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: penicillins / heparin agents / lovenox / adhesive bandages attending: chief complaint: left fibrothorax. major surgical or invasive procedure: left thoracotomy and total pulmonaryn decortication including parietal pleurectomy, flexible bronchoscopy with bronchoalveolar lavage. history of present illness: mr. is a 68-year-old gentleman who has had bilateral recurrent pleural effusions. he had a decortication on the right to address this which revealed significant fibrothorax and trapped lung. he has had this same process affecting his left hemithorax and, therefore, we consented him for decortication to prevent recurrent effusion. he also has significant dyspnea and it was unclear whether relief of his fibrothorax may improve his dyspnea though that was a possibility though not guaranteed. past medical history: 1. bicuspid aortic valve, status post st. mechanical aortic valve replacement in 2. atrial fibrillation diagnosed since , currently on coumadin therapy social history: significant for the absence of current tobacco use. daily etoh drinks per day. family history: there is no family history of premature coronary artery disease or sudden death. +grandfather with mi and dm physical exam: vs: t 97.6 hr 88 afib sbp 116/64 sats: 97% ra general: walking in halls in no distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: irregular, good click resp: decreased breath sounds on right, faint crackles lll gi: benign extr: warm no edema incision: left thoracotomy site clean mild erythema around margin, cool no discharge neuro: non-focal pertinent results: wbc-4.2 rbc-2.65* hgb-9.1* hct-27.2 plt ct-153 wbc-5.6 rbc-2.80* hgb-9.6* hct-28.5* plt ct-143*# wbc-5.6# rbc-4.55* hgb-15.9 hct-47.0 plt ct-118* glucose-137* urean-16 creat-1.0 na-139 k-3.8 cl-102 hco3-29 glucose-138* urean-22* creat-0.9 na-139 k-3.9 cl-106 hco3-25 calcium-8.7 phos-2.8 mg-2.2 culture pleural fluid no growth cxr: there is a minimal millimetric apical medial pneumothorax. signs of tension are not present. small left basal pleural effusion that is unchanged. also unchanged is the right-sided pleural effusion. the preexisting rib fracture is less well recognized than on the previous exam. the size of the cardiac silhouette is unchanged. 1. persistent small bilateral pleural effusion, mild left basal atelectasis and costal pleural thickening, but no pneumothorax. impression: left lower lobe new retrocardiac opacity consistent with interval development of atelectasis that might be accompanied by pleural effusion. interval improvement of subcutaneous air. the left fifth posterior rib fracture is most likely post-surgical. 06:20am blood wbc-4.8 rbc-2.94* hgb-10.2* hct-30.1* mcv-102* mch-34.6* mchc-33.8 rdw-15.0 plt ct-226 06:20am blood plt ct-226 06:20am blood pt-18.3* inr(pt)-1.7* brief hospital course: mr. was admitted on for left thoracotomy and total pulmonary decortication including parietal pleurectomy, flexible bronchoscopy with bronchoalveolar lavage. he was transferred to sicu intubated. pulmonary: he was extubated on . he required aggressive pulmonary toilets and nebs and diuresis. his oxygen saturation on 1 lites high 90's which dropped to the high 89's with ambulation. his oxygenation improved over the course of his hospitalization, ra saturations 97% ra he continued on his home cpap at night. chest tubes: 3 28 french chest-tubes: basilar, posterior & anterior apical remained on suction until then placed to water-seal. the drainage was serousanguiounous. they were removed on . he was followed by serial chest films which revealed atelectasis/sm effusion. cardiac: he was hypotensive immediately postop with a good response to neo and volume. he was started on his home medications for atrial fibrillation. heme: we was restarted on his fondaparinox on for his mechanical valve. he chest tube drainaged was monitored for bleeding which none occurred. he was then restarted on his warfarin for a goal inr 2.0-3.0 renal: administered lasix with 1.8 liter output. renal function remained normal. fen: electrolytes were repleted as needed. he tolerated a regular diet. pain: his epidural was managed by acute pain with good pain control which was removed on . his pain was well controlled via dilaudid pca converted to po pain medication. disposition: plan home with vna. he will follow-up with dr. as an outpatient. medications on admission: atenolol 25 mg daily, folic acid 1 mg daily, furosemide 20 mg , probenecid 500 mg , isosorbide mononitrate 30 mg daily, warfarin 5/2.5 mg alternating. discharge medications: 1. atenolol 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. probenecid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 7. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: 0.5 tablet sustained release 24 hr po daily (daily). 8. warfarin 5 mg tablet sig: one (1) tablet po as directed: goal inr 2.0-3.0. 9. fondaparinux 7.5 mg/0.6 ml syringe sig: one (1) injection subcutaneous daily (daily): stop when inr > 2.0. 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: left fibrothorax discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production -chest pain -incision develops drainage -chest tube site remove dressing saturday and cover with a bandaid until healed -you may shower on saturday. no tub bathing or swimming for 6 weeks -no driving while taking narcotics -walk 4-5 times a day for 10 mins increased to goal of 30 mins daily warfarin: take fonadarinux until inr 2.0 or greater warfarin continue home dose as previous followup instructions: follow-up with dr. 2:00 pm on the clinical center . report to the radiology department for a chest x-ray 45 minutes before your appointment follow-up with dr. for further warfarin doses. inr goal 2.0-3.0. please have your blood drawn on monday and call dr. for further warfarin doses. procedure: decortication of lung closed [endoscopic] biopsy of bronchus diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified atrial fibrillation pulmonary collapse heart valve replaced by other means alkalosis long-term (current) use of anticoagulants alcohol abuse, continuous pleurisy without mention of effusion or current tuberculosis personal history of methicillin resistant staphylococcus aureus 

Answer: The patient is high likely exposed to