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: sulfa (sulfonamides) attending: chief complaint: the patient was admitted from an outside hospital on with nausea, vomiting and epigastric pain. major surgical or invasive procedure: none history of present illness: the patient presented to an outside hospital with a one day history of nausea, vomiting and epigastric pain. at the outside hospital, a ct abdomen showed a large hepatic mass in the right lobe of the liver with evidence of acute on chronic hemorrhage. she was transfused 2 units of prbcs and transferred to . past medical history: diabetes type i hypertension social history: engaged to be married, no children occassional etoh, no tobacco oral contraceptive pill family history: no history of liver disease physical exam: vital signs temp 100.0 hr 114 bp 116/75 resp rate 18 sat 97% ra neuro- the patient is in no acute distress, alert and oriented x 3 cardiology- regular rythmn, tachycardic pulmonary- clear to ausculation bilaterally abdomen- soft, tender to palpation ruq, non distended, bowel sounds present extremities- no edema pertinent results: 05:40am blood wbc-13.2* rbc-3.35* hgb-10.2* hct-31.5* mcv-94 mch-30.3 mchc-32.3 rdw-14.0 plt ct-519* 05:05am blood alt-391* ast-76* alkphos-198* amylase-39 totbili-2.0* 08:07pm blood hbsag-negative hbsab-negative hbcab-negative 08:07pm blood hcv ab-negative chest (pa & lat) 8:15 am findings: no previous images. the patient has taken a poor inspiration. there is extensive opacification consistent with a large right pleural effusion and underlying atelectasis or possibly even pneumonia. less marked changes are seen at the left base. the upper lungs are essentially clear. ct abd w&w/o c 9:08 am comparison: outside hospital multiphasic ct dated . technique: axial mdct images were obtained through the abdomen prior to and following the intravenous administration of 150 ml of optiray, in multiple phases. coronal and sagittal reformations are provided. contrast: intravenous nonionic contrast was administered due to the rapid rate of bolus injection required for this examination. oral contrast is present in the colon from a previous administration. ct of the abdomen without and with intravenous contrast: again seen in the right lobe of the liver is a large intraparenchymal hematoma measuring 10.6 x 14.5 cm in greatest transaxial dimension. this contains heterogeneous internal density, but no evidence of active extravasation of contrast on multiple phases. a large subcapsular hematoma which tracks along with dome and right lateral aspect of the liver is approximately unchanged in size (14.4 x 7.1 x 8.1 cm). heterogeneous, enhancing parenchyma is seen about the right lateral aspect of the intraparenchymal hematoma, and shows prompt arterial phase enhancement to the degree that is greater than the normal hepatic parenchyma, and persistent delayed phase enhancement similar in degree to the hepatic parenchyma. no other definite hepatic lesions are identified; several hypodense foci tracking in a curvilinear pattern through the right lobe, likely represents intraparenchymal tracking of hemorrhage, although the pattern is unusual and might relate to mass effect from the intraparenchymal hemorrhage. there is an accessory left hepatic artery arising separately from the left gastric artery, and additional right and left hepatic arteries arising in a conventional fashion from the common hepatic artery. portal veins and hepatic veins are patent. there is no evidence of tumor thrombus in the portal veins. in the left upper quadrant, a 2.1 cm heterogeneously dense structure (3a:33) shows connection to the gastric fundus (image 29), consistent with a gastric diverticulum. the spleen, adrenal glands and kidneys appear unremarkable. there are no pathologically enlarged mesenteric or retroperitoneal lymph nodes. the pancreas appears within normal limits, and there is no dilation of the pancreatic duct. since the examination of , the amount of blood tracking throughout the abdomen has increased slightly, although there is no evidence of extravasation of contrast or new clot to suggest a site of active bleeding. large bilateral low-density pleural effusions have increased since the previous examination, along with corresponding atelectasis of the lower lobes. the imaged portions of the heart and pericardium appear unremarkable. bone windows: bone windows show no evidence of suspicious lytic or sclerotic osseous lesions. multiplanar reformats: coronal and sagittal reformations are helpful in delineating the above described findings. impression: 1. intraparenchymal and subcapsular hepatic hematoma arising from a heterogeneously enhancing right lobe mass, without evidence of active extravasation and no significant change in size since . 2. mild increase in intraperitoneal hemorrhage within the abdomen, a finding which could reflect previous bleeding or redistribution of hemorrhage from the previous examination. 3. heterogeneously enhancing parenchyma about the periphery of the hemorrhage suggests underlying mass. adenoma is considered most likely given demographics, although if patient has risk factors for liver disease, hepatoma would be considered. 4. large bilateral pleural effusions and bilateral lower lobe atelectasis. findings are not suggestive of hemothorax. 5. gastric diverticulum. brief hospital course: the patient was admitted to the icu on from an outside hospital and her hematocrit was measured every four hours. in the icu, the patient received fluids and had serial abdominal exams to assess for any acute change. on the patient's diet was advanced from clears to as tolerated. two units of prbcs were transfused for a decreasing hematocrit. ct abdomen showed no active extravasation and no significant change in size of hematoma since . the patient was closely monitored in the icu and remained afebrile and stable and was transferred to the floor on . chest x-ray on showed a right lower lobe consolidation and was started on a 14 day course of levofloxacin. a cardiology consult for tachycardia was obtained and they assumed the tachycardia was due to an acute illness (anemia, fever) with some stress response. the patient continued to do well without need for further blood transfusion. she is to be discharged home . medications on admission: insulin pump asa 81 lisinopril 20 mg qd folate 1mg qd ocp - necon discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. lisinopril 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*20 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for 7 days. disp:*20 tablet(s)* refills:*0* 6. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). disp:*60 tablet sustained release 12 hr(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 8. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 9 days. disp:*9 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: hepatoma discharge condition: good discharge instructions: please return to the nearest emergency department if you should have a fever greater than 101.5, excessive nausea, vomiting, diarrhea, increased pain, lightheadedness, dizziness, palpitations, shortness of breath, varying blood sugars or should there be any other worrying symptoms. followup instructions: please follow up with dr. in two weeks with a ct scan of the abdomen. please call to make an appointment and arrange the ct abdomen please follow up with your pcp within one week regarding tachycardia. procedure: transfusion of packed cells diagnoses: pneumonia, organism unspecified unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia pulmonary collapse long-term (current) use of other medications diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled hemoperitoneum (nontraumatic) unspecified disorder of liver long-term (current) use of aspirin insulin pump status duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction gastric diverticulum 

Answer: The patient is high likely exposed to