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: cipro / macrodantin attending: chief complaint: known large hepatic cyst with progressive increase in shortness of breath over the past year major surgical or invasive procedure: : laparoscopic converted to open hepatic cyst unroofing, cholecystectomy, repair of diaphragm with -tex patch; chest tube placement. : ercp history of present illness: 75-year-old female with a known large hepatic cyst who has had progressive increase in shortness of breath over the past year. in , a report documented a 12 cm septated cyst in the liver along with a 1.7 cm gallstone. a ct on demonstrated that the cyst had increased in size to 19 cm. ct on demonstrated a large cyst occupying much of the right lobe of the liver measuring 21.2 x 13.6 cm. thin septations were noted. there was elevation of the right hemidiaphragm. preoperatively the patient has a documented low pulse ox. it should be noted that preoperatively her o2 sats were noted to be approximately 86% with a po2 of 56 on room air. past medical history: hypertension, hyperlipidemia, urinary incontinence, spinal fusion, ovarian cysts, the hepatic cyst and osteoporosis. . past surgical history is significant for back surgery approximately 40 years ago. hysterectomy at age 33, appendectomy at age 33, tonsillectomy as a child. social history: married, retired bookkeeper, she has two to three glasses of wine per week socially. she has no history of smoking, iv drug use, marijuana use, blood transfusions, tattoos, or hepatitis. she has pierced ears. family history: mother who died at age 81 of a cva. father died at age 49 of heart disease physical exam: post op exam: icu intubated and sedated vs: 97.5, 74, 88/51 - 159/72, 16 100% on cmv/assist general: nad, intubated/sedated card: rrr, no murmur lungs: right diminished throughout abd: soft, non-distended, dressing c/d/i extr: no edema neuro: sedated pertinent results: immediatelypost op: wbc-16.1*# rbc-3.28* hgb-10.6*# hct-31.3*# mcv-95 mch-32.2* mchc-33.8 rdw-15.1 plt ct-182 pt-18.0* ptt-29.5 inr(pt)-1.6* glucose-105* urean-19 creat-0.8 na-142 k-4.3 cl-114* hco3-15* angap-17 alt-302* ast-506* ld(ldh)-597* alkphos-63 totbili-2.4* albumin-2.7* calcium-8.9 phos-5.1* mg-1.3* lipase-4370* lipase-122* amylase 2933 amylase-120* at discharge: wbc-7.3 rbc-3.47* hgb-11.1* hct-31.6* mcv-91 mch-32.1* mchc-35.3* rdw-15.7* plt ct-194 pt-12.1 ptt-22.6 inr(pt)-1.0 glucose-86 urean-6 creat-0.5 na-134 k-3.8 cl-98 hco3-29 angap-11 alt-45* ast-28 alkphos-115* totbili-1.0 albumin-2.9* calcium-8.5 phos-2.8 mg-1.9 alt-72* ast-48* alkphos-104 amylase-2933* totbili-0.7 brief hospital course: 75 y/o taken to the or with dr for resection of the known hepatic cyst. at the time of exploration with the laparoscope, there were dense adhesions in the abdomen that precluded additional placement of ports safely and therefore she was converted to an open cystectomy. the cyst was densely adherent and involved the diaphragm. she had a solitary gallstone. she had dense adhesions in the right upper quadrant. the cyst contained approximately 3 liters of clear fluid. during the procedure, there was a defect in the lateral-most aspect of the right diaphragm and there was an injury to a small portion of the right lower lobe of the lung with some air leak. dr. , surgery was consulted during the procedure and it was recommended that a chest tube be placed. the lung was densely adherent to the diaphragm. she tolerated the procedure, however she was not extubated, and was transferred to the sicu post operatively. the cyst pathology was benign mesothelial inclusion cyst. the patient was extubated on pod 1, the chest tube was removed on pod 3 and she remained in the sicu until pod 3 and she was transferred to 10. on pod 4 the lateral jp drain was noted to appear bilious and drain bilirubin was 11.2 (serum 0.7 same day). the following day she was sent for an ercp, the pancreatic duct was filled with contrast, the course and caliber of the duct were normal with no evidence of filling defects, masses, chronic pancreatitis or other abnormalities. cannulation of the biliary duct was performed with a sphincterotome using a free-hand technique, extravasation of contrast was noted at the periphery of the liver, consistent with bile leak. an 8cm by 10fr cotton- plastic biliary stent was placed successfully with excellent drainage of bile and contrast. post ercp day 1 she presented with nausea and abdominal pain and amylase and lipase were noted to be significantly elevated to 2932 and 4370 respectively. she was kept npo for 2 days and then slowly advanced from clears to regular diet again. intra-op the patient received 2 units prbc's and albumin, on pod 2 she received 2 units prbcs and then 1 unit each on pod 4 and 5. her hematocrit has remained stable since the last transfusion. the patient has tolerated regular diet, and calorie counts indicate she is now getting adequate nutrition. the patient was evaluated by physical therapy. she was minimally active due to her shortness of breath prior to the surgery and will be discharged with home pt. she has been ambulating with assist. left ankle noted to be slightly swollen and a bit bruised in appearance. non-invasive studies were negative for dvt. the patient is passing flatus and on a bowel regimen. she is being sent home with the jp drain still in place. medications on admission: alendronate 70 mg 1xweek,atenolol 25',simvastatin 20', solifenacin 2 qod, advair'', calcium- vit d3, omega 3 fatty acid discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain: maximum 6 tablets daily. 2. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 3. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 4. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) inhalation inhalation (2 times a day). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take for constipation and while using narcotic pain medication. 7. solifenacin 5 mg tablet sig: one (1) tablet po every other day (every other day). 8. alendronate 70 mg tablet sig: one (1) tablet po once a week. 9. calcium 500 with d 500 mg(1,250mg) -400 unit tablet sig: one (1) tablet po once a day. 10. multivitamin tablet sig: one (1) tablet po once a day. 11. omega-3 fish oil oral discharge disposition: home with service facility: , discharge diagnosis: hepatic cyst and cholelithiasis diaphragmatic injury post ercp pancreatitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane or person assist). discharge instructions: has been arranged for home pt and nursing please call dr office at for fever, chills, nausea, vomiting, diarrhea, constipation, increased abdominal pain, inability to take or keep down food, fluids or medications. monitor the incision for redness, drainage or bleeding no heavy lifting no driving if taking narcotic pain medication drain and record drain output twice daily and as needed. record output and bring copy with you to your clinic visit. call if the drainage increases significantly, changes in color or develops a foul odor. do not allow drain to hang freely as it may pull out followup instructions: md, , date/time: , 2:00 md, procedure: insertion of intercostal catheter for drainage cholecystectomy endoscopic insertion of stent (tube) into bile duct other lysis of peritoneal adhesions other destruction of lesion of liver other repair of diaphragm diagnoses: unspecified essential hypertension acute posthemorrhagic anemia other and unspecified hyperlipidemia iatrogenic pneumothorax peritoneal adhesions (postoperative) (postinfection) osteoporosis, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation calculus of gallbladder without mention of cholecystitis, without mention of obstruction chronic pancreatitis urinary incontinence, unspecified acute pancreatitis acquired absence of both cervix and uterus arthrodesis status laparoscopic surgical procedure converted to open procedure other specified disorders of liver 

Answer: The patient is high likely exposed to