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: 61 y/o gentleman with a past medical history of spontaneous pneumothorax and bullous emphysema presenting with complaints of dyspnea x several weeks. the patient reports his shortness of breath has worsened slowly over time but his dyspnea has progressed more rapidly over the past 1 week. he denies cough or wheezing. denies fever/chills. he reports weight loss and a poor appetite. he states he is not short of breath at rest or with laying flat but becomes dyspneic with walking. he also reports using a space heater at work, which sits next to his legs. he developed burns over both his le with blistering that he was unaware of until the blisters popped and he felt the fluid on his legs. he continues to smoke 1 pack/day. . in the ed, initial vitals: t 97.4 hr 106 bp 106/70. rr 21, o2 93-100% on 3l nc. there was great difficulty trying to get a good o2 sat . cxr demonstrated shows large blebs but no pna. he was given albuterol neb x2, atrovent neb, ceftriaxone 1gm iv, azithromycin 500mg iv and solu-medrol 125mg iv. he was given 2l ns. ce sent. ecg demonstrated twi ii, iii, avf with no prior for comparison. . on arrival to the medical floor, the patient denies current dyspnea with rest, speaks in short sentences. past medical history: spontaneous left pneumothorax bullous emphysema ? alpha-1 antitrypsin deficiency social history: the patient lives alone. he has 3 children. he works as a security guard. he has a 60-100 pack year smoking history. he used to smoke up to 3 ppd but more recently has been smoke 1 ppd. he drinks white wine 1 time per week to "get drunk." he may have been exposed to asbestos and in the past. he denies any ivdu or illict drug use. family history: mother: died age 82 unknown father: died in 90's unknown siblings: 1 brother & sister alive and well physical exam: vitals: t 96.1, hr 102, bp 132/72, rr 14, o2 98% 2l. gen: cachectic appearing male, using accessory muscles with respiration but able to speak in short sentences with relative comfort : dry mm, no scleral icterus cv: rrr, distant heart tones, no mrg appreciated resp: markedly decreased breath sounds throughout all lung fields abd: soft, nt/nd, nabs ext: + clubbing, cool le with decreased pt/dp pulses skin: bilateral le burns with blistering - r le 9.5 x 7cm, l 6 x 5.5 pertinent results: cxr - prelim - my read - hyperinflated lung fields with diffuse emphysematous changes, no clear infiltrate . ecg - - nsr 100bpm, rad, nl int, raa, rvh, twi ii, iii, avf, no prior for comparison brief hospital course: 61 year old man with a past medical history of spontaneous pneumothorax and bullous emphysema presenting with complaints of dyspnea for several weeks consistent with copd exacerbation. he was treated with bronchodilators, steroids, and azithromycin. cta chest showed no evidence of pulmonary embolism. on the floor, he developed hypercarbic respiratory failure. he was placed on bipap and transferred to the micu. there, he was rapidly weaned off bipap. he was treated with a 14 day prednisone taper along with a 7 day course of azithromycin. patient was counseled regarding the importance of smoking cessation and a nicotine patch daily. he will need close pulmonary followup and home oxygenation. the patient had clear evidence of cor pulmonale in setting of long-standing severe copd. his severely overloaded rv compromised lv filling, and therefore likely contributing to poor exercise tolerance and pulmonary edema. he was diuresed with lasix and started on digoxin with good effect. he was discharged on po lasix and will require regular volume status monitoring following discharge. he was also started on a low dose ace-inhibitor, digoxin, and asa. in regards to his lower extremity wounds, sustained at home from a space heater, they did not appear infected. these were managed with topical treatments recommended by the wound care nurse. medications on admission: none. discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. silver sulfadiazine 1 % cream sig: one (1) appl topical (2 times a day). 3. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 4. prednisone 10 mg tablet sig: see below tablet po see below: prednisone 30mg tues/wed (), 20mg thurs/fri (), 10mg sat/sun (). 5. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 6. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for wheezing/sob. 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 11. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 12. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 13. enalapril maleate 5 mg tablet sig: 0.5 tablet po daily (daily). 14. aspirin 81 mg tablet, chewable sig: two (2) tablet, chewable po daily (daily). 15. oxygen please provide oxygen take to keep o2 sats between 87-90%. 16. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). discharge disposition: extended care facility: - - discharge diagnosis: primary: severe emphesema cor pulmonale/rhf discharge condition: alert and oriented x3, self-ambulatory discharge instructions: we had the pleasure of taking care of you while you were at . you were admitted because of shortness of breath. we did imaging study that shows you have very severe lung disease that is called emphysema. this is due to your longstanding smoking history. because of your lung disease, you have developed right sided heart failure. it is very important that you stop smoking. smoking will worsen the course of disease. we have started the following medications: 1. digoxin - started for your heart failure 2. enalapril - started for your heart failure 3. lasix - started for your heart failure and swelling in your legs 4. advair, spiriva, and albuterol - started for your emphysema and shortness of breath 5. prednisone taper - take 30mg tues/wed (), 20mg thurs/fri (), 10mg sat/sun (). this is for your emphysema 6. protonix - take while you are taking prednisone 7. aspirin 8. senna, colace, bisacodyl - started for consipation followup instructions: department: when: thursday at 2:10 pm with: , md building: sc clinical ctr campus: east best parking: garage please call your ins. co to update your pcp. them you are now seeing your pcp at at . this is very important to do before your appt. department: pulmonary function lab when: thursday at 2:30 pm with: pulmonary function lab building: campus: east best parking: garage department: medical specialties when: thursday at 3:00 pm with: dr. /dr. building: campus: east best parking: garage department: cardiac services when: tuesday at 3:20 pm with: , md building: campus: east best parking: garage procedure: non-invasive mechanical ventilation diagnoses: acidosis tobacco use disorder congestive heart failure, unspecified obstructive chronic bronchitis with (acute) exacerbation acute respiratory failure loss of weight cachexia diastolic heart failure, unspecified emphysematous bleb accident caused by other hot substance or object polycythemia vera acute cor pulmonale burn of unspecified degree of lower leg 

Answer: The patient is high likely exposed to