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: fatigue major surgical or invasive procedure: tranfusion of 2 units of packed red blood cells history of present illness: 88 yo m pmh of pancreatic ca, no recent tx, in clinic for survaillence ct scan (which showed no change) mentioned that he was tired to his oncologist, hct was 18.8 down from 28 in , sent to ed for eval. in the ed, vitals on presentation were t 97.7 bp 153/65 hr 70 rr 24 97%ra. on exam, he had no stool in rectal vault, but mucous was guaiac (+). ng lavage negative. 2u prbc ordered, but not yet hung. he was given protonix 40 mg iv x 1. on transfer to unit, patient reports a 2 month history of progressive doe, now sob when he walks to the bathroom. was able to walk a city block and work in his garden over the summer. denies pnd, no orthopnea. no increased lower extremity edema - has chronic on l side from vein harvest for cabg. denies any brbpr, stool is always black as he is on iron, but no sticky stool suggestive of melena. occasionally has blood on toilet paper when he wipes, but nothing that has turned the toilet bowl red. denies any hematemesis, no hemoptysis. ros: the patient denies any fevers, chills, weight change, nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia, chest pain, pnd, cough, urinary frequency, urgency, dysuria, gait unsteadiness, focal weakness, vision changes, headache, rash or skin changes. past medical history: # pancreatic ca localized to pancreatic tail s/p cyber knife therapy, deemed a poor surgical candidate # anemia - chronic gi bleed with recent hospitalization # coronary artery disease status post coronary artery bypass graft in , left internal mammary coronary artery to left anterior descending coronary artery, saphenous vein graft to posterior descending coronary artery, saphenous vein graft to d1/om1 # noninsulin dependent diabetes mellitus # status post cholecystectomy # hypertension # hypercholesterolemia social history: positive tobacco times thirty five pack years. quit approximately twenty years ago. lives with wife. retired from . rare etoh, no drugs. family history: no history of colon ca. physical exam: on presentation: vitals: t: 98.1 bp:125/65 hr:78 rr:15 on 2l nc gen: well-appearing, well-nourished, no acute distress heent: eomi, perrl, sclera anicteric, no epistaxis or rhinorrhea, mmm, op clear. pale conjunctiva, pale oral mucosa neck: no jvd no cervical lymphadenopathy, trachea midline cor: regular rate, soft sem at rusb. pulm: lungs ctab, no w/r/r abd: obese, soft, nt, nd, +bs, no hsm, no masses ext: 1+ pitting edema of lle. 2+ distal pulses neuro: alert, oriented to person, place, and time. cn ii ?????? xii grossly intact. moves all 4 extremities. strength 5/5 in upper and lower extremities. skin: pale. scattered sebhorric keratosis, delayed capillary refill pertinent results: discharge labs: - 02:55pm blood hct-24.0* - 04:42am blood glucose-110* urean-30* creat-1.4* na-140 k-4.6 cl-109* hco3-22 angap-14 imaging: ct abd with contrast; 1. slight decrease in size of rim-enhancing but mostly necrotic pancreatic tail neoplasm with fiducial seeds. no evidence of progression here. 2. interval development of significant bibasilar peribronchovascular axial interstitial and peripheral interstitial thickening in the context of enlarging pleural effusions and focal nodularity. these findings in the lung bases are incompletely assessed but have significantly changed from and all prior examinations. while they could be infectious, more sinister lung disease, specifically lymphangitis carcinomatosis is not excluded.correlation with symptoms recommended:if the patient has infectious symptomology then these are probably not too concerning but if there are no symptoms then a formal hrct chest should be performed to further evaluate. brief hospital course: 88 yo m with pmh of pancreatic ca, cad s/p cabg, dm, who presents with acute on chronic anemia, guaiac (+) in ed, hct of 18.8 in clinic, vss. transferred to icu for acute gi bleed. refused egd. received 2 units prbc with rise of hct to 24. discharged in stable condition with plans for hct follow up as outpatient. # gib: sub-acute in nature given prior history. baseline is high 30's. was likely lower as ng lavage negative. he does have a number of possible sources of bleeding both upper and lower - diverticulosis, polyps, hemorrhoids, or bleeding from cyber knife treatment. his last colonoscopy in shouwed internal hemorrhoids and a polyp that was removed. he has been recent hospitalized in for similar presentation. refused egd. transfused 2 units prbc with hct rise to 24. discharged in stable condition with gi follow up and scheduled edg. instructed to have follow up hct on . # fatigue: patient reported significant fatigue, very likely acute on chronic anemia. treated and worked up as above. # pancreatic ca localized to pancreatic tail: s/p cyber knife therapy x3. deemed a poor surgical candidate. ct scan today showed no worsening. not actively managed while in-patient. has follow up with priamry oncolgist. # cad s/p coronary artery bypass: held bp meds and asa given bleed. restarted on discharge. # noninsulin dependent diabetes mellitus: covered with ssi and discharged on home glyburide. # hypertension: bp meds held gived gib and restarted on discharge. # hypercholesterolemia: continued home statin. medications on admission: atenolol 25 mg po daily lasix 20 mg po 2x/week zocor 40 mg po daily omeprazole 20 mg po daily cozaar 25 mg po daily compazine 10 mg po prn nausea imdur 30 mg po daily glyburide 2.5 mg po daily nitro sl prn iron 325 mg po tid discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. atenolol 25 mg tablet sig: one (1) tablet po once a day. 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 4. cozaar 25 mg tablet sig: one (1) tablet po once a day. 5. imdur 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 6. lasix 20 mg tablet sig: one (1) tablet po twice a week. 7. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po three times a day. 8. glyburide 2.5 mg tablet sig: one (1) tablet po once a day. 9. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet sublingual as needed as needed for chest pain: call 911 if you need more than 2 doses. 10. outpatient lab work please have you hematocrit (hct) checked on . please have the results called in to your pcp, . ( discharge disposition: home discharge diagnosis: chronic blood loss anemia requiring transfusion pancreatic cancer s/p xrt coronary artery disease s/p coronary bypass grafting diabetes mellitus discharge condition: fair; hemodynamically stable, eating, walking discharge instructions: you were admitted for anemia from chronic bleeding into the gi tract. your hematocrit was 18 on arrival, and you were transfused 2 units of blood. gi consult saw you, and discussed performing an egd (you did not have hematochezia, so colonoscopy was not deemed necessary), but you declined to have the procedure done during this admission. as this was not urgent, due to the chronicity of the bleeding, we have scheduled this for you as an outpatient. please follow up with all of your appointments. please have you blood level (hematocrit) checked on . have the results called in to dr. , (. followup instructions: gastroenterology (gi doctors) for endoscopy: provider: , md phone: date/time: 9:00 provider: (st-3) gi rooms date/time: 9:00 -- procedure will start at 9, please arrive by 8:00am. call for directions. keep the following, previously scheduled appointments: provider: scan phone: date/time: 11:00 procedure: transfusion of packed cells diagnoses: pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hemorrhage of gastrointestinal tract, unspecified personal history of malignant neoplasm of other gastrointestinal tract 

Answer: The patient is high likely exposed to