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: nausea and vomiting major surgical or invasive procedure: upper endoscopy performed on showing no ulcerative lesions. history of present illness: mr. presented to the ed after 2 days of nausea. upon arrival to the emergency room, he began to vomit. he was denying abdominal pain, back pain, and lightheadedness. he has continued to have bowel movements. he has no history of abdominal surgery. past medical history: pmhx/psurghx: --a fib w/ tachy-brady syndrome s/p pacemaker placement on by dr. @ --aaa s/p endovascular repair by dr. with known endoleak per records. --type ii diabetes, insulin-dependent --bilateral le fx s/p fixation 20 yrs ago --morbid obesity --sleep apnea --htn --diabetic retinopathy --chf most likely diastolic as has preserved ef 55% --pulmonary artery hypertension --hyperlipidemia --chronic venous stasis --prior syncope --arthritis -- cardiac cath to abnormal stress which showed no significanty blockage. one vessel coronary artery disease. normal lv systolic function. mild lv diastolic dysfunction. no significant subclavian stenosis on the right or left. angioseal of right femoral artery. - restrictive pattern on pft's social history: social hx: lives w/ wife, no tobacco for 25 yrs (>100 pack-year hx), social etoh, former heavy drinker, retired realtor/salesman family history: non-contributory physical exam: in the emergency room: vital signs: t 97.6, hr 81, bp 175/94, rr 16, sat 100 % room air alert and oriented x3, no acute distress lungs clear to auscultation bilaterally cardio: clear s1, s2 abdomen: obese, non-tender rectal: guiac negative palpable femoral and popliteal pulses bilaterally pertinent results: 11:40am blood wbc-10.9 rbc-5.22 hgb-13.3* hct-40.0 mcv-77* mch-25.4* mchc-33.2 rdw-16.4* plt ct-246 11:40am blood glucose-212* urean-26* creat-1.4* na-137 k-7.2* cl-103 hco3-25 angap-16 07:20pm blood k-4.1 11:40am blood alt-22 ast-69* ck(cpk)-77 alkphos-82 amylase-31 totbili-0.4 11:40am blood ck-mb-2 ctropnt-<0.01 07:20pm blood ck-mb-notdone ctropnt-<0.01 03:50am blood ck-mb-notdone ctropnt-<0.01 05:00am blood ck-mb-2 ctropnt-<0.01 10:55am blood ck-mb-notdone ctropnt-<0.01 07:04pm blood ck-mb-notdone ctropnt-<0.01 02:00am blood ck-mb-notdone ctropnt-<0.01 radiology: : ruq u/s: no prior studies for comparisons. the study is significantly limited by patient habitus. the hepatic parenchyma is not well visualized. multiple shadowing gallstones are present. the gallbladder is not significantly distended. allowing for the technical limitations of the study, no wall edema is appreciated. there is diffuse right upper quadrant pain, but no focal son sign. main portal vein is patent with appropriate hepatopetal flow and wave form. impression: very limited study. cholelithiasis. : kub: films are not specifically labeled as upright or supine. gas and stool are seen throughout the colon. no air-filled dilated loops of large or small bowel are identified. possible small scattered fluid levels, but no findings to suggest obstruction. no obvious intraperitoneal air, although subtle abnormalities would be difficult to exclude on these films, due to patient body habitus and technical factors. there is scattered vascular calcification, with a stent in the lower aorta and proximal common iliac vessels. there is osteopenia and degenerative change of the lumbar spine. apparent non-acute rib fracture involving the left tenth rib. in addition, there is deformity of the left iliac crest, not fully evaluated, but most suggestive of sequela of remote trauma. impression: bowel gas pattern within normal limits. no evidence of obstruction. stool noted. : ct abd/pelvis: there are ill-defined, focal opacities in the visualized portion of the right middle lobe, with a tree-in- appearance. this is a nonspecific finding and is most likely infectious or inflammatory in etiology. there is mild left base atelectasis. no pleural or pericardial effusions. there is a nasogastric tube in place. the stomach is distended, with gastric contents mixed with contrast. there is a 5.5 x 2.7 cm duodenal diverticulum at the third portion of the duodenum (sequence 2, image #35), as seen on prior studies. there is stranding adjacent to the fourth portion of the duodenum near the junction with proximal (sequence 2, image #34). an ill-defined heterogeneous hypoattenuating structure in the duodenal lumen most likely represents intestinal contents. no abrupt narrowing is seen to explain the gastric distension. there are gallstones. the liver is unremarkable. no intra- or extra-hepatic biliary ductal dilatation. the pancreas, spleen and adrenal glands are normal. there are multiple bilateral renal cysts, the largest in the left kidney. otherwise, the kidneys are unremarkable, without hydronephrosis. no abdominal lymphadenopathy or free fluid. an endovascular aaa stent graft is again seen with a stable endoleak present. there are extensive vascular calcifications, including involving the celiac and sma, however there are secondary signs of bowel ischemia. ct pelvis: the urinary bladder is decompressed and contains a foley catheter. there are prostatic calcifications. the rectum and sigmoid colon are unremarkable. no suspicious osseous lesions. multiplanar reformatted images were essential in the delineation of the above findings. impression: 1. gastric distention without features to suggest a distal obstruction. 2. mild stranding involving the fourth portion of the duodenum of uncertain significance. clinical correlation recommended to exclude possibility of duodenitis. 3. focal right middle lobe lung opacities consistent with infectious or inflammatory process. 4. endovascular stent graft within aortic aneurysm, with stable endoleak. 5. extensive vascular calcifications brief hospital course: mr. was admitted to the vascular service complaining of nausea and vomiting one day prior to a scheduled repair of his type 1 endoleak. overnight hd1, he had a few episodes of emesis, and a large emesis on hd2. a nasogastric tube was placed and over the following 16 hours, 5600 cc of gastric contents were evacuated. he was maintained npo with his nasogastric tube to suction. a total of 1600 cc was evacuated from his stomach on hd3. gastroenterology was consulted, and a plan was formulated to perform an upper endoscopy on hd4 in the icu, as he had prior complications with endoscopy. he was transferred to the tsicu on the evening of hd3. on hd4, he was intubated, and his heart rhythm converted to rapid atrial fibrillation. cardiology was involved, and he was stabilized with a diltiazem drip and an amiodarone drip. the upper endoscopy was performed, and demonstrated no lesions. the diltiazem drip was discontinued. his nasogastric tube was removed, he was extubated, and he recovered well overnight with an amiodarone drip in the tsicu. on the morning of hd5, his amiodarone drip completed, and per his cardiologist, dr. , his amiodarone drip was stopped, and there was no need for a taper. mr. diet was advanced, and he tolerated solid foods well. he is to have close follow up with cardiology, vascular surgery, and his pcp. medications on admission: lasix 20', asa 325', humalin - 28u qd, lopressor 50", simvastatin 10', lisinopril 5' discharge medications: 1. reglan 10 mg tablet sig: one (1) tablet po every six (6) hours. disp:*120 tablet(s)* refills:*2* 2. lasix 20 mg tablet sig: one (1) tablet po once a day. 3. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 4. humulin n 100 unit/ml suspension sig: twenty eight (28) units subcutaneous once a day. 5. lopressor 50 mg tablet sig: one (1) tablet po twice a day. 6. simvastatin 10 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: type 1 endoleak of aorto-bifemoral stent gastroparesis discharge condition: good discharge instructions: please call the office or return to the emergency room if you experience: --fever greater than 101.5 f --nausea and/or vomiting that will not stop --cold, numb feet --new, severe back pain or abdominal pain --fainting followup instructions: call dr. office on monday at ( in order to make an appointment to follow up, or to reschedule your surgery. follow up with your pcp within the week. follow up with your cardiologist in weeks. you may call dr. office at (. pacemaker call phone: date/time: 9:45 cat scan phone: date/time: 10:00 , m.d. phone: date/time: 10:00 procedure: other endoscopy of small intestine insertion of other (naso-)gastric tube diagnoses: congestive heart failure, unspecified other chronic pulmonary heart diseases other and unspecified hyperlipidemia long-term (current) use of insulin other complications due to other vascular device, implant, and graft morbid obesity fitting and adjustment of cardiac pacemaker diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy gastroparesis 

Answer: The patient is high likely exposed to