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: aspirin / doxil attending: chief complaint: respiratory distress major surgical or invasive procedure: none history of present illness: 76 yo female w/hx of ovarian ca dx in s/p tah bso, debulkining last in resulting in colostomy and 9 rounds of chemo on gemcitibine prior to admission, htn, chf (ef now 35% but nl ef and clean c's in cath), anxiety, pud, ureteral obstruction s/p stents last on left in who was admitted to the micu after severe pulmonary edema after blood transfusion in heme/ clinic. pt was on regimen of gemcitibine for ovarian ca after poor tolerance for doxorubacin and routine labs in clinic revealed hct 24 so she was she was transfused 2 units prbc's. she then developed respiratory distress requiring intubation in the ed. she was found to have a small troponin leak to .10 and cardiology was consulted, but attributed it to chf and recommended no need for cath or heparin. tte revealed apical and septal hk with an ef of 35% with most recent tte social history: lives on her own. is greek speaking. two sons live close by and are involved -- and . she does not use tob, etoh, or drugs. family history: sister has breast cancer physical exam: t 100.7 hr 94 bp 99/76 ac 550 x 14 peep 15 100% o2 gen: sedated, intubated heent: perrl, eomi cv: rrr s1s2 no murmurs chest: left port lung: clear anteriorly, crackles r base abd:soft, nt, ostomy in place, slightly distended, midline scar, bs+ ext: no edema pertinent results: ekg: nsr 99 bpm, nl axis, left bundle branc block, no st/t changes, no change from previous * cxr #1 b/l patchy infiltrates cxr #2 improved pulmonary edema, ett tube in place * abdominal mri : 1) extensive tumor mass within the lower pelvis, growing superiorly, resulting in bilateral distal ureteral obstruction. progression vs. prior. 2) large suprapubic enhancing tumor mass as described, corresponding to the calcified mass detected on recent ct. 3) incidentally detected deep venous thrombosis within the left leg. * echo : ef 35%, mild symmetric lvh, mild global hk and severe hk of septum and apex c/w cad. * cath : nl coronaries, diastolic dysfunction * renal u/s: impression: bilateral nephroureteral stents. mild pelviectasis on the right,and more prominent pelvocaliectasis on the left, with additional multiple parapelvic cysts bilaterally. in comparison to the ct dated , the most recent comparison examination available, the degree of bilateral pelvocaliectasis is probably stable to perhaps slightly decreased. * ct abd: delayed left nephrogram, no hydro * brief hospital course: 1. sob. the patient was treated with oxygen, lasix, nitro, morphine in the ed with little result. she intubated in the emergency department because of worsening respiratory status and transferred to the icu. cxr at the time showed patchy bilateral infiltrates consistent with pulmonary edema. in the icu, the patient was successfully diuresed and repeat cxr was greatly improved and she was successfully extubated on hod#2. on arrival to the floor, the patient was breathing comfortably on 4 l supplemental o2 which was successfully weaned on the day prior to admission. 2. chf. the patient was found to be in chf at presentation. after initial diuresis, the patient was thought to be euvolemic and diuresis was stopped prior to transfer to the floor. the patient had a slight troponin elevation to 0.10 but ruled out for acute coronary syndrome by ck and mb fraction. echocardiogram revealed an ef of 35% with global and focal hypokinesis suggesting an acute coronary event may have occurred sometime in the interim between her normal cath in and this hospitalization. chemotherapy-induced cardiomyopathy is not thought to have been responsible for the chf. the etiology of the patient's chf is presumed to be volume overload from the transfusion. in house, the patient was treated with metoprolol, aspirin, nitrates/hydralzine. it was not felt that the patient would benefit from having a stress test or cath during this hospitalization. the patient will follow-up with cardiology in weeks to repeat echo and determine outpatient plan. it is recommended that the patient begin an ace inhibitor when renal function returns to baseline. 3. arf/ureteral obstruction. the patient was found to be in acute renal failure in the icu with creatinine to 4.6 (bun 76). initially this was thought to be ischemia-induced atn secondary to the flash pulmonary edema, but given the patient's history of ureteral obstruction, this was investigated by renal u/s. u/s was inconclusive and a follow-up abdominal mri revealed bilateral distal ureteral obstruction on hod #4. in the interim, creatinines had already begun to trend down, consistent with atn. on hod#5, the patient had bilateral ureteral stent replacement and the creatinine subsequently continued to normalize to a level of 1.5 on day of discharge. the patient will follow-up with urology for outpatient management and likely restenting in a few months. 4. anticoagulation/anemia. a left femoral vein dvt was found on mri on hod #4. at this time, the patient was begun on heparin for anticoagulation. given the patient's history of gi bleed on coumadin, the decision was made not to initiate coumadin for outpatient anticoagulation. instead, an ivc filter was placed with the assumption that the long-term complications of clot may not be as significant in this patient with a somewhat limited life expectancy. medications on admission: 1. toprol 50qd 2. prochlorperazine prn nausea 3. phenazopyridine prn 4. oxycodone prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. metoprolol succinate 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 4. hydralazine hcl 10 mg tablet sig: four (4) tablet po q6h (every 6 hours). disp:*480 tablet(s)* refills:*2* 5. isosorbide dinitrate 20 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 6. prescription one hospital bed. 7. potassium chloride 20 meq packet sig: one (1) packet po once a day. disp:*30 packet * refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: * ureteral obstruction from ovarian cancer * peptic ulcer disease with history of gastrointestinal bleed * hypertension * anxiety * deep venous thrombosis * acute renal failure * pulmonary edema * anemia discharge condition: stable discharge instructions: please take all medications as prescribed. if you develop chest pain, shortness of breath, or have swelling, please call your pcp or come to the ed. followup instructions: please call your pcp, . at , for a follow up appointment in the next 1-2 weeks. please have your blood counts and potassium level checked at this time. you will need to have a repeat echocardiogram in weeks. please talk with dr. about scheduling this as well as following up with a cardiologist. if dr. does not have another recommendation you may follow up with cardiologist dr. by calling . please discuss the use of aspirin at this appointment. please follow up with urology. you have already been contact and scheduled an appointment. the phone number for the urology clinic is (. please follow up with oncology in the next several weeks as well. you can call to schedule an appointment with dr. at (. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours interruption of the vena cava other cystoscopy ureteral catheterization retrograde pyelogram diagnoses: anemia, unspecified urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified systolic heart failure, unspecified acute respiratory failure acute venous embolism and thrombosis of deep vessels of proximal lower extremity hydronephrosis malignant neoplasm of ovary other ureteric obstruction 

Answer: The patient is high likely exposed to