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: lipitor attending: chief complaint: obstructive jaundice major surgical or invasive procedure: ercp ptc stent history of present illness: patient is an 87 year old female who was transferred from hospital, , to on . she has experienced a 40-lb weight loss over the past year with a steadily decreasing appetite. in , she developed a thrombus in the left internal jugular vein and was treated with warfarin. she became supratherapeutic on warfarin and was reversed with vitamin then suffered what was believed to be an embolic stroke on requiring hospital admission. she had only minor neurologic deficits and was discharged a few days later on warfarin. she then had melena as well as coffee ground emesis and was readmitted to the hospital . during that admission, she was diagnosed with acute renal failure, and obstructive jaundice with a mass in the pancreatic head and a liver mass. attempt at ercp was made with inability to cannulate the bile duct. she was transferred to for further care. past medical history: cva left ij thrombus cholelithiasis pancreatic head mass, liver mass aaa 3.8cm htn gi bleed on warfarin recent () acute renal failure social history: lives with daughter, works part-time assembling circuit boards no etoh, no tobacco family history: daughter with pulmonary fibrosis son with lung cancer (smoker), pt unaware mother died in childbirth, father died unknown cause physical exam: on admission: t 97.4 hr 63 bp 100/60 rr 18 sao2 95% room air fs=159 alert, oriented, clear speech perrl, +scleral icterus upper dentures palpable cord left ij, no jvd, no lad lungs clear and equal b/l heart rrr, nl s1s2, no m/g/r abd soft, ntnd, +bs ext with multiple bruises on arms, right leg weaker than left, warm 1+edema b/l feet, strong pulses throughout pertinent results: transfer labs (): wbc 19.5 ast 209, alt 67, ap 567, t bili 8.9, albumin 1.7 ca -9 ()=1552, alpha fetoprotein ()=10.6 brief hospital course: the patient was accepted by dr. (gold surgery service) on and transferred to the intensive care unit on hospital day 2 due to oliguria in the setting of obstructive jaundice, concerning for sepsis. she underwent ercp on again with inability to cannulate the bile duct. she then had an 8 french internal/external biliary drainage catheter placed to decompress the long segment common bile duct stricture by interventional radiology. a picc line was placed and tpn initiated due the patient's poor nutritional status (albumin 1.7 on transfer). she was volume resuscitated per the nephrology team (low fena) with slow improvement in her urine output. a family meeting was held with dr. to discuss the patient's likely metastatic pancreatic cancer and poor prognosis. it was agreed to place internal stents in the biliary tree and a duodenal stent in an effort to successfully advance the patient's diet and discharge her from the hospital as soon as possible. patient had ir placed internal biliary stent on . however, she became septic over a period of next couple of days. she required cardiovascular support with pressors, she needed intubated for respiratory support and she stopped making urine. renal service was consulted who stated that she was too unstable for hd. in light of both multi-organ failure and poor prognosis from likely metastatic pancreatic tumor, a family meeting was held. patient was made dnr/dni then cmo on . she expired at 1:10 pm on . medications on admission: atenolol, vasotec, warfarin, lactulose, dulcolax discharge medications: none discharge disposition: expired discharge diagnosis: metastatic cancer acute renal failure subclavian vein thrombus cerebral vascular accident cholelithiasis gastroentestinal bleed abdominal aortic aneurysm hypertension respiratory failure discharge condition: death procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube percutaneous abdominal drainage other percutaneous procedures on biliary tract other percutaneous procedures on biliary tract endoscopic retrograde cholangiopancreatography [ercp] infusion of vasopressor agent diagnoses: malignant neoplasm of liver, secondary acute kidney failure with lesion of tubular necrosis unspecified essential hypertension unspecified septicemia severe sepsis acute respiratory failure malignant neoplasm of head of pancreas personal history of other diseases of circulatory system disseminated candidiasis hypovolemia cholangitis obstruction of bile duct secondary malignant neoplasm of other digestive organs and spleen secondary malignant neoplasm of retroperitoneum and peritoneum acquired hypertrophic pyloric stenosis 

Answer: The patient is high likely exposed to