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: large left hepatic mass major surgical or invasive procedure: left hepatic lobectomy, ccy history of present illness: ms. is a 70-year-old woman who presents with a large hepatoma involving the medial segment of the liver extending across into the right lobe. afp was 70.3. the tumor abuts the confluence of the portal vein and the hepatic hilum. she presented for left hepatic lobectomy. past medical history: pcom aneurysm found hyperlipidemia, discontinued lipitor due to myopathy htn for 20yrs hypothyroidism cluster headaches myopathy, probable atorvastatin induced (neurology) cervical and thoracic djd gerd osteopenia psh: d&c, orthopedic repair of fractured ritght lower extremity social history: 25pk-yr smoker retired airline attendant etoh, several drinks every other day family history: mother had physical exam: wt 54.55kg, height 165cm, 98 71 139/49 16 97%ra nad, a&o cor rrr lungs clear ext no cce pertinent results: 12:18pm blood wbc-10.8 rbc-2.87*# hgb-9.0*# hct-26.2*# mcv-91 mch-31.4 mchc-34.5 rdw-14.6 plt ct-209 06:20am blood wbc-13.9* rbc-3.50* hgb-10.9* hct-31.9* mcv-91 mch-31.1 mchc-34.2 rdw-14.3 plt ct-400 03:08am blood pt-14.5* ptt-41.2* inr(pt)-1.3* 12:18pm blood glucose-145* urean-11 creat-0.6 na-141 k-3.9 cl-114* hco3-23 angap-8 06:20am blood glucose-99 urean-10 creat-1.0 na-139 k-3.1* cl-101 hco3-27 angap-14 02:57am blood alt-205* ast-240* ld(ldh)-238 alkphos-63 amylase-45 totbili-1.3 06:20am blood alt-67* ast-43* alkphos-87 totbili-0.3 06:20am blood calcium-8.5 phos-3.6# mg-1.6 brief hospital course: on , she had left hepatic lobectomy, cholecystectomy, intraoperative cholangiogram for left hepatic mass. surgeon was dr. . please refer to operative report for details. postop, she experienced a lot of pain. pca dilaudid was adjusted. she became confused, tachycardic and was treated for a combination of mild post encephalopathy and etoh withdrawal (drinks several martinis per day)in the sicu. she was maintained on a ciwa scale. she had been pan cultured and was subsequently found to have positive blood cultures on with enterococcus faecalis and staph coag negative. iv vancomycin was started on . mental status improved. an abdominal ct was done noting heterogeneous material along the cut surface of the liver containing small foci of gas, diverticulosis, small bilateral pleural effusions, bilateral renal cysts as well as other hypodensities too small to characterize, likely also cysts and small focal aneurysmal dilation of the infrarenal aorta, 2.4 cm in diameter. the jp drain was left in place and averaged 100cc of serosanguinous drainage per day. lfts increased a little postop then trended down. diet was slowly advanced. the incision remained intact without redness/drainage. on , an ultrasound was done to reassess the fluid collection. preliminary read demonstrated a collection that was not larger. the jp drain was removed (). pt evaluated her and recommended rehab. she was accepted at . iv vancomycin was stopped on and oral ampicillin was started on for bacteremia on . blood cultures on were negative to date. wbc remained in the 14-13 range. pathology report from or was as follows: . gallbladder (a-c): 1. chronic cholecystitis. 2. cholelithiasis. 3. one lymph node with no carcinoma seen (0/1). 2. portal lymph node (d-f): one lymph node with no carcinoma seen (0/1). 3. liver, left lobe (g-q): 1. poorly differentiated adenocarcinoma, most consistent with primary intrahepatic cholangiocarcinoma (6.5 cm), present within 1 mm of the cauterized resection margin; see synoptic report. 2. focal large vessel (venous) invasion and multifocal small vessel invasion identified. 3. non-neoplastic liver parenchyma with mild portal and lobular mixed inflammation, most likely secondary to surgical procedure. 4. no increase in fibrosis on trichrome stain. 5. iron stain shows no iron deposition. she will follow up with dr. . medications on admission: amlodipine 2.5', hctz 50 alt with 25 qod , synthroid 100, lisinopril 40, omeprazole 20, bisphosphonate 70qwk, mvi, xanaz .25 prn discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection q8h (every 8 hours). 2. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 3. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 4. amlodipine 5 mg tablet sig: 0.5 tablet po daily (daily). 5. hydrochlorothiazide 12.5 mg capsule sig: fifty (50) mg po every other day (every other day): started . 6. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po every other day (every other day): started . 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 8. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 10. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for incision pain. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. alendronate 70 mg tablet sig: one (1) tablet po qfri (every friday). 13. ampicillin 500 mg capsule sig: one (1) capsule po q8h (every 8 hours) for 2 weeks. 14. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: extended care facility: - discharge diagnosis: hepatic mass cholangiocarcinoma discharge condition: alert, oriented. forgetful ambulating with assist tolerating small amounts of regular food discharge instructions: you will be discharged to based on physical therapy assessment please call dr. office if warning signs followup instructions: provider: , md phone: date/time: 9:00 call and speak with , rn coordinator procedure: cholecystectomy intraoperative cholangiogram lobectomy of liver diagnoses: esophageal reflux tobacco use disorder other postoperative infection unspecified essential hypertension hypopotassemia anxiety state, unspecified alkalosis bacteremia calculus of gallbladder with other cholecystitis, without mention of obstruction other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other encephalopathy streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus disorders of magnesium metabolism diverticulosis of colon (without mention of hemorrhage) disorder of bone and cartilage, unspecified other and unspecified alcohol dependence, continuous alcohol withdrawal cervical spondylosis without myelopathy cyst of kidney, acquired other specified disorders of liver malignant neoplasm of intrahepatic bile ducts other acute postoperative pain thoracic spondylosis without myelopathy cluster headache syndrome, unspecified 

Answer: The patient is high likely exposed to