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: bactrim attending: chief complaint: abdominal pain major surgical or invasive procedure: pancreaticocystojejunostomy, component separation ,ventral hernia repair with mesh history of present illness: mr. is a 57 m with complex medical hx including necrotizing pancreatitis and a pancreatic pseudocyst in , s/p open cholecystectomy, necrosectomy and cyst-jejunostomy with roux en y omega loop in which was subsequently complicated by distal cbd stricture s/p stenting. his postoperative course was further complicated by chylothorax treated with talc pleurodesis which led to the development of chylous ascites which he has removed q 2-3 weeks with paracentesis. he presented earlier this year with worsening abdominal pain and emesis, and imaging showed a recurrent pancreatic pseudocyst. he presents now for surgical treatment of the pseudocyst as well as his ventral hernia. past medical history: medical & surgical history: 1. dm2 diagnosed in , on insulin. 2. necrotizing pancreatitis, pancreatic pseudocyst, and cholangitis that required ex-lap in , with open cholecystectomy, pancreatic pseudocyst jejeunostomy, modified roux-en-y and pancreatic necrosectomy. he had bilateral chylothorax in that required pleurodesis and was recently () admitted with chylous ascites that required paracentesis. 3. history of svt with first episode during admission of necrotizing pancreatitis. he has had 4 episodes since , all of them terminated by atp or diltiazem. 4. l5 herniated disc. 5. smv thrombosis. 6. hx of melanoma, no recurrence. social history: he works with a software business company. married twice. he lives at home with his 4 children. he does not smoke or use drugs. he previously drank drinks per week, but has not drunk alcohol for the past two years. family history: no biliary or pancreatic disease physical exam: physical exam on discharge: tm 98.9, tc 98.1, hr 79, bp 101/62, rr 20, 97% on ra nad, aaox3 chest clear to auscultation b/l hr regular, m/g/r abdomen firm but flat, appropriately tender, incision c/d/i without drainage. luq serosanguinous. no clubbing/cyanosis/edema pertinent results: 08:39pm wbc-23.1*# rbc-4.03* hgb-9.3* hct-30.6* mcv-76* mch-23.1* mchc-30.4* rdw-16.6* 08:39pm plt count-893* 08:39pm albumin-3.1* calcium-8.2* phosphate-5.5* magnesium-1.6 08:39pm alt(sgpt)-26 ast(sgot)-43* alk phos-163* amylase-89 tot bili-0.7 08:39pm glucose-195* urea n-21* creat-1.1 sodium-132* potassium-5.3* chloride-102 total co2-21* anion gap-14 08:39pm lipase-15 03:07am blood pt-45.4* ptt-66.9* inr(pt)-4.5* 06:20am blood pt-67.6* inr(pt)-6.8* 05:50pm blood pt-37.4* ptt-40.4* inr(pt)-3.7* 06:25am blood pt-34.7* ptt-41.4* inr(pt)-3.4* 06:55am blood pt-22.3* ptt-36.4 inr(pt)-2.1* ****** abdominal ultrasound: indication: 57-year-old man with pancreatitis and complicated medical history, evaluate for ascites. comparison: doppler ultrasound, . findings: a limited evaluation of the four quadrants of the abdomen was performed. a trace of free fluid is seen in the left upper quadrant. a trace of complex loculated fluid is seen in the left lower quadrant. no ascites is seen in the right abdomen. impression: only trace ascites seen in the abdomen. brief hospital course: mr. pancreatic pseudocyst-jejunostomy and ventral hernia repair with component separation and overlay mesh on . postoperatively he was admitted briefly to the icu for hypotension that responded to volume as well as turning down the epidural. he was transferred to the floor on pod 3. his epidural was discontinued and his pain was eventually controlled with po dilaudid and a two-day course of toradol. his foley was replaced once for urinary retention but then removed successfully. he began passing flatus and was advanced to clears and then advanced to lowfat diet. his output remaind low and non-chylous, and an abdominal ultrasound demonstrated only trace ascites. was consulted to manage his blood sugars and his fingersticks were adjusted. his subcutaneous jp drains were removed prior to discharge, leaving behind one intraperitoneal . physical therapy was consulted and he was cleared for discharge home. he was started on a heparin drip and coumadin for his history of smv thrombosis. however, both were held when he became supratherapeutic to 6.8 on . he received 2 units of ffp and 1 mg of po vit k as well, and his inr was down to 2.1 on the day of discharge. he will be instructed to resume coumadin at 1mg daily at home with plans to re-check his inr on . medications on admission: diltiazem 120', lasix 80', spironolactone 150', lantus 25 qhs, iss (humalog), magnesium oxide 400'', lovenox sq 60'' (held ), dilaudid q8h prn, colace 100'', feso4 325''', mct oil 15'', senna 8.6'' prn discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 4. spironolactone 100 mg tablet sig: 1.5 tablets po daily (daily). 5. diltiazem hcl 30 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. coumadin 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 7. hydromorphone 2 mg tablet sig: 2-4 tablets po q3h (every 3 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* 8. insulin glargine 100 unit/ml solution sig: thirty two (32) units subcutaneous at bedtime. 9. insulin lispro 100 unit/ml solution sig: sliding scale units subcutaneous qachs: please provide pt with printout of inpatient sliding scale. discharge disposition: home with service facility: discharge diagnosis: ventral hernia, chyle leak, pancreatic pseudocyst splenic and smv occlusion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: carenetwork has been arranged. they will do your inr lab work please call dr. office if you have any of the following: temperature of 101 or greater, shaking chills, nausea, vomiting, jaundice, increased incision or abdominal pain, abdominal distension, incision redness/bleeding/drainage, or outputs increase significantly or drainage stops. -empty drains and record output. bring record of outputs to next clinic appointment - no driving while taking pain medication -you may shower - do not lift anything heavier than 10 pounds, no straining - start taking 1mg of coumadin daily tonight (), and continue this dose. you will have lab work drawn on and we will adjust your dose accordingly. - you will be discharged on half of your normal dose of diltiazem (30 mg twice a day) - you should stop taking your lasix for the time being. followup instructions: please call dr. office on to schedule a followup appointment for thursday or md procedure: other open incisional hernia repair with graft or prosthesis anastomosis of pancreas insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt other excision or destruction of lesion or tissue of pancreas or pancreatic duct other operations on lymphatic structures diagnoses: abnormal coagulation profile acute posthemorrhagic anemia incisional hernia without mention of obstruction or gangrene long-term (current) use of insulin diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled chronic vascular insufficiency of intestine personal history of malignant melanoma of skin cyst and pseudocyst of pancreas other specified retention of urine other diseases of spleen other noninfectious disorders of lymphatic channels 

Answer: The patient is high likely exposed to