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: percocet / vicodin attending: chief complaint: bright red blood per rectum major surgical or invasive procedure: egd colonoscopy history of present illness: 38 y/o woman hx diverticulitis in treated with antibiotics, colonic polyps s/p removal, internal hemorrhoids p/w brbpr. this began yday () morning when she had a loose bowel movement with brbpr. had two more loose/watery bowel movements that day that were dark red. this morning, she had a small bowel movement that was dark red and tarry. she denies black stool, but brought in a sample of her stool which is a few hours old and is black. denies fever, chills, abd pain, hematemesis, nausea/vomiting, eating undercooked foods, frequent nsaid use, hx ulcers, hx gerd. endorses dizzyness, shakiness due to dehydration which she thought may be related to alcohol consumption on friday night. ate beets wednesday night and thought that was the cause of her red bowel movements initially. has left lower back pain which she thinks is due to hip pain she has frequently which is worse in the winter. . of note, she had an episode of bleeding 1.5 years ago, had a colonoscopy showing diverticulosis, internal hemorrhoids, and polyps which were removed. this episode of bleeding is more voluminous than last time and stools are darker red. 1 month ago she p/w llq, ct abd showed diverticulitis, treated as outpatient with antibiotics. . in the ed, initial vs: 97.5 110 124/69 20 100%. she was given a protonix iv bolus of 80 mg and 1l ns ivf. . ros: denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation, dysuria, hematuria. last menstrual period on and normal, 3 days duration. past medical history: diverticulitis treated with oral abx as outpatient grade ii internal hemmorrhoids colonic polyps s/p removal cervical dysplasia low grade, hpv + heart murmur - had echo in , was normal social history: works as computer programmer at broad institute. lives in jp. unmarried, no children. sexually active, on ocps. smoking - quit 10 years ago. alcohol - drinks/week. illicits - none. family history: mother - ?ibs maternal grandfather - at 92, had diverticulitis, s/p partial colectomy ? colon cancer, liver cancer. paternal grandfather - died in 50's of prostate cancer. physical exam: admission physical exam: vs - 98.9 104/63 86 18 100%/ra general - well-appearing woman in nad, comfortable. heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear. neck - supple, no thyromegaly, no jvd, no carotid bruits. lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use. heart - pmi non-displaced, rrr, no mrg, nl s1-s2. abdomen - mild tenderness in llq, soft/nd, no masses or hsm, no rebound/guarding. extremities - wwp, no c/c/e, dp and pt pulses intact. skin - no rashes or lesions. lymph - no cervical, axillary, or inguinal lad. neuro - awake, a&ox3, cns ii-xii intact. pertinent results: admission labs: 08:13am urea n-17 creat-0.7 sodium-138 potassium-3.9 chloride-105 total co2-25 anion gap-12 08:13am wbc-6.3 rbc-3.29* hgb-10.2* hct-30.1* mcv-91 mch-31.1 mchc-34.0 rdw-12.1 08:13am plt count-233 08:25am pt-12.4 ptt-25.0 inr(pt)-1.0 8:20 pm hct 22.6 12:31 am hct - 25.6 3:32 am hct - 23.9 discharge labs: 05:43am blood wbc-4.2 rbc-3.45* hgb-10.4* hct-31.1* mcv-90 mch-30.2 mchc-33.5 rdw-14.9 plt ct-304 05:31am blood glucose-89 urean-4* creat-0.5 na-146* k-3.7 cl-108 hco3-26 angap-16 imaging: cta abd/pelvis : 1. extensive colonic diverticulosis involving the ascending, transverse, descending and sigmoid colon. 2. no evidence of active arterial extravasation on arterial and delayed phase imaging. 3. there is conventional mesenteric arterial anatomy. gi bleeding study : normal bleeding study. gi bleeding study : evidence of bleeding at 5 hours after injection without site localization. suggest whole day study. 3 hiours after completion of the 2 hour images the patient was again imaged dynamically for 30 minutes. these 5 hour delayed images show radioactivity distributed throughout the colon, making it impossible to definitively locate the source of bleeding. the source of bleeding may be within the sigmoid colon, which shows the most change during the study. assuming that this patient is intermittently bleeding at a frequency of once per day, it is suggested that this patient have a bleeding study in which she is injected early in the morning, even without symptoms, and then followed dynamically throughout the day, rather than waiting for symptoms to appear before initiating the study. cta abd/pelvis : 1. no evidence of active arterial extravasation into the gastrointestinal tract. 2. extensive colonic diverticulosis without evidence of diverticulitis. 3. conventional mesenteric arterial anatomy meckel scan : no evidence of meckels diverticulum endoscopy : esophagus: lumen: a small size hiatal hernia was seen. no esophagitis noted. other findings: no blood in stomach impression: small hiatal hernia no blood in stomach otherwise normal egd to third part of the duodenum colonoscopy :impression: blood in the colon diverticulosis of the sigmoid colon and descending colon otherwise normal colonoscopy to cecum recommendations: there is blood thru entire colon. no bleeding source noted. there are diverticuli present. suggest bleeding scan. transfuse as needed. cta was negative. suspect diverticuli source of bleed colonoscopy : findings: protruding lesions small internal hemorrhoids were noted. excavated lesions multiple non-bleeding diverticula were seen in the whole colon; slightly more in the sigmoid and distal descending colon. diverticulosis appeared to be severe. there was no source bleeding localized. impression: diverticulosis of the whole colon; slightly more in the sigmoid and distal descending colon grade 1 internal hemorrhoids otherwise normal colonoscopy to terminal ileum brief hospital course: 38 y/o woman hx diverticulitis, diverticulosis, colonic polyps s/p removal, internal hemorrhoids p/w brbpr. . #) gi bleeding: she presented initially with a hct 30.1 down from 38.6 on last admission , and overt rectal bleeding. over the course of her hospitalization, she had intermittent gross blood per rectum, and received a total of 9 units prbcs. her final transfusion was overnight , and thereafter her hct remained stable at 30. due to extent of her bleeding and tachycardia to 120's, hypotension to 90's, she was transferred to the icu for several days. she underwent extensive workup to localize source of bleeding without success, but her extensive diverticulosis was felt to be the most likely etiology. egd on was normal and colonoscopy showed extensive blood throughout colon with multiple diverticuli but no clear source of bleeding. cta abd/pelvis on and showed no active extravasation of blood. tagged rbc scans on and showed no evidence of active bleeding, and meckel scan on was normal. repeat colonoscopy on again did not localize source of bleeding. surgery was consulted and followed the patient throughout her hospitalization. there was serious consideration given to subtotal colectomy versus sigmoidectomy. ultimately, as the patient appeared to have stopped bleeding and was stable, a decision was made to defer surgery for now. just prior to discharge, the patient also underwent capsule endoscopy with a plan to follow-up results in clinic. medications on admission: fish oil vitamin d dim supplement milk thisle discharge medications: 1. vitamin d 1,000 unit tablet sig: one (1) tablet po once a day. 2. fish oil 1,000 mg capsule sig: one (1) capsule po once a day. discharge disposition: home discharge diagnosis: lower gi bleed acute blood loss anemia diverticulosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , you were admitted to the hospital with a gastrointestinal bleed, which we think is related to diverticulosis. you required multiple transfusions, but your bleeding eventually stopped. we did not start you on any new medications. followup instructions: department: bidhc when: friday at 10:00 am with: , md building: 545a centre st. (, ma) none campus: off campus best parking: department: div. of gastroenterology when: tuesday at 3:00 pm with: , md building: ra (/ complex) campus: east best parking: main garage department: surgical specialties when: thursday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: other endoscopy of small intestine colonoscopy colonoscopy diagnoses: acute posthemorrhagic anemia diverticulosis of colon with hemorrhage family history of malignant neoplasm of gastrointestinal tract family history of malignant neoplasm of prostate 

Answer: The patient is high likely exposed to