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: jaundice, abdominal pain. major surgical or invasive procedure: ercp with stent placement history of present illness: 55 yo vietnamese female with dm, recently diagnosed probable cholangiocarcinoma pending biopsy with portal vein invasion s/p palliative metal stent who was recently admitted on with 1 day of lethargy and jaundice, found to have cholestatic hepatitis. she had an ercp during that admission, c/b postoperative hypotension and fevers. . shortly after discharge, she experiences increased abdominal pain, juandice and fever at 100.4. she returns to the er and receives iv fluids, zosyn,and the ercp team gets called. she is currently hd stable and requesting pain medications. . ros otherwise negative. past medical history: hepatobiliary malignancy (?cholangioca vs hcc) with portal vein invasion, s/p ercp and metal stent placement by dr. with recent admission and discharge for stent obstruction. diabetes-diet controlled dyslipidemia h.pylori, recently diagnosed social history: lives with long time boyfriend. h/o tobacco or etoh or illicits family history: denies any significant family history of any illness/malignancies. physical exam: physical exam: vss gen: pleasant, lying in bed, nad. she has moderate pain in the rur. this pain is without radiation. no nausea, vomiting, or chills. eyes: scleral icterus, eomi, some pallor. ent: o/p clear, mm dry neck: no jvd, no bruits. no thyromegaly. no lymphadenopathy. cv: rrr, no m, nl s1, s2 resp: ctab, no crackles or wheezes abd: soft, tender in the ruq, liver palpable. no rigidity or peritoneal signs. nondistended, +bs, no hsm appreciated lymph: no cervical, axillary, inguinal lad ext: no edema, good peripheral pulses, no cyanosis neuro: a&ox3, cnii-xii intact, strength equal b/l le/ue, intact sensation skin: warms, no rashes psych: appropriate pertinent results: 136 98 9 / 114 agap=17 ------------- 4.3 25 0.8 \ ca: 8.9 mg: 2.2 p: 2.8 alt: 113 ap: 626 tbili: 19.1 alb: 3.8 ast: 85 lip: 63 72 11.5 d 10.1 d 266 30.3 d n:81.6 l:14.0 m:3.1 e:1.0 bas:0.3 pt: 14.2 ptt: 23.9 inr: 1.2 . ercp eleven fluoroscopic spot images obtained during ercp performed by dr. on were submitted for review. a radiologist was not present for the exam. images demonstrate previously placed long metal wallstent at the beginning of the exam. cannulation and opacification of the common the stent reveals multiple filling defects. there is incomplete opacification of the left biliary ductal system. the right biliary ductal system opacifies normally. and opacification of the biliary tree with contrast. the final image demonstrates placement of a plastic stent within the wallstent. per the ercp report, there was successful extraction of sludge from the metal wall stent. a biliary stent was placed within the wall stent and subsequent good flow of bile was demonstrated after stent placement. . common bile duct brushings suspicious for adenocarcinoma. . ct of the abdomen with iv contrast: small right pleural effusion with associated atelectasis is noted. the left lung base is clear. an ill-defined infiltrating mass at the level of the hepatic hilum along the region of the left hepatic duct is again seen. there is minimal intrahepatic biliary dilatation. a metallic bile duct stent is in position and unchanged when compared to the ercp of . overall, no significant interval change is evident. the portal vein cannot be well assessed on this single contrast exam, however, local invasion and left portal vein thrombosis is still appreciated. relative hyperemia of the gall bladder fossa probably reflects ongoing inflammation and the primary hepatic arterial supply to the liver in the setting of portal vein thrombosis. the pancreas, spleen, adrenal glands, kidneys, stomach, and abdominal portions of the large and small bowel appear unremarkable. the gall bladder is mildly distended, as before. a small amount of perihepatic free fluid is noted. there is no free air within the abdomen. no pathologically enlarged mesenteric or retroperitoneal lymph nodes although scattered retroperitoneal lymph nodes are evident. ct of the pelvis with iv contrast: a moderate amount of free fluid is present within the pelvis. the rectum, sigmoid colon, bladder, distal ureters, uterus, and ovaries appear within normal limits. no pathologically enlarged inguinal or pelvic lymph nodes are noted. osseous structures: there are no suspicious lytic or blastic lesions. impression: 1. unchanged ill-defined mass centered within the porta hepatis compared to the ct of six days prior. minimal associated intrahepatic biliary dilatation. left portal vein involvement with thrombosis is unchanged. 2. stable mild dilatation of the gallbladder. no wall edema, or pericholecystic fluid is present. 3. small right pleural effusion. brief hospital course: patient initially presented with fevers. she was taken to ercp again, where sludge was extracted and a new stent placed. she received iv fluids and initially was broadly covered with iv zosyn. her lfts trended downward after the procedure. brushings were taken for cytology, which eventually returned positive for adenocarcinoma. she was seen by the surgical and oncologic service as an inpatient. decision was made that she did not need an open surgical biopsy of her hepatobiliary mass, given the positive cytology from the brushings taken during ercp. she was discharged home to complete a course of ciprofloxacin. she was noted to have chronic portal vein thrombosis on her ct scan, which was also noted on a prior admission. . she was treated for her h.pylori with protonix, amxicillin, and clarithromycin. . palliative care was consulted for management of her pain, and started her on oxycodone standing, with prns. this appeared to work well for pain control. she will follow up with oncology and her pcp. hematocrit remained stable. medications on admission: 1. cholestyramine-sucrose 4 gram packet sig: one (1) packet po bid (2 times a day). 2. amoxicillin 250 mg capsule sig: two (2) capsule po q8h (every 8 hours) for 7 days: finish on . 3. clarithromycin 250 mg tablet sig: two (2) tablet po bid (2 times a day) for 7 days: finish . 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 6. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* discharge medications: 1. cholestyramine-sucrose 4 gram packet sig: one (1) packet po bid (2 times a day). disp:*60 packet(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 4 days. disp:*8 tablet(s)* refills:*0* 4. oxycodone 5 mg tablet sig: 0.5 tablet po tid (3 times a day): take 2.5 mg every eight hours as needed as well as the oxycodone 2.5 mg every eight hours around the clock. disp:*90 tablet(s)* refills:*0* 5. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. disp:*30 tablet, rapid dissolve(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. obstructive jaundice 2. cholangiocarcinoma 3. anemia 4. pain control discharge condition: stable discharge instructions: you were admitted with yellowing of your skin. you had a stent placed in your bile ducts and specimens taken to look for cancer. you will need to follow up with the oncology doctors as outpatient. followup instructions: 1. please follow up with a new primary care doctor in weeks. provider: , md phone: date/time: 2:30 2. please follow up with the oncology doctors. with dr. is on at 3 pm. the number for the clinic is . procedure: other endoscopy of small intestine diagnostic ultrasound of heart endoscopic sphincterotomy and papillotomy endoscopic insertion of stent (tube) into bile duct other closed [endoscopic] biopsy of biliary duct or sphincter of oddi diagnoses: unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled severe sepsis secondary malignant neoplasm of other specified sites other and unspecified hyperlipidemia other specified septicemias septic shock cholangitis obstruction of bile duct helicobacter pylori [h. pylori] malignant neoplasm of extrahepatic bile ducts anemia in neoplastic disease neoplasm related pain (acute) (chronic) portal vein thrombosis 

Answer: The patient is high likely exposed to