have difficulty making this appointment please call also you have follow up with oncology: provider: , md phone: date/time: 3:00 procedure: hemodialysis diagnoses: end stage renal disease pure hypercholesterolemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified peripheral vascular disease, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diastolic heart failure, unspecified chronic myeloid leukemia, without mention of having achieved remission renal agenesis and dysgenesis 

Answer: The patient is high likely exposed to