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: doe major surgical or invasive procedure: cardiac cath s/p stent s/p intubation history of present illness: 84yo f with h/o interstitial lung disease, copd, and cad, with known abnl stress test , who has noted 6 mo of increasing doe. no cp, palps, le edema, orthop, pnd, or med changes. for the past two days, has c/o worsening of her usual non-productive cough and fatigue. no fever, sick contacts. went to pulmonologist 2 days pta to osh, who started pt on 60mg po prednisone for copd flare, no abx. 2 days () later saw no improvement, and pt presented to osh after increased sob; ems found pt with o2 sat of 86%ra with decreased mentation. in er pt had jvd 8cm, ekg nsr with old lbbb, wbc 12.5, ck 116, trop .2. given lasix, mso4, lovenox, bb, aspirin, for nstemi and chf. pt had adenosine myoview showing large, severe reversible anterior wall defect. transferred to for cath. in holding area, had respiratory failure and was intubated. in cath, had stent of 90% diag and 80% rca. given 80 iv lasix. on floor on night of admission, noted to be tachycardic with low bp's (80-100's). hct noted to have dropped from 43 on admission to 35 at noon, to 28 at 1am. emergent ct abdomen showed moderate sized bilateral pleural effusions (blood or pus by attenuation), and suggestion of pericardial effusion. ck's noted to be positive and increasing. past medical history: copd ild occupational exposure to sandblasting htn hyperchol s/p ccy cervical disease s/p surgery breast ca s/p lumpectomy and xrt social history: lives with son pertinent results: 06:20am blood wbc-13.5* rbc-4.00* hgb-12.3 hct-36.9 mcv-92 mch-30.7 mchc-33.2 rdw-13.4 plt ct-287 06:20am blood plt ct-287 06:20am blood glucose-78 urean-27* creat-0.7 na-140 k-4.9 cl-98 hco3-35* angap-12 06:20am blood calcium-9.2 phos-2.2* mg-2.1 10:15pm blood type-art temp-37.4 po2-112* pco2-54* ph-7.36 calhco3-32* base xs-3 cath: final diagnosis: 1. three vessel coronary artery disease complicated by acute pulmonary edema and cardiogenic shock. 2. severe congestive heart failure. 3. moderate pulmonary hypertension. 4. bilateral renal artery stenosis. 5. successful pci of the lad/d1. 6. successful pci of the rca. echo: conclusions: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is severe regional left ventricular systolic dysfunction with near akinesis of the inferior wall and the inferior and anterior septum. the distal half of the anterior wall and apex are also hypokinetic. no left ventricularaneurysm or thrombus is seen. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be quantified. there is a prominent anterior space which most likely represents a fat pad. impression: normal left ventricular cavity size with extensive regional systolic dysfunction c/w multivessel cad. mild mitral regurgitation. no significant pericardial effusion. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a moderate risk (prophylaxis recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. cxr: 1. interval improvement in previously evident multifocal airspace and interstitial opacities. 2. interval decrease in size of bilateral pleural effusions. 3. persistent asymmetric right apical pleural thickening. ekg: sinus tachycardia possible left atrial abnormality left bundle branch block with repolarization changes since previous tracing, heart rate has slowed and st changes are less pronounced brief hospital course: ms. is an 84 y.o. female with cad, copd, ild, who p/w nstemi and chf, hypercarbic respiratory failure in holding area awaiting cath requiring intubation, now s/p ptca with stents to lad/diag and rca. 1. cad: pt presents with nstemi with cath showing three vessel disease s/p stents to lad/diag and rca. ck peaked post-cath around 400 and trended down. pcp to set up with outpt cardiologist. 2. pump: chf, ef 35-40%. diuresed post cath and ultimately extubated and weaned to 2l nc. 3. pleural effusions: discovered on ct scan done on day after admission for evaluation of dropping hct. unclear etiology. effusions with hounsfield units consistent with blood. repeat cxr improving on . 4. ventilator: pt. with h/o ild secondary to radiation, copd, therefore likely co2 retention. extubated s/p 2 days on vent, doing well. o2 weaned to 2l. pt seen by physical therapy who determined pt has need for home o2 (~85% on ra). 5. gib with hct drop: guiaic positive non-melanotic stool, likely promoted by , . hct stable after 1 u prbcs. outpt gi workup. will see pcp on . 6. renal artery stenosis: not that significant given bp peaks around 160 and renal function is normal (cr = 0.7). need cath in future for renal aa if worsens. 7. fen - low na/heart healthy diet code - full. medications on admission: verapamil, metop, isosorbide, lisinopril, prednisone, aspirin, singulair, lasix, lipitor, prednisone, levoquin discharge medications: 1. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. prednisone 10 mg tablet sig: as directed tablet po once a day for 3 days: 3 pills by mouth , 2 pills by mouth , 1 pill by mouth , then stop. disp:*6 tablet(s)* refills:*0* 4. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. metoprolol succinate 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 9. home oxygen please use 2l of oxygen by nasal canula continuously. discharge disposition: home with service facility: discharge diagnosis: primary: 1. nstemi s/p stent to lad/diag and rca 2. congestive heart failure 3. bilateral pleural effusions and pericardial effusion 4. gi bleed 5. bilateral renal artery stenosis secondary: 1. hypertension 2. hypercholesterolemia 3. cad 4. copd 5. ild d/t occupational exposure to sandblasting discharge condition: pt was in good condition, with >92% o2 sats on 2l, ambulating, mentating well, vss. discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1500ml please call your doctor if you experience increasing shortness of breath, chest pain, increased swelling in your ankles, weakness, pale skin, dark black or tarry stool, bright red blood in your stool. continue to take your medications as prescribed. followup instructions: call dr. office to confirm your appointment with his partner, dr. , for friday at 12:45pm. he will recheck your blood count and arrange for a gi and cardiology workup. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube transfusion of packed cells arteriography of renal arteries insertion of drug-eluting coronary artery stent(s) injection of anticoagulant diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of malignant neoplasm of breast unspecified disease of pericardium acute respiratory failure atherosclerosis of renal artery postinflammatory pulmonary fibrosis hemorrhage of gastrointestinal tract, unspecified 

Answer: The patient is high likely exposed to