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: bright red blood per rectum major surgical or invasive procedure: colonoscopy with placement of 4 cecal clips history of present illness: 63f with a history of htn, hld, and dcis s/p bilateral mastectomy who presents with hematochezia x 12 hours, doe, and significant malaise. she underwent a screening colonoscopy on where she was found to have a 5mm x 10mm sessile polyp in the cecum, 1 x 2mm sessile polyp in the cecum, and a 4mm sessile polyp in the sigmoid colon as well as several small avms, mild diverticulosis, and internal hemorrhoids. for a few days after her colonoscopy she was feeling somewhat unwell but denies abdominal pain or cramping, hematochezia, dark stool, maroon stool, doe, or orthostatic symptoms. she fully recovered and felt fine for a week. the evening prior to admission she suddenly developed crampy lower abdominal pain and an urge to go to the bathroom. she have 4 bouts of diarrhea of brown stool as well as bright red blood. she denies blood clots or maroon stool. she felt weak after the bms and could barely walk back to her office. a colleague drove her home. that evening she had doe walking in the yard with her dog. she called the on call service at and was advised to stay well hydrated and consider coming to the ed, but refused. the following morning she conitnued to feel tired and weak. her abdominal cramps returned and she had 4 more bouts of diarrhea with bright red blood. she felt so weak she could barely stand and was dizzy with sitting up. her son called 911 and she was transported to the ed for further management. . in the ed initial vital signs were 97.9 72 140/90 20 100% on ra. initial labs were notable for a h/h of 9.8/28.9 from a baseline of 14.5/42.8 in 11/. two 18g pivs were placed and an ecg showed no ischemic changed. she received ns 2000ml and was seen by gi who recommended icu admission and a ppi. she was transfered to the icu for further management. . in the she is tired but denies and cp, chest pressure, sob, palpitations, or ha. she reports dizziness when she sits up and some stomach grumbling, but no cramps. she denies any history of bleeding problems, gib bleeding, clotting problems, gerd, heart burn, or jaundice. . she was consented for icu care. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies chest pain or tightness, palpitations. denies cough, shortness of breath, or wheezes. denied nausea, vomiting. no recent change in bowel or bladder habits. no dysuria. denies arthralgias or myalgias. denies rashes or skin breakdown. no numbness/tingling in extremities. no feelings of depression or anxiety. all other review of systems negative. past medical history: - dcis s/p mastectomy - osteopenia - hypercholesterolemia - vulvodynia - hx of bcc and scc - rhinitis - constipation - sciatica - cervicalgia - htn - osteoarthritis - blistering dermatitis nos social history: - tobacco: denies - etoh: social - illicits: distant marijuana, no ivdu or other illicits family history: - mother: dementia - father: cad s/p cabg, melanoma - sister: breast cancer physical exam: gen: nad, pale vs: 97.0 87 supine: 153/93 sitting 133/88 17 99% on ra heent: mmm, no op lesions, jvp below the clavicle, neck is supple, no cervical, supraclavicular, or axillary lad, normal geographic tongue cv: rr, nl s1s2 no s3s4, ii/vi low systolic murmur at the lusb pulm: ctab abd: bs++, soft, nondistended, liver tender and palpable 3cm below the costal margin in the mid clavicular line, no stigmata of chronic liver disease limbs: no le edema, no tremors or asterixis, no clubbing, no koilonychia skin: no rashes or skin breakdown neuro: strength 5/5 of the upper and lower extremities, reflexes 2+ of the upper and lower extremities pertinent results: labs on admission: 11:51pm glucose-95 urea n-11 creat-0.7 sodium-145 potassium-3.5 chloride-114* total co2-22 anion gap-13 11:51pm calcium-7.9* phosphate-2.1* magnesium-2.3 11:51pm wbc-6.6 rbc-2.48* hgb-7.9* hct-22.8* mcv-92 mch-31.8 mchc-34.6 rdw-12.8 11:51pm plt count-216 05:01pm wbc-8.2 rbc-3.19* hgb-9.9* hct-29.5* mcv-93 mch-31.2 mchc-33.7 rdw-11.9 05:01pm plt count-277 02:40pm urine color-yellow appear-clear sp -1.010 02:40pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 02:40pm urine rbc-0 wbc-0-2 bacteria-rare yeast-none epi-0-2 12:30pm glucose-145* urea n-23* creat-0.8 sodium-134 potassium-3.1* chloride-99 total co2-26 anion gap-12 12:30pm alt(sgpt)-21 ast(sgot)-30 ld(ldh)-222 alk phos-52 tot bili-0.4 12:30pm albumin-3.8 calcium-8.8 phosphate-2.9 magnesium-1.8 iron-73 12:30pm caltibc-272 vit b12-513 folate-10.3 ferritin-72 trf-209 12:30pm wbc-7.6 rbc-3.23* hgb-9.8* hct-28.9* mcv-90 mch-30.4 mchc-34.0 rdw-12.7 12:30pm neuts-79.0* lymphs-17.1* monos-3.3 eos-0.5 basos-0.2 12:30pm plt count-249 12:03pm glucose-167* urea n-22* creat-0.8 sodium-133 potassium-3.3 chloride-98 total co2-25 anion gap-13 12:03pm estgfr-using this cta-ab : no acute intra-abd or pelvic abnl. patent mesenteric vasculature and no e/o active extravasation. . ab us 1.3-cm predominantly hypoechoic lesion of the pancreas. though likely benign and possibly sequellae of processes such as pancreatitis, dedicated mrcp (on a nonemergent basis) of the pancreas recommended for further evaluation. the study and the report were reviewed by the staff radiologist. brief hospital course: # lower gi bleed: admitted with a hct of 29 from baseline 43 and orthostatic by vital signs. she was aggressively volume resuscitated with 5 l of crystalloid and transfused 2 units of prbcs after continuning to pass dilute blood with a golytely prep, which was then held the first night of the hospitalization after completing half of the prep. on hospital day 2, she underwent colonoscopy, which was remarkable for bleeding in the cecum, the site of 2 of her polypectomies 9 days prior to admission; 4 clips were placed with adequate hemostasis. her volume and hematocrit subsequently remained stable. she was discharged home in stable condition. # tender hepatomegaly: the patient's liver was slightly tender to palpation on admission, which prompted and abdominal ultrasound, which subsequently showed that the liver was normal. # pancreatic cyst on us: on abdominal ultrasound a pancreatic cyst was found incidentally described as a 1.3 x 0.6 x 0.6 cm predominantly hypoechoic lesion in the pancreatic head/neck; it is likely benign. this will be further evaluated on an outpatient basis after discharge with an mrcp. medications on admission: - simvastatin 60mg po hs - hctz 12.5mg po hs discharge medications: 1. simvastatin 20 mg tablet sig: three (3) tablet po at bedtime. tablet(s) 2. stopped: hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po once a day: take in mornings; restart in a week discharge disposition: home discharge diagnosis: lower gi bleed from cecal polypectomy site discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a privilege to take care of you in the hospital. . you were hospitalized for a bleed in your colon caused by the re-bleeding of one of your polypectomy sites in your cecum. you were admitted to the icu with a low blood count and low blood pressures when sitting up and standing. we resuscitated your volume and blood coutns with iv fluids and 2 units of packed red blood cells. a ct of yoru abdomen did not show the bleeding source, but a colonoscopy revealed the source, which was stopped with clips. you also underwent an abdominal ultrasound because your liver was slightly tender on admission, which showed a normal liver but an incidental finding of a pancreatic cyst. we recommend that you have this finding evaluated further as an outpatient. . no changes were made to your home medications. followup instructions: please schedule an appointment with gastroenterology for evaluation of your pancreas procedure: endoscopic destruction of other lesion or tissue of large intestine diagnoses: hypocalcemia unspecified essential hypertension acute posthemorrhagic anemia personal history of malignant neoplasm of breast hypopotassemia other and unspecified hyperlipidemia hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cyst and pseudocyst of pancreas 

Answer: The patient is high likely exposed to