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: hypotension major surgical or invasive procedure: none history of present illness: pt is a 71 yof with h/o bladder cancer and newly found gastric mass and liver lesions, admitted with ftt x 3 weeks and hypotensive episode after egd today. patient states that she has had a caugh for the past 1 day, unsure about fevers at home. she was seen by dr. , pcp, and at the time had a low blood pressure and was recommended to the er but pt declined. earlier this am () patient underwent egd with dr. , received midazolam 0.5mg iv and fentanyl 25mcg iv, subsequently with no measurable blood pressure. she was reportedly 60/30s after 500cc bolus. she came up to 94/47 after 2l ns. she was reportedly pale but alert during the episode. she was transferred to the ed from egd. . in the ed, her vs were t 96.9, hr 101, bp 94/60, rr 26, o2sat 98% 2l. she was given 2l ns, ceftriaxone 1g iv and azithromycin 500mg po. she had a cxr that showed early lll infiltrate. ct abdomen with stable r hydroureteronephrosis and fluid overload. . on ros, she states she has had decreased appetite secondary to nausea and lb weight loss in the last 3 weeks. she has had fatigue and malaise x 1 week. she has had no associated n/v, abdominal pain, dysphagia, odynophagia, sick contacts, rash. she denies dysuria or change in urinary frequency but reports dark brown urine x 2 weeks. . patient was admitted to the medical floor and was noted to have bp in 80s again, she was also noted to be tachypneic and transferred to the micu. past medical history: 1. bladder cancer- followed by dr. of urology, status post intravesical bcg, atrophic right kidney, chronic r ureteral lesion with r hydronephrosis, stenting unsuccessful per pt 2. s/p bilateral cataracts surgery 3. osteoporosis. social history: lives alone, reports independence with adls but assistance with iadls; + tobacco- ~50pk-yr, quit >20y ago; denies etoh and drugs . family history: father died of unknown cancer physical exam: vitals- t 98.4 bp 86/46 hr 116 rr 20 o2sat 93%2l. pulsus -2 mmhg . general- elderly cachectic appearing woman lying in bed. heent- dry mucous membranes, sclare anicteric, op clear. neck- no jvd chest - ctab. cvr - tachycardic, regular, 3/6 sem heard throught ?rub abdomen - soft, mildly distended, no rebound or guarding ext - trace edema bilaterally neuro - a&o x3, able to relay history without difficulty pertinent results: admission labs: wbc 5.7, hct 13.1, plt 84 na 136, k 4, cl 105, bicarb 20, bun 41, cr 2.4 . dispo labs include: bicarb 8, cr 1.6 plt 62, fi 79, fdp 80-160, ast 1032, alt 2121, ld 1600, bili 1.0, ap 282 . ekg: nsr at 114, nl axis, nl intervals. small qwaves inferiorly. low limb lead voltage. . studies: cxr ()- question early developing airspace process in the lingular segment. there may be superimposed mild edema or more chronic interstitial lung disease evident. . ct abd/pelv (, wet read)- 1. new bilateral pleural effusions, small amount of ascites, and free fluid in the pelvis are consistent with volume overload. 2. stable severe right hydronephrosis. 3. diverticulosis without evidence of diverticulitis. 4. hiatal hernia. 5. liver lesions better seen on prior ct with contrast. . ct abd/pelv ()- 1. interval worsening of the right-sided hydroureteronephrosis with interval increase in size of a distal ureteral enhancing lesion suspicious for tumor versus progression of scar tissue. 2. interval development of the gastric antral mass and peri-celiac and intra aorta caval lymphadenopathy is suspicious for gastric adenocarcinoma, less likely lymphoma. in addition, there has been interval development of multiple lesions within the liver, which are suspicious for metastatic disease. 3. four 1-2 mm nodules in the right lower lobe, which are most likely inflammatory. 4. colonic diverticulosis without evidence of diverticulitis. . eccho: the left atrium is normal in size. a large probably sessile mass is seen in the body of the left atrium, occupying the majority of the chamber, but does not appear to be occluding the mitral valve. the attachment point is not well-defined, but may be the interatrial septum. left ventricular wall thicknesses are normal. the left ventricular cavity is unusually small. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. left ventricular systolic function is hyperdynamic (ef>75%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. . brief hospital course: this is a 71 yof with h/o bladder cancer and recently found gastric mass with liver involvement admitted with hypotension. ms was considered likely to be significantly hypovolemic considering her h/o decreased po intake, her urine electrolyes which were prerenal, and her physical exam including flat neck veins, tachycardia, hypotension. she was felt less likely to be septic given her lack of fever or leukocytosis but was nevertheless treated for cap. cortisol stim test revealed appropriate stim. she was aggressively fluid recussitated with near 10l ivf over 36 hrs without improvement in oliguria, tachycardia, or hypotension. she was unfortunately found on ecchocardiogram to have a large sessile mass nearly occluding her right atrium. it became clear that this was likely impairing left heart filling; her lv was noted to be remarkably small and hyperdynamic on eccho which would fit this picture. ms. eventually became quite tachypneic with labored breathing and evidence of pulmonary edema on cxr (although it is likely that her tachypnea was also fueled by her serious metabolic acidosis with a bicarb of 8). she was also noted to have thrombocytopenia and labs consistent with dic. because of ms. underlying poor prognosis with an atrial mass and likely malignancy, discussions were had with the patient and her nephew and they decided to not pursue further invasive care such as central line placement and vasopressors. she was made comfort measures only and received only one dose of 2mg morphine for respiratory discomfort and she passed away within 30 minutes with her family at her side. she had met with with palliative care the day prior as well as father from pastoral care. it was an honor to care for ms. in her last days and i wish her family the best. medications on admission: lisinopril 10mg qd (stopped 1 day pta by dr. timolol eye gtt actonel (stopped 1 day pta by dr. discharge medications: none discharge disposition: expired discharge diagnosis: left atrial mass gastric mass metabolic acidosis dic discharge condition: deceased procedure: other endoscopy of small intestine diagnoses: pneumonia, organism unspecified malignant neoplasm of liver, secondary acute kidney failure, unspecified defibrination syndrome osteoporosis, unspecified personal history of malignant neoplasm of bladder dehydration hydronephrosis malignant neoplasm of pyloric antrum 

Answer: The patient is high likely exposed to