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: service: blue general surgery attending: history of present illness: the patient is a 31 year old male recently diagnosed with hepatocellular carcinoma and hepatitis b in . he presented to the emergency sweats, headache and worsening right upper quadrant abdominal pain. it was unclear how high the patient's temperature was as he did not take his temperature at home. the patient denied nausea, vomiting, diarrhea or cough or cold symptoms. the patient denied having any sick contacts. furthermore, the patient complains of new right lower quadrant abdominal pain at times radiating to his flank. he also complains of his abdominal pain. the patient also had a poor appetite. past medical history: 1. hepatitis b. 2. hepatocellular carcinoma diagnosed . past surgical history: status post appendectomy in . allergies: optiray 320, ct scan intravenous contrast causes rash, itching. levaquin causes itching and redness. medications on admission: 1. epivir hbv 100 mg once daily. 2. famotidine 20 mg q.h.s. 3. percocet q4-6hours p.r.n. for pain. social history: the patient lives with his girlfriend in , . he works as a custodian in a nursing home. he denied a history of tobacco, intravenous drug use and recreational drug use. he drinks alcohol socially. physical examination: on admission, the patient is a healthy appearing pleasant gentleman, appropriate for his stated age, in no apparent distress, laying on a stretcher. the head and neck examination showed extraocular movements are intact. the pupils are equal, round, and reactive to light and accommodation. he has oral thrush and cervical lymphadenopathy. there is no thyromegaly. his chest examination revealed bilaterally clear to auscultation. his heart has a regular rate and rhythm, normal heart sounds, no murmurs. his abdomen was soft, nondistended, right upper quadrant/epigastric/right lower quadrant abdominal tenderness. bowel sounds active. surgical scar from previous appendectomy. burn scar infraumbilically. rectal examination showed no masses with guaiac negative stools. he has no peripheral edema. his extremities were warm and well perfused. his neurologic examination was grossly intact. laboratory data: pertinent laboratory results revealed a white count of 8.0, hematocrit 37.8, platelet count 150,000. his blood electrolytes were within normal limits. his liver function tests revealed ast of 155, alt 226, alkaline phosphatase 167, total bilirubin 1.0, amylase 78 and lipase of 15. discharge status: to home without services. discharge diagnosis: hepatocellular carcinoma, status post left hepatic lobectomy and portal vein thrombectomy. , m.d.,ph.d. 02-366 dictated by: medquist36 procedure: cholecystectomy open biopsy of liver lobectomy of liver incision of vessel, abdominal veins diagnoses: anemia, unspecified hemorrhage complicating a procedure malignant neoplasm of liver, primary pneumonia due to klebsiella pneumoniae chronic cholecystitis portal vein thrombosis unspecified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic viral hepatitis b without mention of hepatic coma with hepatitis delta complications affecting other specified body systems, not elsewhere classified, hypertension 

Answer: The patient is high likely exposed to