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: patient recorded as having no known allergies to drugs attending: chief complaint: morbid obesity major surgical or invasive procedure: 1. laparoscopic converted to open. 2. roux-en-y gastric bypass. 3. endoscopy. 4. insertion of pain pump. 5. exploratory laparotomy. 6. endoscopy. 7. gastrostomy tube placement. history of present illness: has class iii morbid obesity with weight of 236 lbs as of (initial screen weight on was 232.3 lbs), height of 61.5 inches and bmi of 44. her previous weight loss efforts have included 3 months of weight watchers in losing 20-25 lbs (kept off for only one month) and 6 months of tops (taking off pounds sensibly) in losing 15 lbs that she maintained for just 2 months. she has not taken prescription weight loss medications or used over-the-counter ephedra-containing products, appetite suppressants or herbal supplements. her weight at age 21 was 160 lbs with her lowest adult weight 115 lbs and her highest weight being her current weight of 236 lbs. she weighed 220 lbs one year ago. she stated she developed significant problem at age 23 with becoming pregnant as particular event in her life. factors contributing to her excess weight include portion sizes, frequent eating out, too many carbohydrates and fats, emotional eating and lack of exercise although she walks 45 minutes daily. she denied history of eating disorders and has anxiety on medication prescribed by her primary care provider with no hospitalizations for depression, question of ocd but not in any counseling sessions. past medical history: her medical history is noted for hypertension, type 2 non-insulin dependent diabetes, hyperlipidemia, dysmenorrhea and h/o kidney stones x 2 with surgery. social history: she denied tobacco, recreational drugs or alcohol usage, has 1 to 2 twenty ounce soda daily. she is employed at target department store as a cashier and she is married living with her husband age 38, daughter age 8 and her mother age 50. family history: family history is noted for mother living age 50 with asthma and obesity; grandmother living age 73 with heart disease, hyperlipidemia, diabetes and obesity. her aunt had for morbid obesity through our program 2 years ago. physical exam: on physical examination was casually dressed, slightly anxious but in no distress. her skin was warm, slightly moist, no rashes with mild excoriations of the hands and tattoos on both lower extremities. sclerae were anicteric, conjunctiva clear, pupils were equal, round and reactive to light, fundi with sharp optic discs, no hemorrhage of vessels, mucous membranes were moist, tongue pink and oropharynx was without exudates or hyperemia. trachea was in the midline and the neck was supple without adenopathy, thyromegaly or carotid bruits. chest was symmetric and the lungs were clear to auscultation bilaterally. cardiac exam was slightly rapid rate at regular rhythm, normal s1 and s2, no murmurs, rubs or gallops. the abdomen was obese but soft, non-tender, non-distended with normal bowel sounds, no masses, no hernias with no incision scars. there was no spinal tenderness or flank pain. extremities were without edema, venous insufficiency or clubbing. there was no swelling of the joints, no inflammation. there were no focal neurological deficits. pertinent results: 06:51am blood wbc-11.5*# rbc-4.10* hgb-13.0 hct-38.3 mcv-93 mch-31.8 mchc-34.1 rdw-14.6 plt ct-240 08:22pm blood glucose-183* urean-10 creat-0.6 na-134 k-4.0 cl-104 hco3-24 angap-10 08:22pm blood calcium-7.7* phos-2.4* mg-1.5* single contrast upper gi study: following the administration of conray contrast, which demonstrated no evidence of leak through the gastrojejunal junction, oral thin barium was demonstrating flow without delay to approximately 10 cm beyond the gastrojejunal junction with holdup of contrast for approximately 5 minutes from what appears to be an area of extrinsic compression at the level of the transverse colon. following 30 minutes additional fluoroscopic imaging demonstrates oral contrast to extend throughout the small bowel beyond the area of narrowing. there is no evidence of leak. given the extent of contrast seen within the small bowel, this likely extends beyond the jejunojejunal anastomosis which is not definitively recognized. impression: no evidence of leak. narrowing /extrinsic compression 10 cm beyond the gastrojejunal junction likely at the site of retrocolic passing of the roux loop. no obstruction. cta: chest: the study is significantly limited by patient body habitus. an endotracheal tube is present and appropriately placed. there is suggestion of mid-tracheal narrowing. there are no filling defects within the pulmonary arteries to suggest pulmonary embolus. the thoracic aorta demonstrates a normal caliber. there are no pathologically enlarged lymph nodes within the chest. there is no pericardial effusion. trace bilateral pleural effusions are suggested. there is bilateral atelectasis involving a moderate portion of both lower lobes, greater on the right. the majority of this compressed lung parenchyma appears to enhance. however, a small portion of the left lower lobe parenchyma may be relatively . there is a second abnormal density in the right lung apex which has a more globular appearance. this density may also be slightly . abdomen: the liver is enlarged and diffusely hypodense. there are post- surgical changes of the stomach, compatible with recent roux-en-y surgery. surgical drains are seen along the surface of the liver. there is trace free fluid in the perigastric region. a celiac lymph node is noted measuring 10 mm in short axis. a percutaneous gastrostomy tube is seen in the gastric remnant. osseous structures: no destructive osseous lesions are seen. impressions: 1. limited study, without visualized pulmonary embolus. 2. bilateral lower lobe atelectasis, which is moderate in degree. superimposed early consolidation cannot be excluded in the left lower lobe and in the right apex. 3. equivocal mid-tracheal narrowing. 4. hepatomegaly with diffuse fatty infiltration. 5. post-surgical changes of the upper abdomen, compatible with recent roux- en-y surgery. brief hospital course: please see operative report dictated for details of the gastric bypass procedure. postoperatively the patient was found to be tachycardic to as high as the 130s. hematocrit was followed and was stable. her pain was well controlled. she had a methylene blue test on pod 0 which was negative for leak, and her swallow study on pod1 was negative for leak and obstruction as well. nonetheless, her heart rate remained in the 130s, so the decision was made to take her back to the or for exploratory laparotomy. on re-exploration, the bowel was examined visually and via submerged insufflation and no leaks were found at the gastrojejunostomy, the gastric remnant, or the jejunojejunostomy. a gastric tube was inserted in the gastric remnant, and 2 jp drains were placed. postoperatively mrs. was transferred to the sicu and transfused 2 units of blood for hematocrit of 28 from 36. she was gradually weaned off of ventilator, and extubated successfully on pod . she was started on stage i bariatric diet on pod , which she tolerated well, and advanced through to stage iii by the next day. on the morning of pod , some serous drainage was noted from her incision, so the wound was opened and packed with wet-dry dressing at 2 places. wound cultures were sent. at this point her hr was back under control in the 80s, she was making good urine and ambulating, so the decision was made to dc her to home with vna services for wound care. medications on admission: 1. lisinopril 5mg daily 2. metformin 750 mg 3. glyburide 1mg daily 4. effexor xr 150 5. depo-provera discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed. disp:*250 ml(s)* refills:*2* 2. ranitidine hcl 15 mg/ml syrup sig: ten (10) ml po bid (2 times a day) for 1 months. disp:*600 ml* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. ursodiol 300 mg capsule sig: one (1) capsule po twice a day for 6 months. disp:*360 capsule(s)* refills:*0* 5. docusate sodium 100 mg tablet sig: one (1) tablet po bid prn as needed for constipation. 6. multivitamin tablet, chewable sig: one (1) tablet, chewable po once a day. discharge disposition: home with service facility: vna discharge diagnosis: morbid obesity, hypertension, diabetes mellitus type 2. discharge condition: stable. discharge instructions: please call your surgeon or return to the emergency department if you develop a fever greater than 101.5, chest pain, shortness of breath, severe abdominal pain, pain unrelieved by your pain medication, severe nausea or vomiting, severe abdominal bloating, inability to eat or drink, foul smelling or colorful drainage from your incisions, redness or swelling around your incisions, or any other symptoms which are concerning to you. diet: stay in stage iii diet until your follow up appointment. do not self advance diet, do not drink out of a straw or chew gum. medication instructions: resume your home medications, crush all pills. you may not need to go back on your diabetes medication - the visiting nurse will help you check your blood sugars. you will be starting some new medications: 1. you will be given a prescription for pain medication, which may make you drowsy. do not drive while taking pain medication. 2. you should begin taking a flintstones chewable complete multivitamin. no gummy vitamins. 3. you will be taking zantac liquid 150 mg twice daily for one month. this medicine prevents gastric reflux. 4. you will be taking actigall 300 mg twice daily for 6 months. this medicine prevents you from having problems with your gallbladder. 5. you should take a stool softener, colace, twice daily for constipation as needed, or until you resume a normal bowel pattern. 6. metoprolol - for your heart rate and blood pressure - 25 mg twice a day. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. your visiting nurse will help you change your abdominal wound dressing twice a day. leave any white strips above your incisions in place, allow them to fall off on their own. you should uncap your gastric tube for a few minutes to vent it three times a day. followup instructions: call dr. office () to reschedule your follow-up appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other gastroscopy reopening of recent laparotomy site transfusion of packed cells high gastric bypass other gastrostomy transfusion of other serum diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified pulmonary collapse other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias morbid obesity laparoscopic surgical procedure converted to open procedure 

Answer: The patient is high likely exposed to