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: penicillins / levaquin / dextromethorphan / adhesive tape / actigall / zithromax attending: chief complaint: abdominal pain major surgical or invasive procedure: peripherally inserted central catheter placement; removed history of present illness: 56m s/p open rny gastric bypass (without cholecystectomy) in and 150 pound weight loss presents with abdominal distension and ruq pain x 12 hours. the pain was acute in onset at 2am on , severe ( out of 10), sharp, and was associated with back pain. pain was worse when drinking shakes this morning. patient also endorsed lightheadedness, chills, and nausea without vomiting starting at 11am. he denies fevers, constipation, diarrhea; he has been passing flatus. past medical history: hypertension diabetes, type 2 hyperlipidemia gastroesophageal reflux ostructive sleep apnea on cpap history of kidney stones osteoarthritis of the hips, knees and thumbs fatty liver colonic polyps (benign) history of iron deficiency anemia social history: tobacco: none etoh: occasional wine married, lives with wife family history: non-contributory physical exam: vital signs: temperature 97, heart rate 64, blood pressure 108/68, respiratory rate 18, oxygen 100% room air constitutional: no acute distress neuro: alert and oriented to person, place and time; gait steady cardiac: regular rate and rhythm, no murmurs/rubs/gallops, normal s1,s2 lungs: clear to auscultation, bilaterally, no wheezes/ rales/ rhonchi abdomen: soft, mild epigastric tenderness to palpation, no rebound/ guarding wounds: well healed abominal incisions pertinent results: ct - 1. findings consistent with uncomplicated acute pancreatitis. 2. cholelithiasis without definite evidence of cholecystitis or choledocholithiasis. 3. large ventral hernia containing loops of collapsed small and large bowel loops as well as a portion of the excluded stomach without evidence of obstruction. 4. unremarkable post-gastric bypass anatomy with patent roux limb and no evidence of gastro-gastric fistula. mrcp - 1. findings of acute pancreatitis with small areas of hypoenhancement within the head and uncinate process consistent with areas of necrosis. 2. no intra- or extra-hepatic biliary dilatation. cholelithiasis but no evidence of choledocholithiasis. 3. diffuse fatty infiltration of the liver. 4. small bilateral pleural effusions, new since prior study of . 5. large ventral hernia containing portions of the excluded stomach, small bowel and large bowel. brief hospital course: the patient was admitted to the west 2b service on . initially patient was managed in the icu and kept npo/ivf and pain was treated. on , patient was deemed stable to come to the floor after pancreatic labs and bilirubin began to trend down. neuro: the patient was alert and oriented throughout his hospitalization; in the ed, patient was given iv dilaudid for pain with good effect. upon transfer to the unit, fentanyl was started due to rash from dilaudid. this seemed to control the patient's pain well. when patient transferred to floor, pain service was consulted to control pain. they recommended roxicet, which provided good relief for the patient. cv: the patient remained stable from a cardiovascular standpoint. vital signs were routinely monitored. bp was slightly low in the ed with sbp in the high 90, however this improved substantially with adequate hydration. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirometry were encouraged throughout hospitalization. gi/gu/fen: patient was kept nothing by mouth with intravenous fluid upon admission to the hospital, but was advanced to stage 3 upon transfer to the general surgical , which he tolerated without increased pain or nausea. ct scan was performed in the ed which showed acute uncomplicated pancreatitis and cholelithiasis, but no signs of cholecystitis. large ventral hernia was also seen on ct scan. labs were trended throughout hospital course, which showed continuous drop in pancreatic enzymes. however bilirubin continued to rise with a peak total bilirubin of 4.4 on hd. ercp was consulted, but they were unable to perform the procedure due to patient's altered anatomy from bypass surgery. mrcp on showed no intra or extrahepatic dilation, and no stone was seen. bilirubin and other labs continued to trend down and patient was transferred to the floor on . labs continued to trend downward throughout the remainder of her hospitalization; id: the patient's fever curves were closely watched for signs of infection, of which there were none. patient was not started on any antibiotics upon admission to the hospital. prophylaxis: the patient received subcutaneous heparin and dyne boots were used during this stay; he was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a stage 3 diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. he will return for an open cholecystectomy and hernia repair on . medications on admission: - lisinopril 10 mg daily - metformin 1000 mg - pioglitazone 15 mg daily - sertraline 50 mg daily - vitamin supplements discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po every four (4) hours as needed for pain. disp:*500 ml(s)* refills:*0* 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po twice a day as needed for constipation. disp:*250 ml* refills:*0* 3. metformin 1,000 mg tablet sig: one (1) tablet po twice a day: please crush. 4. lisinopril oral 5. sertraline oral 6. lipitor oral 7. actos oral discharge disposition: home discharge diagnosis: acute gallstone pancreatitis incisional hernia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications, unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. please refrain from drinking any alcohol at this time. please stay on a stage 3 diet until returning for surgery. please ensure that you are drinking adequate fluids and meeting your protein goals. please call dr. if you experience worsening abdominal pain associated with eating. please check your blood sugars four times per day at home and contact your primary care provider if your glucose levels are consistently elevated above 180. followup instructions: provider: , rd phone: date/time: 3:30 provider: , md phone: date/time: 4:00 you have surgery scheduled for at 2:00 with dr. . procedure: central venous catheter placement with guidance diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other opiates and related narcotics causing adverse effects in therapeutic use other and unspecified hyperlipidemia incisional hernia without mention of obstruction or gangrene morbid obesity iron deficiency anemia, unspecified dermatitis due to drugs and medicines taken internally calculus of gallbladder without mention of cholecystitis, without mention of obstruction acute pancreatitis other chronic nonalcoholic liver disease bariatric surgery status osteoarthrosis involving, or with mention of more than one site, but not specified as generalized, multiple sites 

Answer: The patient is high likely exposed to