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: allopurinol attending: chief complaint: altered mental status, fever major surgical or invasive procedure: s/p ir percutaneous drainage of gb w/ drain placement history of present illness: patient is an 86 y/o m with history of cad, htn, recent diagnosis of stage i pancreatitic ca compressing the cbd, s/p ercp with stent placement on after presenting to the hospital with jaundice. found to have occluded stent on , now s/p repeat ercp with restenting. he presents today with delerium, aphagia and fever x1 day. by report from the ed, he has not had a bowel movement in a few days. . <br>in the ed, his vitals were t 98.9, bp 150/86, rr 16, hr 84, spo2 98%. he recieved 3l ns. he had an abd u/s with distended gall bladder, thickened wall and fat stranding on ct scan. surgery was consulted, and he is likely not surgical candidate. he was given zosyn 4.5x1 and levaquin 750mgx1. . <br>on arrival to the floor, he is afebrile, rr 30, hr 72 and bp 142/64. he has word finding difficulty, but is able to follow some commands. he is a&o x0. he c/o of some abdominal pain, but only to palpation, not independently. per the family, yesterday went to legals sea food for lunch and he was neurologically intact, without this degree of word finding difficulty. he was weaker, more fatigued than baseline. last night, per his wife, he woke up around midnight disoriented and then again at 3am, wandering around the house. he had a fever of 100.8, and was instructed by the covering doctor to come to the ed. <br>brief history of pancreatic ca: - started work up for weight loss, diarrhea, and anorexia with egd and colonscopy that were positive only for hiatal hernia and gastritis - presesnted with jaundince, diagnosed with pancreatic ca, had ercp with stent placemeht. stage 1. ercp brushings positive for malignanct cells. surgery evaluated and he was not a surgical candidate - : oncology office visit, thinking about cyberknife treatment + chemotherapy (gemcitabine vs tnferade trial) - : increasing jaudince, send from onc visit for repeat ercp, stent occluded, patient restented past medical history: 1. cad, status post an mi in1982 followed by cabg x2. 2. peptic ulcer disease. 3. hypertension. 4. benign prostatic hypertrophy, status post surgery. 5. nephrolithiasis. 6. gout. 7. status post tonsillectomy. 8. status post knee arthroscopy in . 9. hypothyroidism. social history: <br><b>social history:</b> he lives with his wife. his wife and daughter are accompanying him on his visit today. he smoked cigarettes but quit in after smoking for approximately 10 years. he does not drink alcohol. he used to be in the navy. he was an executive during the day but worked at night as a musician and played behind such bands as the temptations and other such groups. family history: <br><b>family history:</b> he has a sister with breast cancer. his mother and father died from heart disease. his sister is alive and he has four children who are alive and healthy. his daughter is a physician physical exam: <br><b>physical exam:</b> vitals: t: 98.4 bp: 142/64 p: 72 rr: 32 o2sat: 94% on 2l gen: patient confused, aphasia heent: clear op, mmm neck: supple, no lad, no jvd cv: rr, nl rate. nl s1, s2. no murmurs, rubs or gallops lungs: bibasilar crackles abd: distended. no bowel sounds. pain to palp of rt upper quadrant ext: no edema. 2+ dp pulses bl skin: no lesions neuro: a&ox zero. not interactive. facial nerve intact, patient moving all 4 extremities. unable to follow commands to do very thorough neuro exam. pertinent results: 04:34pm glucose-103 urea n-51* creat-3.3* sodium-142 potassium-4.5 chloride-111* total co2-18* anion gap-18 04:34pm alt(sgpt)-51* ast(sgot)-64* ld(ldh)-251* ck(cpk)-60 alk phos-392* tot bili-3.2* 04:34pm ck-mb-notdone ctropnt-0.19* 04:34pm tsh-4.4* 04:34pm wbc-10.7 rbc-3.54* hgb-11.9* hct-35.8* mcv-101* mch-33.7* mchc-33.4 rdw-16.1* 04:34pm neuts-86.4* bands-0 lymphs-10.2* monos-3.1 eos-0.2 basos-0.1 08:40am ammonia-17 08:10am lactate-2.1* 07:45am lipase-9 07:45am alt(sgpt)-54* ast(sgot)-52* ck(cpk)-70 alk phos-436* tot bili-3.6* 07:45am wbc-11.5* rbc-3.32* hgb-11.0* hct-33.5* mcv-101* mch-33.1* mchc-32.8 rdw-16.2* . : stress impression: no anginal type symptoms or ischemic ekg changes. nuclear report sent separately. . pmibi impression: unchanged multiple moderate to severe fixed defects, without significant change since the prior study, primarily involving the distal anterior wall, apex and septum. global hypokinesis with dyskinesis of the apex, with the lvef of 29%. . abdominal us impression: 1. dilated intra- and extra-hepatic bile ducts as well as dilated pancreatic duct. likely hypoechoic mass in the region of the pancreatic head. further evaluation with ct is recommended. 2. hepatic hemangioma. . ct abd w/wo contrast impression: 1. hypoenhancing pancreatic head mass causing narrowing of the common bile duct stent as well as pancreatic ductal dilatation, highly concerning for pancreatic adenocarcinoma. however, the smv and sma are unaffected and there is no pathologic lymphadenopathy. no definitely suspicious hepatic lesions. 2. three peripherally enhancing hepatic lesions most likely represent hemangiomas. 3. progressive enlargement of right renal lower pole hyperdense lesion. 4. cardiomegaly with probable right heart strain. . ercp : stent placed, cbd brushings: positive for malignant cells consistent with adenocarcinoma. . liver/gallbladder ultrasound : impression: interval development of gallbladder distension, wall thickening and pericholecystic edema, which may be seen in a setting of ascites, cholecystitis cannot be entirely excluded. extrahepatic cbd stent incompletely visualized. no intrahepatic biliary ductal dilatation. . mr brain : impression: infra and suprtentorial multiple subcentimeter foci of increased flair and restricted diffusion, likely consitent with thromboembolic acute/subacute ischemic changes, the possibility of tumoral embolization is a consideration. brief hospital course: acute cholecystitis the patient presented with fever and ruq pain; a ruq ultrasound showed acute cholecystitis. surgery evaluated the patient, but since he was not a surgical candidate, the gallbladder was drained percutaneously by ir. the acute cholecystitis did not appear to be secondary to the stent obstruction that was revised on , because the lfts had been trending downward since the procedure, indicating that the revised stent was not obstructed. the patient was given flagyl and levaquin for anaerobic and gram negative coverage. . abdominal distention / ileus the patient did not appear to have an sbo on imaging. his ileus on radiography was presumed secondary to cholecystitis. an ng tube was placed at continuous suction. . altered mental status / dysphasia mri showed multiple foci of decreased perfusion that were consistent with embolic infarcts, either from the tumor itself or another source. delirium was also considered in the ddx due to the waxing and nature of the symptoms. . elevated troponin despite the elevated troponins, there was no chest pain or ekg changes and other cardiac enzymes returned negative. findings were not felt to be due to acs. . acute renal failure considered to be pre-renal and caused by chf. . goals of care on hd 3 patient became less responsive. goals of care were addressed with patient's family and the decision was made for comfort measures only. at time of transfer to the medical floors, he was minimally responsive to verbal commands (would squeeze fist and move toes on command) and could not move the right half of his body. all laboratory and diagnostic tests were discontinued. antibiotics and ivf were also stopped. patient was given morphine titrated to comfort level and given scoplomaine patch for oral secretions. he passed away two days after transfer. time of death was 19:30 on . medications on admission: <br><b>medications on admission:</b> amlodipine 5mg daily atenolol 50mg daily fluticasone 50mcg 1 puff each nostril daily hydrochlorothiazide 12.5 daily levothyroxine 25mcg , tab daily omeprazole 20mg daily discharge medications: deceased. discharge disposition: expired discharge diagnosis: acute cholecystis s/p percuatenous drainage discharge condition: deceased. discharge instructions: deceased. followup instructions: deceased. procedure: trocar cholecystostomy diagnoses: congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified acquired hypothyroidism gout, unspecified aortocoronary bypass status malignant neoplasm of head of pancreas chronic systolic heart failure paralytic ileus other ascites cerebral embolism with cerebral infarction acute cholecystitis obstruction of bile duct 

Answer: The patient is high likely exposed to