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: toprol xl attending: chief complaint: bladder and left ureter tumor, incisional hernia major surgical or invasive procedure: left ureterectomy with bladder cuff excision, incisional herniorrhaphy history of present illness: 83f with bladder and left ureteral tumor identified on work-up of hematuria. bladder biopsy last month identified papillary urothelial carcinoma, high grade, with focal lamina propria invasion. past medical history: 1) afib 2) hypertension 3) chf (unclear if systolic, diastolic, or both; ef 60% in ) 4) dm type ii- diet controlled. 5) thyromegaly- noted at last clinic visit. scheduled for outpatient scan. 6) rml/rll pna with parapneumonic effusion on admission. 7) pseudogout social history: she lives alone but has a daughter and sons who live nearby. no hx of tobacco or etoh. family history: non-contributory. physical exam: general: comfortable abd: soft, non tender, non distended incision: clean, dry, intact foley: cranberry colored urine pertinent results: 07:35am blood wbc-8.5 rbc-3.06* hgb-9.4* -27.0* mcv-88 mch-30.6 mchc-34.7 rdw-14.4 plt ct-224 06:30am blood creat-1.7* brief hospital course: ms. was admitted to dr. ??????s urology service after undergoing left ureterectomy with bladder cuff excision and herniorraphy, transfused 6u prbc intraoperatively. please see dictated operative note for details. she received perioperative antibiotic prophylaxis. she was observed in the pacu overnight, extubated pod1. she was transferred to the urology floor from the pacu in stable condition. she experienced rapid atrial fibrillation pod1 that resolved with iv beta blocker and her home digoxin and oral beta blockers. her pain was initially controlled with intravenous analgesics then oral analgesics as diet was advanced. ngt removed pod2, jp removed pod4. diet was advanced conservatively to regular diet pod5. she was transfused an additional unit of blood pod 4 for 25, post-transfusion 27. her major complaint has been bladder spasms, managed with levsin and ditropan. she worked with physical therapy who recommends home physical therapy. the remainder of the hospital course was relatively unremarkable. she was discharged in stable condition, ambulating, eating well, and with bladder spasm and pain control on oral analgesics. on exam, her incision was clean, dry, and intact, with no evidence of infection. urine is cranberry colored. she was given explicit instructions to follow-up in clinic with dr. in 1 week, and that the urethral catheter (foley) would be removed during the follow-up appointment. discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for 1 weeks. disp:*0 tablet(s)* refills:*0* 2. carvedilol 12.5 mg tablet sig: two (2) tablet po 8pm (). disp:*0 tablet(s)* refills:*0* 3. atacand 16 mg tablet sig: one (1) tablet po daily (). disp:*0 tablet(s)* refills:*0* 4. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*0 cap(s)* refills:*0* 5. bumetanide 2 mg tablet sig: one (1) tablet po daily (daily). disp:*0 tablet(s)* refills:*0* 6. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). disp:*0 capsule, sustained release(s)* refills:*0* 7. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po bid (2 times a day). disp:*0 tablet(s)* refills:*0* 8. digoxin 125 mcg tablet sig: one (1) tablet po every other day (every other day). disp:*0 tablet(s)* refills:*0* 9. oxycodone 5 mg tablet sig: 0.5-1 tablet po every 4-6 hours as needed for pain for 3 days: no alcohol or driving on this medication. disp:*20 tablet(s)* refills:*0* 10. hyoscyamine sulfate 0.125 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual every six (6) hours as needed for bladder pain for 2 weeks: stop 24 hours before foley is to be removed. disp:*56 tablet, sublingual(s)* refills:*0* 11. oxybutynin chloride 5 mg tablet sig: 0.5-1 tablet po tid (3 times a day) as needed for bladder spasm for 2 weeks: stop 2 weeks before foley is to be removed. . disp:*42 tablet(s)* refills:*0* 12. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation for 1 weeks: take while on oxycodone. stop when having regular bowel movements. disp:*20 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: left ureteral/bladder cancer, incisional hernia discharge condition: stable discharge instructions: do not restart coumadin until you hear from dr. ; otherwise take your home medications as before. no vigorous physical activity for 2 weeks. expect to see occasional blood in your urine. you may shower and bathe normally. do not drive or drink alcohol if taking narcotic pain medication. resume all of your home medications, but please avoid coumadin/aspirin/advil until you hear from dr. . call dr. office for appointment and if you have any questions. if you have fevers > 101.5 f, vomiting, severe abdominal pain, or inability to urinate, call your doctor or go to the nearest emergency room. followup instructions: call dr. office for appointment on discharge () and if you have any questions. provider: , internal medicine (nhb) phone: date/time: 10:15 procedure: incisional hernia repair total ureterectomy diagnoses: congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation incisional hernia without mention of obstruction or gangrene acquired absence of kidney nontoxic multinodular goiter malignant neoplasm of ureter malignant neoplasm of other specified sites of bladder primary hyperparathyroidism 

Answer: The patient is high likely exposed to