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: no known allergies / adverse drug reactions attending: chief complaint: melena major surgical or invasive procedure: esophagogastroduodenoscopy gastroduodenal artery embolization blood transfusions history of present illness: 71 year old man with aortic stenosis, and pancreatic cancer s/p whipple with irresectable disease of pancreatic head () followed by chemo with gemcitabin and multiple cyberknife procedures for liver transferred from osh with a suspected recurrent ugib. . mr had his most recent cyberknife procedure on and has been using naproxen 400mg x 4-6 times daily over past two weeks for abdominal and back pain. he then presened to hospital on with fatigue and weakness and having multiple falls, hit his head, right wrist and left rib cage w/o loc. he had a hct of 18.2 and brown heme positive stool and complained of intermittent dark vomitus. egd then showed "friable ulcerated duodenal mucosa with mass-like appearance and mucosal oozing". biopsies were take and are pending and impression was that this represented malignancy. he was discharged home on on his usual dose of prilosec 20 . then on he had 6 episodes of passing dark blood per rectum. he presented to osh ed where hct was 22.0 (down from 30 the day prior). he was transferred to our icu for further evaluation. he received 4 units of blood with an increase of hemoglobin from 8.9 to 11. on evening of transfer, he had 3 bowel movements which started out as being dark blood which became bright red blood. he remains asymptomatic without lightheadedness, dizziness. he endorses ruq pain which he states is chronic since his whipple and is well controlled with oxycodone. he denies f/c/n/v/cp/sob. past medical history: mod as, htn, hyperlipidemia, arthritis, gout, gerd, bph, metastatic pancreatic ca social history: patient is a past significant drinker of drinks a day, but this has recently been abated. he has an 80-pack-year smoking history, but gave this up 10 years ago. he is retired from the life insurance industry. married, wife is a nursing home resident s/t severe stroke. family history: no family history of pancreatic cancer physical exam: on admission: 96.8, 180/86, 59, 100% ra gen wdwn m in nad heent ncat, perrl neck supple cv rrr lungs ctab ab +bs, soft, ntnd, no masses ext no c/c/e . on discharge: vitals: 99.1 67 150/64 17 100% ra general: thin, alert, oriented x 3, no acute distress, sad affect heent: anicteric, pallor, mmm, op clear neck: supple, no jvd, mild cervical lad cv: rrr, 2/6 sem rad to carotids, nml s1 and 2, no s3 or 4 lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, nt/nd, bowel sounds (+), no hsm ext: wwp, 2+ pulses dp and pt, no cce, (+) onychomycosis. scabs over right wrist and left posterior cubital area, no deformity, no tenderness, no rom limitation. neuro: cn 2-12 intact, motor and sensation grossly intact, cerebellar exam not tested pertinent results: admission labs: 02:20am blood wbc-3.7* rbc-2.69*# hgb-8.0* hct-22.2*# mcv-83 mch-29.7 mchc-36.0* rdw-15.6* plt ct-118* 06:14am blood neuts-78.3* lymphs-17.3* monos-3.3 eos-1.0 baso-0.2 02:20am blood pt-14.4* ptt-27.9 inr(pt)-1.2* 02:20am blood glucose-134* urean-20 creat-0.7 na-143 k-4.4 cl-108 hco3-29 angap-10 02:20am blood calcium-8.0* phos-2.7 mg-1.8 discharge labs: 08:30am blood wbc-2.3* rbc-2.96* hgb-8.8* hct-25.4* mcv-86 mch-29.9 mchc-34.8 rdw-14.7 plt ct-127* 08:30am blood neuts-71.3* lymphs-21.7 monos-3.8 eos-2.8 baso-0.4 07:35am blood pt-12.6 ptt-28.6 inr(pt)-1.1 imaging: ct abd () 1. multiple new liver lesions, most likely metastases, with increase in size of pre-existing lesions. 2. no obvious bowel mass lesions to explain bleeding. 3. small bilateral pleural effusions with associated atelectasis. 4. stable aortic stenosis of the infrarenal abdominal aorta. bleeding scan (): no active gastrointestinal bleeding seen during the time of study. ir embolization (): 1. successful gelfoam embolization of the gastroduodenal artery. 2. following removal of the sheath the patient did have a moderate groin hematoma and required prolonged manual compression. brief hospital course: 71 year old man with hx of mild as, hld, htn, bph, pancreatic cancer s/p whipple with irresectable disease of pancreatic head () followed by 8 cycles of gemcytabin and multiple cyberknife procedures for liver mets who was transfered from osh d/t recurrent ugib whose egd revealed bleeding duodenal requiring ir embolization and blood transfusions. . active issues: # gi bleed: attributed to duodenal infiltration likely reflecting invasion of known metastatic pancreatic ca (exophytic oozing duodenal mass identified by egd). no other bleeding site was identified. gastroduodenal artery embolization completed on . serial hemocrits were stable. received total of 5 units of blood. received last unit of blood on day of discharge because patient felt lightheaded however was other wise hemodynamically stable and showing no signs of bleeding. patient was continued on protonix on discharge. . # pancreatic cancer/duodenal mass: on egd, found to have exophytic mass that was bleeding. biopsies from outside hospital were inconclusive however given history of pancreatic ca and elevated ca-19-9, it was thought to be recurrent pancreatic ca. surgery and radiation oncology were consulted however did feel patient was suitable for surgery or radiation. oncology team reviewed available chemotherapies (xeloda) however did not feel patient suitable for treatment currently given recent bleed. patient was encouraged to discuss these options with patient. . # goals of care: after long discussion with patient, he decided that he wanted to be dnr/dni and consider transitioning to hospice. medications on admission: ativan 0.5mg qhs prn over past two weeks. oxicodone ir 2.5mg q6h prn prilosec 20mg flomax 0.4mg qhs until recently: aleve 440(equivalent to naproxen 400) tid prn, taking 4-6 per day discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 2. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep. 3. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 4. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day). 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). discharge disposition: extended care facility: centre discharge diagnosis: duodenal mass gi bleed pancreatic cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted because you were having bloody bowel movements that was concerning for bleed in your intestines. you were admitted to icu where you received blood transfusions. you also had an endoscopy which showed a bleeding mass in your duodenum which was concerning for recurrence of your pancreatic cancer. you also had a procedure through your groin to help stop the bleeding. after the procedure we monitored your blood counts and they stabilized. we had a long discussion with you about your goals of care and decided that because surgery and radiation was not an option that you could have a discussion with your oncologist about possible chemotherapy. currently however chemotherapy is not an option because of your recent bleed. you also decided during this hosptialization that you would not like resuscitative measures. you are being transferred to a nursing facility where your wife is so you can be closer to her. the following changes were made your medications: -- stopped prilosec -- started protonix 40mg daily no other changes were made to your medications. please be sure to take them as directed followup instructions: you will be followed by the doctors at your nursing facility. no appointments have been made for you. procedure: other endoscopy of small intestine arteriography of other intra-abdominal arteries transcatheter embolization for gastric or duodenal bleeding diagnoses: esophageal reflux malignant neoplasm of liver, secondary iron deficiency anemia secondary to blood loss (chronic) gout, unspecified hematoma complicating a procedure aortic valve disorders hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypotension, unspecified cachexia malignant neoplasm of head of pancreas blood in stool do not resuscitate status secondary malignant neoplasm of bone and bone marrow personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health arthropathy, unspecified, site unspecified history of fall benign essential hypertension unspecified vascular insufficiency of intestine secondary malignant neoplasm of small intestine including duodenum long-term (current) use of non-steroidal anti-inflammatories (nsaid) 

Answer: The patient is high likely exposed to