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: history of present illness: the patient presented to the emergency room and was noted to be tachypneic in the 30's, tachycardic in the 100's. o2 saturation was 85% on room air, few crackles on lung exam were noted. chest x-ray was negative for edema. ekg showed extreme right axis deviation. the patient was admitted to medicine for treatment and for evaluation of predominantly right sided heart failure. past medical history: significant for chf. echocardiogram done in showed moderate global left ventricular hypertrophy and thinning of septum. ef 30-35%, mild mr, mild ar, moderate tr, mild pulmonary hypertension. pasv of 35 mmhg. history of alcohol abuse, quit 4-5 years ago, history of pud, etiology aspirin and ethanol use. h. pylori negative and killian- cervical ring; patient is asymptomatic. social history: the patient is a retired maintenance worker, lives alone, positive for tobacco one pack per week, formerly two packs per day. positive for alcohol, states none for the last 4-5 years. no history of withdrawal. patient has a remote history of marijuana and cocaine use, no iv drug abuse. family history: mother alive and well at 84, father passed away at 72 of unknown causes. siblings all reportedly healthy with one brother who died of pneumonia in his 60's and a sister who died at childbirth. physical examination: initial exam, patient is a 67-year-old black male, tachypneic, in no apparent distress, alert and oriented times three, temperature 97.3, pulse 99, blood pressure 102/87, respirations 34, 97% on 2 liters nasal cannula oxygen. skin is warm, dry, anicteric. heent: normocephalic, atraumatic, pupils are equal, round, and reactive to light and accommodation, extraocular movements intact, op clear. neck supple, positive for jvd. lungs, few crackles, right greater than left, no wheezes. cardiovascular exam, s1 and s2, tachycardic, 2/4 systolic ejection murmur at right upper sternal border. , m.d. dictated by: medquist36 procedure: biopsy of lymphatic structure diagnoses: acidosis congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified acute and chronic respiratory failure primary pulmonary hypertension 

Answer: The patient is high likely exposed to