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 a 48 year old female with hypothyroidism who underwent routine laparoscopic cholecystectomy on , for symptomatic cholelithiasis in . the patient was discharged on the same day after the procedure and had some incisional pain for a few days postoperative. one week postsurgery, the patient had sudden onset of left sided pleuritic chest pain with shortness of breath. she was seen in the office the next day and was found also to have mildly elevated liver function tests. the patient presented to the emergency department on . she had a positive vq scan with high probability for pulmonary embolism. ultrasound revealed mild dilatation of biliary ducts and right hydronephrosis. ct scan showed marked dilation of intrahepatic biliary tree mostly on the right side with minimally dilated extrahepatic ducts. the patient was started on heparin drip for her pulmonary embolism and was transferred to for further evaluation and management. past medical history: 1. hypothyroidism . 2. cholelithiasis, status post laparoscopic cholecystectomy . 3. cesarean section. medications on admission: 1. synthroid 50 mcg once daily. 2. ocp. allergies: ibuprofen makes heart race. physical examination: on presentation, the patient is pleasant and cooperative in mild distress. temperature 98.1, blood pressure 130/78, pulse 108, respiratory rate 20, oxygen saturation 96% in room air. head, eyes, ears, nose and throat - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. sclera are nonicteric. the neck is supple, no jugular venous distention. cardiovascular - regular rate and rhythm, split s1 and s2, no murmurs. lungs revealed decreased breath sounds at the bases bilaterally, clear to auscultation. the abdomen reveals multiple healing trocar sites, soft, hyperactive bowel sounds, nondistended, mildly tender in the epigastric area. extremities are warm and well perfused, no edema, no tenderness. neurologically, the patient is alert and oriented times three, nonfocal. laboratory data: ast 709, alt 1159, total bilirubin 3.4, alkaline phosphatase 469. white blood cell count 4.5, d-dimer more than 1000. hematocrit 35.0, platelets 678,000. total protein 6.7, albumin 2.8. hospital course: the patient was continued on heparin drip. she was taken to the gastroenterology suite on , where endoscopic retrograde cholangiopancreatography and mrcp was performed. the findings were previous cholecystectomy, total obstruction of right main hepatic duct due to surgical clips, normal pancreatic ducts. there was also question of left sided colonic thickening. at this point, general surgery consultation was obtained. a decision was made to quantify and minimize the risk of pulmonary embolism before proceeding with hepatic interventions. on , the patient had lower extremity leni looking for deep vein thrombosis which was negative. the patient had a ctv of pelvic veins which also did not show any signs of clot. the patient had cta which showed signs of resolving pulmonary embolism at the bilateral bases. abdominal ct showed dilated right sided ducts as well as thickening in the descending colon starting at the splenic flexure. at that point, the patient was transferred to the general surgery team for further evaluation and management. on hospital day three, the patient is afebrile and vital signs stable. she continues to have mild epigastric pain. she tolerates clear well, ambulates. hospital days number four and five, the patient is afebrile and vital signs are stable. her liver function tests are slowly coming down, however, still markedly elevated. on , the patient's antibiotic coverage was switched from unasyn to levofloxacin and flagyl. the patient had percutaneous transluminal coronary angioplasty done under general anesthesia. the procedure went without complications. the stent was placed and started draining green brown clear bile. prior to the procedure, it was discovered that the patient is probably allergic to demerol with reaction being chills. on hospital day seven, the patient is afebrile and vital signs are stable. she was taken to gastroenterology suite again for colonoscopy which found one small rectal polyp which was removed and sent for pathology. overall, colonoscopy was described as ? inflammatory bowel disease versus ischemic changes. no other masses were identified. the patient continued to be on heparin for her pulmonary embolism. she was also started on coumadin. on hospital day number nine, the patient is afebrile and vital signs are stable. she does not have any pain at rest. she tolerates regular diet. her t tube is in place draining clear green bile. she is ambulating without problems. the patient was started on lovenox 60 mg subcutaneous twice a day and at this point heparin was stopped. anticipated discharge is . no other concerns and no issues at this time. condition on discharge: good. discharge status: the patient was discharged home with vna for lovenox injection and education as well as t tube care and teaching. follow-up: the patient is scheduled for biliary repair procedure on . the patient should call dr. office in one week for full instructions. the patient's primary care physician, . , was also contact and updated on the patient's condition. dr. stated that the patient could contact her at any time for further help with her management. medications on admission: 1. dilaudid 2 mg one tablet p.o. q4-6hours p.r.n. 2. tylenol 325 mg one to two tablets p.o. q4-6hours p.r.n. 3. protonix 40 mg p.o. once daily. 4. lovenox injection 60 mg one injection subcutaneous q12hours. 5. synthroid 50 mcg p.o. once daily. discharge diagnoses: 1. pulmonary embolus. 2. jaundice, right hepatic duct obstruction, status post cta, status post ctv, status post percutaneous transluminal coronary angioplasty. 3. status post colonoscopy. 4. status post laparoscopic cholecystectomy. 5. hypothyroidism. , m.d. dictated by: medquist36 procedure: closed [endoscopic] biopsy of large intestine percutaneous hepatic cholangiogram endoscopic retrograde cholangiopancreatography [ercp] [endoscopic] polypectomy of rectum insertion of choledochohepatic tube for decompression diagnoses: other and unspecified noninfectious gastroenteritis and colitis unspecified acquired hypothyroidism iatrogenic pulmonary embolism and infarction foreign body accidentally left during a procedure obstruction of bile duct benign neoplasm of rectum and anal canal 

Answer: The patient is high likely exposed to