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: tetracycline attending: chief complaint: pancreatic cyst major surgical or invasive procedure: distal pancreatectomy with splenectomy history of present illness: mrs. is a delightful woman her late 40s who has been identified on axial ct abdominal imaging to have a cystic mass in the body and tail of her pancreas (cea 5279, amylase 7310). it is consistent with a mucinous neoplasm and i believe warrants resection which was advised she undertake. past medical history: s/p eus in for cyst aspiration (cea 5279, amylase 7310), s/p tubal ligation , history of seizure disorder, s/p laparascopic ovarian cyst removal x 2, fibromyalgia, s/p coiling/stent of cerebral aneurysm social history: she is not a heavy alcohol user. she lives in , is married with 3 children. family history: father had lung cancer due to asbestos. physical exam: on discharge: t: 98.3/97.6 hr: 74 bp: 104/62 rr: 20 o2: 94%ra gen: aaox3, nad heart: rrr lungs: ctab abd: +bs, soft, appropriately tender, nd, incision c/d/i, staples intact extr: + blisters on r knee and l medial thigh - most likely from teds, bacitracin and telfa applied, otherwise no edema, no tenderness pertinent results: 11:05am blood hct-32.2* 04:17am blood wbc-15.0*# rbc-3.19*# hgb-10.8*# hct-31.7* mcv-99* mch-33.9* mchc-34.2 rdw-13.3 plt ct-349 06:50am blood wbc-8.6 rbc-2.72* hgb-9.4* hct-26.2* mcv-96 mch-34.7* mchc-36.0* rdw-13.2 plt ct-453* 01:02pm blood hct-27.9* 06:50am blood glucose-110* urean-5* creat-0.5 na-140 k-4.1 cl-101 hco3-30 angap-13 06:50am blood calcium-8.8 phos-3.8 mg-2.0 04:22pm peritoneal amylase-125 09:29pm peritoneal amylase-219 (after fulls, no increase in volume of output) . pathology examination specimen submitted: spleen & distal pancreas. procedure date tissue received report date diagnosed by dr. . brown/lfb previous biopsies: skin, left upper third toe/sl/agn. consult slides referred to dr. . diagnosis: 1. spleen: no diagnostic abnormalities. 2. pancreas, distal: a. mucinous cystic neoplasm with low grade to moderate dysplasia. no invasive carcinoma seen, entire cyst examined. the cyst has ovarian type stroma. much of the cyst lining has been destroyed and replaced by fibrous tissue with hemosiderin, giant cells and cholesterol. b. focal chronic pancreatitis and pancreatic intraepithelial neoplasia 1. c. accessory spleen. d. 5 lymph nodes with no tumor seen. clinical: pancreatic cyst. brief hospital course: patient was admitted and underwent distal pancreatectomy with splenectomy (with mobilization of splenic flexure of colon) on . she tolerated the procedure well without complications (please refer to operative note for further details). post-operatively, she did well. neuro: she had an epidural placed pre-op by aps but had low bp's while in the pacu. she remained in the pacu overnight to monitor her bp's and the epidural was adjusted by aps but low bp's persisted. it was capped and a pca was started. her pressures improved and she was transferred to the floor. the pca provided some pain control temporarily but the epidural had to be restarted with just bupivicaine 0.05% solution and the pca was continued in order to control her pain. she did well on this combination. she was restarted on her depakote via ngt immediately post-op for seizure prophylaxis. her epidural was discontinued on by aps along with her pca and her pain was controlled with po dilaudid. cv: her blood pressures were lowered in the presence of her epidural but she stabilized after it was changed to only bupivicaine and there were no issues after it was removed. she was restarted on her home lipitor on . resp: she was stable respiratory wise. her oxygenation on room air was normal and she was ambulating well without incident. gi: she was initially npo immediately post-op with an ngt. the ngt was removed on and she was started on sips on . she tolerated po's and was advanced as tolerated. on she was on full liquids and her jp amylase 125 and 219 (the latter was after full liquids). there was no change in the volume or quality of the jp output and it was subsequently removed on (pod#6). she was tolerating a regular diet by pod#6. her incision was c/d/i and her staples are to be removed in clinic. gu: she had a foley that was removed on hours after the epidural was capped. she voided without incident afterwards. id: she received her meningococcal, pneumococcal and haemophilus vaccines on pod#3. of note, she developed blisters on her r knee and l medial thigh from presumably the stockings. they did not appear infected and bacitracin ointment with telfa were applied. she was instructed to keep areas clean, dry and covered with antibiotic ointment and telfa. medications on admission: lipitor 10', depakote 500', asa 81', prozac 10', mvi, ca, vit c discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. fluoxetine 10 mg capsule sig: one (1) capsule po daily (daily). 3. divalproex 500 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 4. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*60 tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: pancreatic cyst discharge condition: good tolerating diet pain well controlled incision c,d,i discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomitting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomitting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. . please resume all regular home medications and take any new meds as ordered. . continue to ambulate several times per day. . you may wash and shower. keep your incision clean and dry. pat dry after your shower. followup instructions: please follow-up with dr. to remove your staples in approximately 1-2 weeks. please call ( to schedule an appointment. procedure: total splenectomy distal pancreatectomy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: other convulsions other and unspecified hyperlipidemia hypotension, unspecified chronic pancreatitis myalgia and myositis, unspecified cyst and pseudocyst of pancreas other benign neoplasm of connective and other soft tissue of abdomen 

Answer: The patient is high likely exposed to