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: repeated small bowel obstructions major surgical or invasive procedure: 1. exploratory laparotomy. 2. lysis of adhesions. 3. small bowel resection. 4. extended regional mesenteric lymphadenectomy. 5. wedge biopsy of lesion in left lateral segment of the liver. history of present illness: 81-year-old lady with a history of hypertension, anemia, gastroesophageal reflux disease, and a possible right renal cell carcinoma, who has been admitted on three separate occasions to hospital in over the last several months for repeated small bowel obstructions. each time her hospital stays ranged from 3-5 days and resolved with conservative management. on one occasion, she required nasogastric tube decompression. she states that prior to presentation to this hospital, she had significant complaints of crampy abdominal pain with excessive nausea and vomiting. she was told that these repeated bowel obstructions were secondary to adhesions related to her prior abdominal operations. she saw dr. for a second opinion concerning her management. an upper gi series with small bowel follow-through was obtained on , and this showed evidence of a 5-cm stricture at the jejunoileal transition, suggestive of an inflammatory process but also consistent with infection, ischemia, or tumor. pt was referred to dr. for a consideration of resection of this strictured segment of bowel. past medical history: hypertension, anemia, gastroesophageal reflux disease, and a possible right renal cell carcinoma social history: the patient is married and is accompanied to this visit today by her husband as well as by one of her three children (). she lives in and remains quite active around the house. she has a distant trivial smoking history, having quit more than 30 years ago. she does not consume alcohol. family history: there is no family history of malignancies or inflammatory bowel disease. physical exam: on examination, blood pressure is 138/70, and pulse is 98. in general, she appears younger than her stated age and quite readily hops on to the examination table. sclerae are anicteric. neck is supple without lymphadenopathy. there are no carotid bruits. lungs are clear to auscultation bilaterally. heart is regular rate and rhythm without murmur. abdomen reveals a right paramedian as well as a lower midline incision. there is no evidence of hernia. her abdomen is soft and nontender without palpable mass. rectal examination is heme negative without palpable mass. extremities show no edema. pertinent results: 04:50am blood hct-30.2* 10:20am blood hct-31.5* 05:50am blood wbc-7.6 rbc-3.81* hgb-10.7* hct-31.6* mcv-83 mch-28.1 mchc-34.0 rdw-14.9 plt ct-179 05:50am blood plt ct-179 06:05am blood glucose-98 urean-10 creat-0.7 na-144 k-3.3 cl-106 hco3-28 angap-13 09:30pm blood glucose-130* urean-9 creat-0.7 na-142 k-3.4 cl-106 hco3-25 angap-14 06:11am blood glucose-136* urean-10 creat-0.8 na-142 k-4.1 cl-106 hco3-25 angap-15 05:50am blood glucose-102 urean-15 creat-1.0 na-146* k-4.3 cl-113* hco3-25 angap-12 06:05am blood phos-2.2* mg-1.8 09:30pm blood phos-1.8* mg-2.0 06:11am blood calcium-9.1 phos-2.2* mg-1.6 10:20am blood mg-1.9 05:50am blood calcium-8.9 phos-3.4 mg-1.4* 09:40am blood tsh-<0.02* ct 1. circumferential soft tissue mass/wall thickening of the jejunum, with adjacent lymphadenopathy. this lesion could be amenable to percutaneous biopsy. 2. right renal mass, for which the differential includes oncocytoma or renal cell carcinoma. 3. complex left renal cyst. 4. mesenteric and retroperitoneal lymphadenopathy, including a calcified mesenteric nodal mass. 5. thyroid goiter. 6. findings consistent with pulmonary hypertension. 7. no pulmonary masses to correspond to recent chest x-ray. echo the left atrium is mildly dilated. the left ventricular cavity size is normal with normal/hyperdynamic systolic function. there is a mild resting left ventricular outflow tract obstruction (may be due to hyperdynamic state). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. there is no valvular aortic stenosis. the increased transaortic gradient is likely related to high cardiac output. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. brief hospital course: patient was admitted on following small bowel resection for stricture causing obstruction. patient tolerated the procedure well, and following stabilization overnight in the pacu was transferred to a surgical care floor for post-operative care. patient was maintained npo with ivf, iv pain medications, and antibiotics. postoperatively the patient remained af with vss, the only complication being low urine output for which the patient responded well to fluid boluses. on pod3, patient was noted to have episode of afib. ekg was obtained which was consistent for afib, and hct were sent which was wnl. patient was asymptomatic with episode, and responded to 10mg iv lopressor. patient monitored on telemetry, placed on lopressor for beta-blockade, and cardiology consulted. cardiology advocated continuance of lopressor, d/c of norvasc, and tte, but no need for anticoagulation. cardiology also felt that the patient's two episodes of syncope in the past were the result of autonomic dysfunction, advocating slow elevation from the bedside or from a sitting position to avoid further episodes. echo on patient was as listed above, and following physical therapy clearance, patient was discharged to home with good po intake, appropriate ambulation, and good pain control on . medications on admission: lisinopril 30 mg p.o. daily, norvasc 10 mg p.o. daily, protonix 40 mg p.o. daily, and hydrochlorothiazide 25 mg p.o. daily. discharge medications: 1. lisinopril 30 mg tablet sig: one (1) tablet po daily (daily). 2. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 4. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*30 capsule(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po three times a day. disp:*135 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: small bowel stricture, question malignant etiology. discharge condition: stable discharge instructions: you may restart your home medications. please call a physician or go to the emergency room if you experience fever >101.4f, pain unrelieved by medication, intractable nausea or vomiting, or foul-smelling drainage coming from your incision. followup instructions: call dr. clinic at ( to schedule a follow-up appointment in weeks. provider: west sedation radiology phone: date/time: 2:00 please follow up with your cardiologist within 4 weeks to update him on your atrial fibrillation episode in the hospital procedure: other partial resection of small intestine division or crushing of other cranial and peripheral nerves regional lymph node excision open biopsy of liver diagnoses: anemia, unspecified esophageal reflux mitral valve disorders unspecified essential hypertension atrial fibrillation diseases of tricuspid valve unspecified intestinal obstruction nodular lymphoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to