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: penicillins / ciprofloxacin / lipitor / erythromycin base attending: chief complaint: hematuria major surgical or invasive procedure: transurethral resection of bladder tumor history of present illness: 84 y/o with a past history significant for syndrome and hypothyroidism presented initially with vaginal bleeding. patient has known history of bladder cancer, diagnosed in . pt presented after noticing bleeding starting on and progressively increasing over the next several days, with associated fatigue and lethargy. she was intially admitted to where abd ct showed pelvic mass adjacent to bladder and vagina. she has received 2 units prbc's. patient was noted on the floor two days after admission, after having received 2u prbc, with hypertension to the 220s/100s, with decreased oxygen saturations to mid-80s. she was transferred to the micu for management of flash pulmonary edema. this resolved initially with 10 iv hydral,iv lopressor 5mg x2, nitro paste, 40 of lasix (u/o 1l). she was noted in this setting to have demand ischemia with increased st dep in iii, v5-6 compared to baseline with + troponin elevation. . in the micu she was stable, with continued hematuria. she required 1u prbcs on . she was scheduled for an mri to further evaluate her pelvic mass and for ras with labile blood pressures, but was unable to complete the study anxiety re: noise. she is now transferred to the floor for further workup of her bladder mass. . at baseline, she does not have sob, has good exercise tolerance. no h/o pnd/orthopnea. past medical history: 1. hypertension 2. hypothyroidism (last tsh 1.6) 4. bladder mass existing since . cytology positive for urothelial neoplasia . was scheduled for cystoscopy in but did not follow up. cystocopy with biopsy in (no biopsy results available in omr). 5. coronary artery disease. positive exercise stress test in showing inferolateral ischemia. she also had an echocardiogram showing an ejection fraction of 55% without wall motion abnormalities and 2+ mitral regurgitation in . 6. multinodular goiter diagnosed in with us. 7. bilateral small pulmonary nodules in a diffuse pattern seen on chest ct in for which an etiology has not been determined. 8. she also has a very mild ascending aortic aneurysm that measures 3.8 x 3.6 cm seen on the same ct and a right brachiocephalic aneurysm measuring 1.8 x 1.7 cm in . 9. depression 10. hyperlipidemia ( chol 293, ldl 196, refusing lipid lowering therapy). 11. osteoporosis 12. djd 13. carpal tunnel syndrome 14. chronic cough secondary to gerd 15. cyst social history: patient lives alone in . closest family are brother and . : never etoh: denies ivdu: denies family history: denies family history of cancer physical exam: vs: 96.8 bp 147/58 hr 88 o2 sat 98% ra gen: well appearing in nad. heent: perrl. mmm. hrt: rrr. no mrg. lungs: ctab no rrw. abd: soft. no masses felt. no organomegaly. foley draining bloody urine. ext: wwp. no cce. neuro: grossly intact. lymph: no cervical, axillary, inguinal lad. skin: ecchymoses at iv sites. no petechiae. pertinent results: 08:15pm wbc-10.6 rbc-3.32* hgb-10.2* hct-28.1* mcv-85 mch-30.6 mchc-36.1* rdw-14.8 08:15pm glucose-128* urea n-19 creat-1.2* sodium-137 potassium-4.7 chloride-108 total co2-22 anion gap-12 08:15pm plt count-193 mri abdomen: these images show hydronephrosis and hydroureter on the right, with renal cortical thinning. there is a circumferential mass seen at the posterior right side of the bladder (in the region of the expected insertion of the right ureter) through which the ureter runs. this mass measures approximately 4.5 cm x 3.6 cm x 2.5 cm in size. there is a foley catheter within the bladder. vagina is not clearly delineated on these images; the uterus and adnexa are not identified. brief hospital course: assessment/plan: 84 y/o f with history of bladder cancer admitted with vaginal bleeding, transferred to the micu in the context of hypertensive urgency with hypoxia, with resultant nstemi, now stabilized and transferred to the floor for further workup of the bladder mass. s/p turbt. . 1. pelvic mass: patient with h/o bladder cancer in now with new mass on us and mri. need tissue dx and metastatic w/u. underwent turbt with good improvement in hematuria. foley removed without incident, patient able to urinate. pathology pending at time of discharge. to follow up with dr. in urology for discussion of results. 2. arf: developed ain with bactrim during uti treatment. urine eosinophils positive. creatinine improving during stay. encouraging po intake. also, mass covered part of right ureteral insertion on trigone resulting in hydronephrosis. . 3. htn: patient had episode of hypertensive urgency resulting in flash pulmonary edema. per outpatient cardiologist, patient non-compliant wtih meds, and refused studies for renal artery stenosis. avoiding ace-inhibitors. up-titrated metoprolol to 50 mg po tid. after the isolated episode, her blood pressure remained well controlled. . 4. cad: ms has a history of cad and demand ischemia (st depression v5-6) in the setting of sbp 200's. repeat ekg after resolution of htn urgency demonstrated resolved st depressions. aspirin was avoided in the context of hematuria. questionable history of allergy to lipitor. in the hospital, she was given low dose lipitor, which she tolerated well. on beta-blocker. . 5. hypothyroidism: the patient has a history of hypothyroidism, treated with levothyroxine. tsh checked in the hospital was elevated at 7.4. dose increased to 100 mcg po qd. . 6. osteoporosis: continued on home calcium and vitamin d . 7. oglivie's syndrome: given a bowel regimen. patient able to have bowel movements in the hospital. . 8. fen: maintained on a regular cardiac-healthy diet. sore throat after intubation for turbt, led to decreased po intake. cepacol lozenges with good effect. advancing diet at time of discharge to soft. . 9. full code. no hcp. medications on admission: aspirin 81 mg--1 tablet(s) by mouth once a day atenolol 50 mg-- tablet(s) by mouth once a day ibuprofen 800 mg--1 tablet(s) by mouth three times a day levothyroxine 75 mcg--1 tablet(s) by mouth once a day discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). disp:*60 tablet, chewable(s)* refills:*2* 3. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 6. atorvastatin 10 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. amlodipine 2.5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. levothyroxine 100 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: bladder mass hematuria hypertension multinodular goiter/hashimoto's thyroiditis hypothyroidism oglivie's syndrome osteoporosis hyperlipidemia valvular heart disease-ar/mr basal cell skin cancer carpal tunnel syndrome cyst djd. discharge condition: hemodynamically stable, afebrile. to rehab. discharge instructions: please plan to follow-up with dr. and dr. to discuss your hospitalization . if you develop worsening bleeding in the urine, abdominal pain, fever >101.3, or any other concerning symptom, please contact your primary care physician /or return to the emergency room. followup instructions: provider: . phone: date/time: 1:45 . provider: , m.d. phone: date/time: 5:40 md, procedure: ureteral catheterization transfusion of packed cells other transurethral excision or destruction of lesion or tissue of bladder diagnoses: congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified unspecified acquired hypothyroidism other specified intestinal obstruction other specified forms of chronic ischemic heart disease hypoxemia hydronephrosis other specified noninflammatory disorders of vagina unspecified hypertensive heart disease with heart failure malignant neoplasm of trigone of urinary bladder 

Answer: The patient is high likely exposed to