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: the patient is an 88 year old woman with a history of chronic lymphocytic leukemia, prolymphocytic leukemia type, pulmonary hypertension who presents with epistaxis to the emergency department. she was noted to be hypoxic with oxygen saturations in the 70s. a chest x-ray was done that showed bilateral pleural effusions and some concern for aspiration versus congestive heart failure. the epistaxis was controlled with gelfoam. at this point the patient complained of laying on something wet in the emergency department. she was noted to be sitting in a pool of bright red blood. her hematocrit decreased from 33 at 1 pm to , m.d. dictated by: medquist36 d: 14:29 t: 16:26 job#: procedure: gastric lavage control of epistaxis by anterior nasal packing diagnoses: esophageal reflux congestive heart failure, unspecified unspecified essential hypertension primary pulmonary hypertension hemorrhage of gastrointestinal tract, unspecified epistaxis chronic lymphoid leukemia, without mention of having achieved remission peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction rectal prolapse 

Answer: The patient is high likely exposed to