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: recurrent left pleural effusion major surgical or invasive procedure: flexible bronchoscopy left videoassisted thoracoscopy, multiple pleural biopsies, diaphragmatic biopsy, talc pleurodisis for recurrent pleural effusion history of present illness: 81-year-old gentleman with recurrent exudative left pleural effusion past medical history: abdominal aortic aneurysm, hypertension, sleep apnea- bipab at night, chronic renal insufficiency, left pleural effusion, hypothroidism social history: lives w/ wife - apt of 3 family home, wife or son drives to appointments. family history: n/a physical exam: general--elderly male- nad heent-perrla, eomi, no adenopathy, sone nasal congestion decreased bs bilat, dull to percussion cor-rrr abd- soft, obese, non-tender, non-distended. ext- no edema, clubbing pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 06:30am 5.3 3.40* 10.6* 30.9* 91 31.1 34.2 15.2 252 differential neuts bands lymphs monos eos baso atyps metas 06:20am 85.3* 9.4* 4.7 0.5 0.1 red cell morphology macrocy 06:20am 1+ basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 06:30am 252 06:30am 15.3* 33.7 1.4* chemistry renal & glucose glucose urean creat na k cl hco3 angap 06:30am 95 37* 1.5* 134 3.6 98 25 15 enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 04:20am 50 other enzymes & bilirubins lipase 04:50am 43 cpk isoenzymes ck-mb mb indx ctropnt probnp 04:20am notdone1 1 notdone ck-mb not performed, total ck < 100 chemistry totprot albumin globuln calcium phos mg uricacd iron 06:30am 8.4 3.3 2.1 pituitary tsh 08:17am 5.0* source: line-aline antibiotics vanco 04:30am 7.1* lab use only redhold 11:54pm hold blood gas blood gases type temp rates tidal v peep fio2 o2 flow po2 pco2 ph calhco3 base xs aado2 req o2 intubat vent 11:14am art 87 40 7.35 23 -3 07:18am art 36.4 56*1 36 7.40 23 -1 not intuba2 1 provider notified per current lab policy 2 not intubated 03:28am art 37.3 50 70* 45 7.32* 24 -3 not intuba1 1 not intubated whole blood, miscellaneous chemistry glucose lactate na k cl 12:58pm 88 3.6 05:11am 0.4* 12:49am 1.1 hemogloblin fractions ( cooximetry) hgb calchct o2 sat 11:14am 96 07:18am 91 03:28am 93 calcium freeca 12:58pm 1.15 05:11am 1.11* 12:49am 1.11* radiology final report chest (portable ap) 7:29 am reason: hemothorax medical condition: 81 year old man s/p l vats, started anticoagulation reason for this examination: hemothorax history: status post left video-assisted thoracoscopy, on anticoagulation. hemothorax. comparison: . findings: two images demonstrating an ap semi-upright portable view of the chest. the endotracheal tube has been removed. mild pulmonary edema remains present, improved since the previous study. improvement in right basilar opacity likely represents improvement in pulmonary edema as well. left pleural effusion and basilar atelectasis/edema remains unchanged. impression: partial improvement in pulmonary edema. persistent left pleural effusion. cardiology report ecg study date of 12:37:52 am sinus bradycardia with 1st degree a-v block. poor r wave progression inferior/lateral st-t changes since previous tracing, lateral st-t wave changes are more prominent read by: , j. intervals axes rate pr qrs qt/qtc p qrs t 59 /425.72 -36 41 125 cardiac echo conclusions: 1. the left atrium is mildly dilated. 2. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed. posterolateral and posterior hypokinesis and anteroseptal hypokinesis are present. 3. the ascending aorta is mildly dilated. 4. the aortic valve leaflets (3) are mildly thickened. 5. the mitral valve leaflets are mildly thickened cardiac cath comments: 1. selective coronary angiography demonstrated two vessel coronary artery disease in a right dominant circulation. the lmca had mild diffuse disease. the lad had a 90% calcified lesion proximally involving the origin followed by a focal 70% stenosis. slow flow was seen through the lad with right to left collaterals distally. the proximal lcx had a 40-50% stenosis. the mid lcx had diffuse disease up to 70% in the mid vessel that extended into a large om. the rca had mild diffuse disease without flow limitation. 2. resting hemodynamics demonstrated elevated right and left sided filling pressures with rvedp=12 mmhg and mean pcwp=19 mmhg. mild pulmonary arterial hypertension present. mild systemic arterial hypertension. cardiac output and index were preserved at 6.6 l/min and 2.7 l/min/m2 respectively. 3. no left ventriculogram performed to reduce contrast load. 4. successful pci of the lcx with two overlapping cypher des (3.0 x 18 mm and 2.5 x 23 mm). 5. successful pci of the ostial and proximal lad with a 3.0 x 33 mm cypher des (post-dilated proximally with a 3.5 mm balloon). 6. successful closure of the rfa arteriotomy site with an 8 french angioseal device. final diagnosis: 1. significant two vessel coronary artery disease. 2. biventricular diastolic dysfunction. 3. mild pulmonary and systemic arterial hypertension. 4. successful pci of the lcx and lad. 5. angioseal of right femoral arteriotomy. attending physician: , . referring physician: , . cardiology fellow: , , j. attending staff: , e. cardiology report ecg study date of 9:09:38 am normal sinus rhythm. compared to the previous tracing of no diagnostic interval change. tracing #2 read by: , intervals axes rate pr qrs qt/qtc p qrs t 62 /476.71 -12 58 61 brief hospital course: 81m admitted for evaluation for recurrent pleural effusion s/p thoracentesis w/ exudate undiagnoses etiology. sob improved s/p thoracentesis/lung re-expansion. hd#1- to or for l vats, pleural bx (multiple), diaphragmatic bx, talc pleurodesis. pod#1- stable, cpap overnight. ekg done. mental status monitored closely, ciwa scale used. ct to sx, no leak. pt oob/is w/ much support. pod#2/hd#3- ct to suction.low urine output, u/a*urine cx sent> uti, ciprofloxacin started. pt dry- hydralazine, diovan, lasix d/c. cr 2.7-2.8. oob to chair, needs 2 assist for ambulation.pt consulted. is/db done. pod#3/hd#4- po intake improved and u/o 1005cc less concentrated. evening- increased sob/mild resp distress, cxry=wet. lasix 20 mg ivp given minimal response, lasix 40 mg ivp w/ u/o 30cc, bladder scan ^ volume, foley placed w/ u/o 800cc ovenight. feeling improved overnight. ct> waterseal- cxry- no ptx, output 150cc. pod#4/hd#5-feeling much improved, cxry unchanged, u/o 800cc overnight; cr 2.5; goal 1-1.5l negative. ct 10cc and d/c'd. - event overnight - low o2 sat 80% nrb@10l, lasix 80mg ivp; cxry- no ptx, stable left effusion, ll atelectasis. pt tranferred to ccu for management: intubation w/ improvement of oxygenation and ventilation. enxymes sent and troponin=1.58, cardiology consulted- probable demand ischemia in setting of resp distress. ekg>ishcemia, r/i nstemi.bronch- mucous sec bilat l>r, no obstruction, no blood, no pus. pod#5- cardiac monitoring/ekg, enxymes, leni's, echo, heparin started, tx 1u prbc, diuresis for neg 3l. extubated w/o complication. plan for cath when stable. pod#6- bs course, diuresis cont, lytes monitored and repleated. anticoag and plavix started. oob/ pt. pod#7- resp status greatly improved w/ few course rales, 95% sat ra. captopril started. pod#8-cath- 2 lad, 1 left circ stents placed. angioseal in place, venous sheath removed w/o complication. activity restructions per p-cath routine. place on asa, cont plavix, ace inh, and beta-blocker. pt doing very well. pod#9- improved, activity advanced w/ pt, oob transfer to floor. rx cont. pod#10- respcardiac status cont improved/stable. dispo planning- home vs. rehab. foley d/c, on flomax- monitor dtv. medications on admission: neurontin 300, levoxyl 150, norvasc 10, mag ox 800, hydralazine 100", potassium 20, lasix 40, flomax .4, paroxetine 20, diovan 80", atenolol 50", valium 5 prn discharge medications: 1. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*1* 2. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po daily (daily). disp:*30 capsule, sust. release 24hr(s)* refills:*0* 3. paroxetine hcl 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 10. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*6* 11. captopril 12.5 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 12. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 13. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours) as needed. disp:*1 1* refills:*1* 14. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 15. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 16. levoxyl 150 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 17. norvasc 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: abdominal aortic aneurysm, hypertension, sleep apnea- bipab at night, chronic renal insufficiency, left pleural effusion, hypothroidism, contrast nephropathy, acute coronary syndrome/mi discharge condition: good discharge instructions: call dr. /thoracic surgery office for any post surgical issues. . note the following changes in your medications: hold your atenolol, diovan, lasix, kcl, mg oxide, hydralazine. you are started on apirin, plavix, thiamine, folate, levaquin followup instructions: call dr. /thoracic surgery office for an appointment. contact office to arrange a followup appointment in months. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters left heart cardiac catheterization insertion of endotracheal tube thoracentesis other bronchoscopy non-invasive mechanical ventilation arterial catheterization other pleural biopsy transpleural thoracoscopy injection into thoracic cavity transfusion of packed cells insertion of drug-eluting coronary artery stent(s) biopsy of diaphragm excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] insertion of three vascular stents procedure on two vessels diagnoses: obstructive sleep apnea (adult)(pediatric) subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder unspecified pleural effusion urinary tract infection, site not specified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to