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: dvt and pe major surgical or invasive procedure: retrievable ivc filter placement history of present illness: patient is a 64m with htn, uc with polyarticular arthritis s/p l tkr and prior dvt who was sent to ed from pcps office. on the day prior to admission he had episode of leg numbness/swelling and chest pain and dyspnea. he went to er and had work up including chest xray and ekg and was sent home. they examined his leg, but it was not obviously swollen at that time. he serindipitiously had a pcp apt on day of admission. his pcp saw him and sent him to the ed with concern of pe/dvt. . he is s/p knee surgery in on left and on right. he had a right lower leg dvt in after a meniscectomy for which he was on lovenox and coumadin for ~1 month. he had a c-scope in . in the ed, initial vs were: t95, 124/81, hr 95, 22-24, 99%ra, trop 0.13, mb flat. ekg was tachy without evidence of ischemia. lenis with right dvt, cta with pe. patient was given heparin bolus and started on gtt. given clot burden, d/w ir and micu fellow and retrievable ivc filter to be placed. . in the micu patient is comfortable but a little anxious. . review of sytems: (+) per hpi, recent uri with congestion and cough. +nocturia. (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no blood in stool. no dysuria. denied myalgias. past medical history: polyarticular arthritis - on prednisone s/p l tka in s/p r meniscectomy in and subsequent right lower leg dvt s/p left high tibial osteotomy ulcerative proctitis (since 20yo, active ~20% time) gastroesophageal reflux disease htn social history: works as jeweler, married, 2 sons, no etoh, drugs, tobacco. family history: mom died of ovarian cancer at 73, dad of als, brother died at 4 of leukemia, sister ~70 and without medical problems. grandparents with dm. no other breast, prostate or colon cancer in family. no bleeding or clotting disorders. physical exam: tmax: 37.4 ??????c (99.3 ??????f) tcurrent: 37.4 ??????c (99.3 ??????f) hr: 93 (93 - 94) bpm bp: 99/64(72) {99/64(72) - 128/79(88)} mmhg rr: 17 (9 - 23) insp/min spo2: 92% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis. right leg with edema throughout. pertinent results: 09:00am wbc-13.0*# rbc-5.38 hgb-15.5 hct-44.3 mcv-82 mch-28.8 mchc-35.0 rdw-14.2 09:00am ck-mb-8 09:00am ctropnt-0.13* 09:00am pt-13.8* ptt-30.1 inr(pt)-1.2* 02:08pm blood pt-14.7* ptt-68.9* inr(pt)-1.3* 08:00am blood wbc-9.4 rbc-5.03 hgb-14.3 hct-41.3 mcv-82 mch-28.4 mchc-34.5 rdw-14.2 plt ct-204 . lenis: bilateral lower extremity ultrasound: grayscale and doppler son of the bilateral common femoral, superficial femoral, and popliteal veins were performed. there is near-occlusive thrombus in the right common femoral vein and occlusive thrombus in the greater saphenous, superficial femoral, and deep femoral veins. the right iliac veins and ivc could not be assessed due to the patient's body habitus. the right popliteal vein demonstrates normal flow. there is normal flow in the left common femoral, superficial femoral, and popliteal veins. compressibility and augmentation were not assessed on the left given limited assessment of the ivc. impression: occlusive clot of the right superficial femoral, deep femoral and greater saphenous veins extending into the common femoral vein. iliac vessels and ivc not adequately assessed due to patients body habitus. . cta: there are bilateral central and segmental pulmonary emboli. there is no evidence of an aortic dissection. there is approximately 6 mm pulmonary nodule in the lingula. there is a 7 mm pleural-based pulmonary nodule in the right lower lobe. there are scattered subcentimeter mediastinal lymph nodes. there is no pericardial or pleural effusion. the right ventricle diameter appears greater than 1.5 times that of left ventricle, in keeping with right ventricular strain. the visualized liver and spleen appear unremarkable. hiatus hernia. . musculoskeletal: there is a well-circumscribed sclerotic focus in the body of t2 and a similar focus in the left sixth rib posteriorly. these most likely represent bone islands. . conclusion: 1. bilateral central and segmental pulmonary emboli. 2. 6 mm pulmonary nodule in the lingula and a pleural-based 8-mm nodule in the right lower lobe should be assessed/followed up with a chest ct in three months to ensure stability/change in size. 3. right ventricular strain. . ivc filter op report: successful deployment of ivc filter in infrarenal position. brief hospital course: mr is a 64m with extensive right dvt burden and hemodynamically stable pe. . # pe/dvt: patient with history in setting of provokation in . now with significant burden without any risk factors except prior dvt. patient needs age appropriate cancer screening. this could include repeat psa (last in ) and repeat c-scope (last in , but pt has uc which has been active intermittently over his lifetime predisposing to crc). would consider outpt heme consult for discussion of testing for genetic, acquired thrombophilias and to discuss length of anticoagulation. treated with ivc filter placement and heparin drip, discharged on lovenox to coumadin bridge. . # htn: normotensive, no change in home regimen. . # uc: continued mesalamine. . # arthritis: continued prednisone . # gerd: continued ppi medications on admission: prednisone 3mg qd omeprazole 20 mg qd lialda 1.2 g qd hydrochlorothiazide 25 mg qd metoprolol 25 mg qd mesalamine enema pr prn discharge medications: 1. prednisone 1 mg tablet sig: three (3) tablet po daily (daily). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. lialda 1.2 g tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po qam. 5. lialda 1.2 g tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qpm (once a day (in the evening)). 6. warfarin 5 mg tablet sig: one (1) tablet po once a day: please check your inr regularly, goal . disp:*30 tablet(s)* refills:*0* 7. enoxaparin 100 mg/ml syringe sig: one (1) subcutaneous twice a day for 7 days. disp:*14 injections* refills:*0* 8. outpatient lab work please have your inr checked within 2-3 days of your discharge and have the results faxed to dr , fax . 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po once a day. 10. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 11. mesalamine 4 gram/60 ml enema sig: one (1) rectal as directed: please use as directed by primary care physician. discharge disposition: home discharge diagnosis: deep vein thrombosis pulmonary embolism . ulcerative colitis hypertension rheumatoid arthritis discharge condition: improved discharge instructions: you were admitted to the hospital w dyspnea. you were found to have clots in your right leg vein, which likely got dislodged into your lungs. we treated you with anticoagulation and with a filter to prevent further clots going to your lungs. . we changed your medications as follows: 1. added lovenox, please continue injections twice daily until your inr becomes therapeutic (inr ) 2. added warfarin, you will likely need to take this medication long-term . if you have shortness of breath, chest pain, dizziness, or any other concerning symptoms, please seek medical care immediately. followup instructions: please follow up with your primary care physician 1 week of your discharge from the hospital: dr , . . provider: xray (scc 2) phone: date/time: 4:00 provider: , md phone: date/time: 4:20 md, procedure: interruption of the vena cava diagnoses: esophageal reflux unspecified essential hypertension long-term (current) use of steroids rheumatoid arthritis personal history of venous thrombosis and embolism acute venous embolism and thrombosis of deep vessels of proximal lower extremity ulcerative colitis, unspecified knee joint replacement other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to