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: history of present illness: this is a 61-year-old woman with no significant past medical history who presented to an outside hospital on with 8/10 abdominal pain and nausea and vomiting. a right upper quadrant ultrasound at that time showed cholelithiasis and sludge, and the patient had subsequent cholecystectomy with lysis of adhesions on . the patient had a fever to 102.8 postoperatively and elevated lfts with an ast of 170, alt 204, alkaline phosphatase 134, and right upper quadrant pain. a mrcp was negative (no ductal dilatation or filling defects). she was transferred to for an ercp on , however, before the procedure could be completed, while she was lying on the table, the patient became hypoxic. apparently, a periampullary diverticulum was visualized at that time with limited views of the pancreatic duct that appeared normal. the patient was sent to the micu and found to be in pulmonary edema that was resolved with diuresis. the patient stated that her severe shortness of breath while on ercp had started more mildly even before the transfer to . the patient had never before had chest pain, shortness of breath, orthopnea, or pnd. she said that her symptoms were relieved with diuresis. in the micu, she ruled out for myocardial infarction by enzymes and a transthoracic echocardiogram was normal, ejection fraction equals 60-70% and normal p.a. systolic pressures. the patient was transferred to the medicine service on for subsequent ercp. past medical history: 1. gastroesophageal reflux disease. 2. status post cholecystectomy (). allergies: penicillin and bactrim. medications: none. social history: lives at home alone. prior smoker two packs per day, quit 23 years ago. drinks two glasses of alcohol per day. physical examination: temperature is 100.8, pressure 124/70, heart rate 81, respiratory rate 18, and o2 saturation is 93% on room air. in general, the patient is in no acute distress, appears comfortable. lungs: few bibasilar crackles, otherwise clear to auscultation bilaterally. heart: regular, rate, and rhythm, normal s1, s2, no murmurs, rubs, or gallops appreciated. abdomen is soft, nontender, nondistended, however, slight tenderness in the right epigastric region. extremities: no edema, warm bilaterally. laboratories: alt of 180, ast of 85, alkaline phosphatase 200. cks: 46, 38, and 30. iron 21, tibc 224, tsh 0.57, ferritin 724, trf 172. t bilirubin 3.3 and downtrending, amylase 33, lipase 27. the patient was admitted to the medicine service. she remained afebrile, however, had low-grade fevers of 99.0 and 100 throughout her hospital stay. the patient still had a slightly elevated white count of about 17. the patient was continued on antibiotics, levaquin and flagyl throughout the hospital stay. the flagyl was discontinued on the last day and the levaquin was continued for three more days on the patient's discharge. the patient had no evidence of pneumonia per chest x-ray, no cough, and no sputum. the patient's urinalysis was negative, and the patient had no diarrhea, no nausea, and no vomiting, and felt well. the ercp was performed on , which revealed normal esophagus, normal stomach, normal duodenum, a single nonbleeding periampullary diverticulum with large opening was found on the rim of the major papilla. cannulation of the biliary and pancreatic ducts was successful and deep with a sphincter tone using a freehand technique. the common bile duct, common hepatic duct, right and left hepatic ducts, and biliary radicals were filled with contrast and well visualized. the course and caliber of the structures were normal with no evidence of extrinsic compression, no ductal abnormalities, and no filling defects. a stent was successfully placed in the common bile duct. following stent placement, there was passage of sludge from the common bile duct. the patient did well postprocedure over the weekend and through monday. the patient had a stress mibi on . the preliminary report: the stress portion was normal with no anginal pain, no electrocardiogram changes, and 7.5 minutes of exercise per standard protocol. the mibi portion of the test was also normal showing no perfusion defects and an ejection fraction of about 83%. a repeat chest x-ray was also normal with almost entire resolution of the bilateral pleural effusions which has been present following the first ercp attempt. the patient was discharged in good condition with followup to her primary care physician as well as dr. on . discharge medications: levaquin 500 mg q day for three days. follow-up appointments: 1. dr. in weeks. 2. dr. on at 10:30 am for removal of the stent. dr., 12-adf dictated by: medquist36 procedure: endoscopic removal of stone(s) from biliary tract endoscopic insertion of stent (tube) into bile duct endoscopic retrograde cholangiopancreatography [ercp] diagnoses: esophageal reflux congestive heart failure, unspecified acute pancreatitis calculus of bile duct without mention of cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to