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: pancreatic mass pneumonia major surgical or invasive procedure: distal pancreatectomy with splenectomy mobilization of splenic flexure colectomy open cholecystectomy history of present illness: this is a 76-year-old woman in excellent health overall. she recently presented with vague left upper quadrant pain and chest complaints. this was worked up through a chest ct scan which in fact showed evidence of a large cystic mass in the left upper quadrant of the abdomen upon review of the abdominal slices. she was sent to dr. for endoscopic ultrasound evaluation and cyst analysis was performed. he saw mural nodules and solid components to this very large cyst but the aspirate itself was negative for malignancy. i then got involved and we performed a dedicated ct angiogram of the pancreas to evaluate this. what we found was a large space-filling mass with attenuation of the stomach in front of it. this cyst had solid components with septae within it and was very concerning for a mucinous cyst adenocarcinoma. i discussed the need for distal pancreatectomy and splenectomy with her in great detail. we planned to do this operation in 2 weeks time in an elective fashion. however, she returned to me 10 days prior to this operation with evidence of pneumonia. this was treated and she recovered and felt much better from that. this was a left lower lobe pneumonia in the setting of atelectasis on that side, probably from this tumor mass. she got better from this but still had poor p.o. intake and had a very low albumin. for this reason, i elected to keep her in the hospital and give her tpn for a number of days. past medical history: hydatiform mole (non-cancerous) social history: lives at home with husband who has dementia. no tob, occ etoh. has 4 healthy children. family history: many relatives live into 90s. no fh of specific cancers. physical exam: 99.2, 93, 130/60, 20, 95% 2l gen: nad, a+o x3 cv: rrr chest: decreased breath sounds left base, dulness to percussion. abd: +bs, tender luq, nondistended ext: no edema, dp palp bilat. pertinent results: 08:26pm blood wbc-11.2* rbc-3.84* hgb-11.6* hct-35.0* mcv-91 mch-30.3 mchc-33.3 rdw-13.4 plt ct-613* 05:15am blood wbc-16.0* rbc-3.11* hgb-9.5* hct-28.7* mcv-92 mch-30.5 mchc-33.1 rdw-14.1 plt ct-867* 02:48am blood pt-14.4* ptt-35.8* inr(pt)-1.3* 05:15am blood glucose-80 urean-4* creat-0.5 na-136 k-3.8 cl-97 hco3-23 angap-20 08:26pm blood alt-33 ast-44* alkphos-208* amylase-32 totbili-0.4 02:48am blood alt-35 ast-34 alkphos-96 amylase-29 totbili-0.5 02:48am blood lipase-23 05:15am blood calcium-7.7* phos-3.2 mg-1.9 02:48am blood albumin-2.6* calcium-7.7* phos-3.0 mg-1.9 . chest (pre-op pa & lat) 8:20 pm impression: moderately large left pleural effusion with left lower lobe consolidation/collapse . cardiology report ecg study date of 6:41:26 pm intervals axes rate pr qrs qt/qtc p qrs t 77 152 84 378/409.57 62 32 31 . brief hospital course: 76 f with luq pain x 2wks, ct and mri at hospital revealed a pancreatic tail mass pneumonia: she presented with luq pain and a new dry hacking cough, and low grade temperature. a pre-op cxr showed moderately large left pleural effusion with left lower lobe consolidation/collapse - evidence of pneumonia. she was treated with levoquin and she recovered and felt much better. malnutrition: due to her low albumin, she remined in the hospital on tpn while being treated for the pna. she then went to the or on for: distal pancreatectomy, splenectomy, cholecystectomy and bowel resection. post-op hypotension: she stayed the night in the pacu for hypotension and then was transferred to the sicu to wean off the pressors. she also received crystalloid bolus for low urine output and albumin for plasma expansion. post-op blood loss/anemia: she received 3 units of prbc. pain: she had an epidural for pain control. aps decreased the solution to 0.05% bupiv with dilaudid in order to assist getting her off pressors. the epidrual was d/c'd on pod 4 and a pca was started. once on a diet, she was tolerating po pain meds and had minimal pain. gi/abd: she was npo with a ngt. the ngt was d/c'd on pod 3. his diet was slowly advanced, starting with sips. amylase was checked on pod 6 and was 25. her drain was d/c'd later that evening. she continued to have drainage from the drain site and suture was placed... her staples were d/c'd on pod ...she was tolerating a regular diet at time of discharge. pathology: adenocarcinoma of the pancreas, arising in a cystic mucinous neoplasm, see synoptic report. a. there is ovarian-type stroma in the wall of the cyst. b. focal calcification of cyst wall. 2. the carcinoma extends into the submucosa of the attached colon segment. 3. focus of ossification at one end of the colon segment. lymph nodes 4 of 13 involved. oncology was consulted and she will follow-up as an outpatient. vaccines: she received meningococ vaccine on , pneumo and hib were given prior. the patient was discharged on home in stable ocndition. medications on admission: percocet 1-2 tabs q4-6h discharge medications: tylenol 300/30 1-2 tabs q4-6h discharge disposition: home discharge diagnosis: pancreatic mass pneumonia post-op hypotension discharge condition: good tolerating diet pain well controlled 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 amubulate several times per day. followup instructions: please follow-up with dr. 3 weeks. call ( to schedule an appointment. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances cholecystectomy total splenectomy distal pancreatectomy open and other resection of transverse colon diagnoses: pneumonia, organism unspecified other iatrogenic hypotension iron deficiency anemia secondary to blood loss (chronic) unspecified protein-calorie malnutrition calculus of gallbladder with other cholecystitis, without mention of obstruction secondary malignant neoplasm of other digestive organs and spleen malignant neoplasm of other specified sites of pancreas secondary malignant neoplasm of large intestine and rectum 

Answer: The patient is high likely exposed to