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: morphine / keflex / latex attending: chief complaint: hepatocellular carcinoma major surgical or invasive procedure: liver wedge resection history of present illness: ms. is a 84 y.o. female who presented to her pcp in w/ 25 lb weight loss, fatigue, and anorexia. ct scan showed a new 2.6 cm isodense lesion with a hypodense rim of right liver lobe anteriorly. a repeat ct scan on , demonstrated a 2.5-cm enhancing mass in the inferior aspect of the right lobe suspicious for neoplasm. a ct guided liver biopsy was performed on and showed a well-differentiated hepatocellular carcinoma. she was referred to dr. in oncology who then referred the patient to dr. who had performed an ercp in for choledocholithiasis. a chest ct did not show evidence of pulmonary metastases. an abdominal ct demonstrated a 3.0 x 3.0 cm heterogeneous lesion within segment 5 of the liver where there is an arterial enhancement and subtle delayed phase washout consistent with biopsy-proven hcc. in segment 7, there was an 11 x 8 mm arterial enhancing lesion that had a slight washout on delayed imaging. additional subcentimeter arterial enhancing lesions throughout the liver did not show portal venous or delayed phase washout. additionally in segment 7, there was a 1.8 x 1.3 cm flash filling hemangioma and a 4mm round hypodensity in segment 6, likely a cyst. her lfts were: ast 20, alt 12, alk phos 50, total bili 0.3, afp 1.7 and ca19-9 6. hepatitis serologies were all nonreactive. the patient underwent further workup in preparation for surgical resection. pfts were obtained because of her extensive smoking history, and showed: fev1 of 0.86 (76% predicted), fvc 1.39 (77% predicted) and fev1:fvc 62 (99% predicted). she was seen by dr. from pulmonary who felt that she was at moderately increased risk for pneumonitis and/or respiratory failure and prolonged ventilation postoperatively. a dipyridamole stress thallium demonstrated normal myocardial perfusion with no areas of ischemia. there was normal wall motion with normally calculated ejection fraction of 74%. an echocardiogram was obtained and showed mild pulmonary hypertension with pressures of 44 mmhg and with a normal ef of 65%. there was no abnormality in the right or left ventricular function. she is to undergo a hepatic resection after providing informed consent. past medical history: -liver cancer. -hypertension. psh: - cholecystectomy. - colon resection for diverticulitis - knee replacement social history: she lives in with her family. she is retired but used to work in several factories. she is a current smoker, 62 pack-year history. her mother who died at age of diabetes and her father who died at age 79 of an mi. family history: dm in the family. her sister had metastatic cancer of unknown primary origin. physical exam: 97.2 97 52 142/59 17 100% 5l nc gen: a&ox3, nad cv: rrr, no murmurs lung: ctab abd: incision c/d/i, no bleeding, soft, nontender, nondistended, +bs ext: warm, 2+ pulses pertinent results: 06:53pm blood albumin-3.2* calcium-8.3* phos-4.8* mg-1.7 06:53pm blood alt-75* ast-155* alkphos-41 totbili-1.1 06:53pm blood glucose-151* urean-20 creat-0.7 na-140 k-3.9 cl-109* hco3-24 angap-11 03:40pm blood pt-14.6* ptt-40.2* inr(pt)-1.3* 03:40pm blood wbc-6.9 rbc-3.04* hgb-10.2* hct-29.4* mcv-97 mch-33.7* mchc-34.8 rdw-13.8 plt ct-273 08:14am blood wbc-11.1* rbc-3.18* hgb-10.6* hct-30.8* mcv-97 mch-33.4* mchc-34.5 rdw-14.1 plt ct-215 08:14am blood glucose-115* urean-9 creat-0.7 na-139 k-4.0 cl-103 hco3-27 angap-13 08:14am blood alt-64* ast-45* alkphos-48 totbili-0.8 intra-operative ultrasound: solid right lobe mass consistent with the known biopsy proven hepatoma. brief hospital course: ms. was admitted to the hepatobiliary service on after undergoing a segment 5 mass resection with intraoperative ultrasound. in the operating room, she received 3000 ml crystalloid, 1 unit of packed red cells and made 270 ml of urine. she tolerated the procedure well. she was npo, received iv dilaudid for pain control and was on maintenance iv fluids. on pod 1, she was advanced to sips and restarted on her home medications. she complained of some intermittent nausea that resolved. on pod 2, her iv fluids were discontinued and she was advanced to a clear liquid diet. on pod 3, her foley was discontinued, she ambulated out of bed, and was put on a regular diet, which she tolerated well. on pod 4, she passed flatus and had a loose bowel movement. her wound remained clean, dry, and intact, without discharge. she was ready for discharge to home on pod 5. medications on admission: -dorzolamide-timolol 2 %-0.5 % drops 1 in the right eye daily -econopred plus dosage uncertain -hydrochlorothiazide 25 mg tablet 1 tablet(s) by mouth once a day * otcs * -acetaminophen 500 mg tablet tablet(s) by mouth per day as needed for pain -b complex vitamins capsule 1 capsule(s) by mouth daily (otc) -multivitamin with minerals capsule 1 capsule(s) by mouth daily (otc) discharge medications: 1. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for temp above 101f. 3. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic daily (daily). 4. multiple vitamin-minerals tablet sig: one (1) tablet po once a day. 5. colace 50 mg capsule sig: capsules po twice a day as needed for constipation. discharge disposition: home discharge diagnosis: hepatocellular carcinoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hepatobiliary surgery service for partial liver segment resection for hepatocellular carcinoma. medications: please resume all regular home medications, unless specifically advised not to take a particular medication. please take any new medications as prescribed. diet: - drink plenty of fluids. - you may resume your regular diet. activity - do not drink alcohol, drive or operate heavy machinery for at least two weeks after your surgery or while taking pain medication. - do not do heavy lifting (nothing more than a gallon of milk) for 6 weeks after your surgery. - light activity (i.e. walking, office work, climbing stairs, etc.) as soon as you feel comfortable is fine. incision care - gently cleanse the area around the incision daily with mild soap and water. - you take a shower, but avoid baths, swimming and saunas for 4-6 weeks after surgery. followup instructions: please following up with the following appointments: , md, phd: date/time: 3:00 pulmonary function lab phone: date/time: 2:10 md, procedure: partial hepatectomy diagnoses: tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases loss of weight osteoarthrosis, unspecified whether generalized or localized, site unspecified malignant neoplasm of liver, primary knee joint replacement 

Answer: The patient is high likely exposed to