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: no known allergies / adverse drug reactions attending: chief complaint: ruq pain major surgical or invasive procedure: ercp performed, stent placed, stones extracted perc drain placed history of present illness: this is a 66 year-old male with a distant history of a bilroth ii procedure and recently diagnosed cholelithiasis who presents with acute cholecystitis and possible choledocholithiasis who is being transferred from for ercp. frequent upper abdominal pains recently. recent er visit with us showing cholelithiasis and thickened gb wall with slight dilated cbd and dilated pd. lfts showed t bili of 3.1 with direct 1.4 but no fever, chills, jaundice or bloody stools prior to admission at osh. at osh had fevers and chills and brief diarrhea but no nasuea or vomiting. last bowel movement he recalls was last saturday (5 days ago). he thinks he has passed small amounts of flatus but he is not sure. . admitted to osh. lfts trended down and he was scheduled for cholecystectomy. laparoscopic cholecystectomy performed which was "challenging with empyema of the gallbladder encountered with both acute and chronic cholecystitis". intraoperative cholangiogram performed which showed markedly dilated cbd and intrahepatic duct with 6-7 2-3mm gallstones in the distal cbd which did not flush. duct ligated and gallbladder removed. . post operatively he developed wheezing and a cxr showed probably rll infiltrate c/w possible aspiration pna. he was started on duonebs with good affect. overnight he became more confused and had worsening abdominal pain which they treated with demoral without good affect but which responded to ativan. the next morning (the morning of transfer) a cxr showed ongoing rll infiltrate with possible cephalization and so he was diuresed with almost 2l output. . on arrival in the he was in visible discomfort, tachypneic, and complaining of ruq pain which was worth with deep breathing. vss and as noted below. . ros: (+) +ruq pain worse with inspiration, +r shoulder pain, +mild sob x2 days, +mild cough x 2 days, +diarrhea (brief, nonbloody, resolved, last episode ~5 days ago), +no bowel movement x5 days (-) the patient denies any nausea, vomiting, current diarrhea, melena, hematochezia, chest pain, orthopnea, pnd, lower extremity edema, dysuria. past medical history: cholelithiasis dmii htn h/o billroth ii surgery years ago hyperlipidemia social history: retired, lives with wife, former , no alcohol in 40 years, no illicits family history: non-contributory physical exam: on admission vitals: t 99.2 bp 149/79 hr 105 rr 26 o2sat 94/6l gen: well-nourished, mild respiratory distress heent: eomi, perrl, dry mm neck: unable to appreciate any jvd cor: rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: diffuse wheeze anteriorly, crackles at right lower base abd: distended, tense, +ruq tenderness, no rebound or guarding, chole drain draining yellow fluid, hypoactive bowel sounds ext: no c/c/e, no palpable cords neuro: alert, oriented to person, place, and time. moves all 4 extremities. skin: jaundiced, no cyanosis pertinent results: 08:10am blood wbc-8.0 rbc-4.06* hgb-13.2* hct-37.3* mcv-92 mch-32.6* mchc-35.5* rdw-12.9 plt ct-401 04:49pm blood wbc-11.5* rbc-4.46* hgb-14.4 hct-41.8 mcv-94 mch-32.2* mchc-34.3 rdw-12.8 plt ct-299 08:10am blood glucose-91 urean-9 creat-0.5 na-137 k-4.6 cl-99 hco3-30 angap-13 04:49pm blood glucose-200* urean-11 creat-0.7 na-138 k-4.0 cl-101 hco3-28 angap-13 08:10am blood alt-46* ast-33 alkphos-114 totbili-1.8* 04:49pm blood alt-75* ast-34 alkphos-135* totbili-2.7* . micro: 5:00 pm fluid,other source: fluid collection around the liver. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (preliminary): no growth. anaerobic culture (preliminary): no growth. . blood cx: ngtd . urine cx: no growth . mrsa screen (final ): no mrsa isolated. imaging: ct abd-pelvis impression: 1. heterogeneous predominantly fluid collection in the gallbladder fossa measuring 9.3 x 5 x 6.9 cm. the jp drain has displaced and is no longer draining this collection. 2. subcapsular hepatic fluid. 3. small bilateral pleural effusions with compressive atelectasis. 4. possible high-density material seen in the distal cbd consistent with stones. recommended correlation with ercp. 5. calcification of the aorta and coronary arteries. . tte impression: normal global and regional biventricular systolic function. probable mild diastolic dysfunction. mild mitral regurgitation. trivial pericardial effusion without echo evidence of tamponade. . cxr chest radiograph indication: status post ercp. evaluation for interval changes. comparison: . findings: as compared to the previous radiograph, there is no relevant change. minimal interstitial pulmonary edema, associated with a minimal right pleural effusion and a mild degree of left and right basal areas of atelectasis. unchanged size of the cardiac silhouette. no newly appeared focal parenchymal opacities suggesting pneumonia. brief hospital course: the patient was initially admitted to the medicine service on . he underwent a ct scan that showed a 9x5cm biloma and perihepatic fluid c/w bile leak. he was started on broad spectrum atbx with vanc/zosyn. on , the patient underwent percutaneous drainage of his biloma and drain was left in place. his lab values were improving and his lfts began to trend down. on , patient underwent ercp with sphincterotomy and extraction of stones from the cbd. a pancreatic stent was placed. the patient tolerated the procedure well. the patient's diet was then changed to clears, and advanced as tolerated to regular diet. the patient was transferred to the floor on hd 4. his pain was much improved and he was tolerating regular diet. his foley was dc'd on hd4, and patient voided without problem. his continued to trend down and all cultures were negative. he was transitioned to po pain meds, and restarted on his home medications as well. vanc/zosyn were discontinued and patient was switched to unasyn on . he will be sent home with 3 days of augmentin to complete a 1wk course of atbx. on day of discharge, patient's jp drain was removed, but new pigtail drain was left in place. of note, the patient did have increased work of breathing upon admission with sob/dyspnea. crackles and diffuse wheeze were heard in the rll and cxr showed some consolidation in that area. patient was started on nebulizer treatments and adequate pain control was started to minimize splinting. echo was performed to rule out heart failure, and this study was normal. patient's breathing continued to improve during his stay, and he was saturating well on ra at time of discharge with no complaints of dyspnea. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular 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. medications on admission: home medications: alprazolam 0.5mg q8h simvastatin 10mg daily lisinopril 10mg daily metformin 1000mg discharge medications: 1. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 2. augmentin 500-125 mg tablet sig: one (1) tablet po three times a day for 3 days. disp:*9 tablet(s)* refills:*0* 3. alprazolam 0.25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 4. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 5. glyburide 5 mg tablet sig: one (1) tablet po twice a day. 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 7. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: bile leak s/p lap chole, cbd stones 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 if you experience 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 is 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. . general discharge instructions: 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. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. drain care: *please look at the site every day for signs of infection (increased redness or pain, swelling, odor, yellow or bloody discharge, warm to touch, fever). *note color, consistency, and amount of fluid in the drain. call the doctor, nurse practitioner, or vna nurse if the amount increases significantly or changes in character. *be sure to empty the drain frequently. record the output, if instructed to do so. *you may shower; wash the area gently with warm, soapy water. *keep the insertion site clean and dry otherwise. *avoid swimming, baths, hot tubs; do not submerge yourself in water. *make sure to keep the drain attached securely to your body to prevent pulling or dislocation. followup instructions: you will be contact by the by the ercp department regarding followup. provider: , md phone: date/time: 10:45 procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy endoscopic insertion of stent (tube) into bile duct other percutaneous procedures on biliary tract diagnoses: anemia, unspecified tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pneumonitis due to inhalation of food or vomitus other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other emphysema paralytic ileus other specified disorders of biliary tract hypoxemia cholangitis delirium due to conditions classified elsewhere calculus of gallbladder and bile duct with acute and chronic cholecystitis, with obstruction 

Answer: The patient is high likely exposed to