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: gadolinium-containing agents attending: chief complaint: abdominal pain, vomiting major surgical or invasive procedure: : exploratory laparotomy, small bowel resection, and primary anastomosis history of present illness: ms. is a 75f with h/o stage iv nsclc diagnosed , s/p chemo, xrt, and recent stemi s/p lad bms placement , presenting with acute onset llq pain associated with nausea and vomiting. symptoms began the early on the morning of admission, and woke her from sleep. she reports several episodes of nonbloody, bilious emesis at home prior to being transported to ed by ems. she remembers passing flatus during the event, and reports having had a normal bowel movement overnight. she denies fevers or worsening shortness of breath. past medical history: past medical history: cad s/p mi, lad bms , chf ef 30%, hld, nsclc stage iv s/p chemo/xrt, htn, gerd, macular degeneration, anxiety, recent fall with spine fracture, managed nonoperatively past surgical history: none social history: she lives in with her son. : 1ppd for years, but she has not smoked in many years, no etoh, no illicts. she is widowed, her husband passed away from lung cancer. family history: mother passed away for cad, heart failure in her 80s. father passed away at 62 yo from complications of diabetes. sister has cad, heart failure (in her 80s). had 7 brothers (2 died at 44 yo, one at 55 yo and one at 60 yo and had lung disease but she doesn't know anything more specific. 1 brother died as a baby. 1 brother had cancer and is well. her only son is physically handicapped. physical exam: physical exam on admission: vitals: 97.9 98 130/94 28 100% gen: a&o, uncomfortable but nontoxic, conversant heent: no scleral icterus, mucus membranes moist cv: regular, tachycardic to 100s, +systolic murmur pulm: increased, rales bilaterally abd: soft, moderately distended, +ttp in the suprapubic and llqs with voluntary guarding. no rebound tenderness. no palpable masses. no scars. ng with scant output. dre: normal tone, no gross or occult blood ext: trace le edema, le warm and well perfused physical examination upon discharge: vs: 98.1, 84, 126/54, 20, 100/ra gen: sitting up in chair, nad. hennt: no scleral icterus, mucus membranes moist cardiac: normal s1, s2 rrr no mrg. pulm: lungs diminished at bases. no w/r/r. abd: soft/nontender/mildly distended. healing abdominal incision, erythema marked. ext: + pedal pulses.+ trace edema. well perfused. no cyanosis, clubbing. pertinent results: radiology ct abd & pelvis with co impression: 1. small bowel obstruction with a transition point in left lower quadrant. just proximal to the transition point there is a 2.6 x 4.1 cm lobulated small bowel mass concerning for a metastasis with a primary small bowel tumor in the differential diagnosis. 2. interval increase in the size of the left adrenal metastasis. 3. resolution of a right pleural effusion with a persistent small left pleural effusion. 4. small amount of pelvic free fluid. portable abdomen findings: supine and decubitus views of the abdomen demonstrate air-filled small and large bowel loops without frank pneumoperitoneum or pneumatosis. patient is status post recent exploratory laparotomy with anterior abdominal surgical staples in place. no air-fluid levels or focal bowel dilatation. impression: findings suggest a component of postoperative ileus. 04:59am blood wbc-11.4* rbc-3.62* hgb-9.6* hct-30.1* mcv-83 mch-26.4* mchc-31.8 rdw-16.5* plt ct-413 05:56am blood wbc-12.9* rbc-3.88* hgb-10.1* hct-32.1* mcv-83 mch-26.0* mchc-31.4 rdw-16.4* plt ct-444* 05:54am blood wbc-11.5* rbc-3.63* hgb-9.5* hct-30.3* mcv-84 mch-26.1* mchc-31.2 rdw-16.7* plt ct-428 07:35am blood neuts-87.3* lymphs-5.6* monos-4.0 eos-2.8 baso-0.2 04:59am blood glucose-123* urean-9 creat-0.5 na-142 k-3.7 cl-106 hco3-27 angap-13 05:56am blood glucose-130* urean-12 creat-0.5 na-142 k-3.0* cl-103 hco3-29 angap-13 05:54am blood glucose-68* urean-17 creat-0.5 na-141 k-4.0 cl-106 hco3-23 angap-16 07:35am blood glucose-130* urean-21* creat-0.7 na-138 k-4.1 cl-103 hco3-25 angap-14 04:59am blood calcium-8.1* phos-2.8 mg-1.5* 05:56am blood calcium-7.8* phos-2.2* mg-1.8 05:54am blood calcium-8.2* phos-2.6* mg-1.9 12:50am blood calcium-8.2* phos-4.6* mg-1.5* 07:35am blood albumin-3.5 calcium-8.6 phos-3.1 mg-1.8 12:57am blood lactate-1.2 12:08pm blood lactate-1.6 11:21pm blood hgb-7.5* calchct-23 o2 sat-98 04:29am blood wbc-11.6* rbc-3.36* hgb-9.6* hct-29.1* mcv-87 mch-28.5 mchc-33.0 rdw-17.6* plt ct-391 05:25am blood wbc-12.2* rbc-3.46* hgb-9.7* hct-29.9* mcv-87 mch-28.0 mchc-32.4 rdw-17.3* plt ct-397 01:22am blood wbc-10.9 rbc-3.23* hgb-9.3* hct-27.4* mcv-85 mch-28.8 mchc-34.0 rdw-16.6* plt ct-319 02:30am blood wbc-13.1* rbc-3.48* hgb-10.0* hct-28.9* mcv-83 mch-28.7 mchc-34.5 rdw-16.1* plt ct-321 04:29am blood glucose-70 urean-7 creat-0.6 na-132* k-4.3 cl-101 hco3-21* angap-14 01:22am blood glucose-113* urean-9 creat-0.4 na-135 k-3.9 cl-107 hco3-23 angap-9 04:29am blood calcium-7.7* phos-3.4 mg-1.7 05:25am blood calcium-7.4* phos-3.5 mg-1.8 01:22am blood calcium-7.3* phos-2.5* mg-1.9 brief hospital course: ms. is a 75f with h/o stage iv nsclc diagnosed , s/p chemo, xrt, and recent stemi s/p lad bms placement , presenting with acute onset llq pain associated with nausea and vomiting. the patient was admitted to the acute care surgery service on after imaging revealed that she had a small bowel obstruction. her inr was reversed with 1mg iv vitamin k and 2u ffp to 1.5. after appropriate preparation, ms. t exploratory laparotomy and small bowel resection, which was uncomplicated. post-operatively she was transferred to the sicu for monitoring and extubation, given her ef of 30% and intra-operative volume resuscitation. on , she was successfully extubated without complication. she was continued on her aspirin, plavix, and beta blockade perioperatively. her ngt was kept to suction awaiting return of bowel function. she was well-saturated on room air, and deemed stable for transfer to the surgical floor. after patient was transferred to the floor, her nasogastric tube was discontinued and she was advanced to clear liquids. she was restarted on her coumadin, and had daily inr draws. on pod 6, her inr was 2.9 and coumadin was held. the patient complained of nausea and had emesis so diet wasn't advanced past clear liquids. she underwent an abdominal xray and imaging revealed no air however had dilatation. the patient received dulcolax suppositories. on pod 7, inr had increased to 10.1 and patient received vitamin 5mg to reverse. her hematocrit trended from 30.9, 27.7, 23.9 and patient was transfused with 2 units packed red blood cells at which time she was transferred back to the icu for a lower gi bleed. she has three large melena stools before transfer. cardiology was consulted and recommended discontinuing warfarin secondary to risks outweighing the benefits, and holding aspirin and plavix until bleeding has resolved. the patient's hematocrit increased to 26 status post transfusion. patient had serial hematocrits drawn, and on pod 8 her hematocrit was 23 and she received an additional 2 units packed red blood cells. she was kept npo and given zofran and phenergan for nausea. her urine culture grew klebsiella so the patient was started on appropriate antibiotics. aspirin and plavix were restarted in the icu prior to patient's transfer back to the floor, when her hematocrit was 28.9 and stable. upon arrival to the floor, the patient's vitals remained stable and patient was afebrile. she was tolerating a regular diet but complained of intermittent nausea. she was voiding a large amount of urine appropriately. on the day of discharge, we marked the erythema on your abdominal incision in order to monitor if it worsens. the patient will continue on po bactrim for 3 more days for her urinary tract infection. the patient will follow up with cardiology outpatient as well as the clinic in 2 weeks. medications on admission: aspirin 81' plavix 75' coumadin 2.5' omeprazole 40' atorvastatin 80' benzonatate 100''' prn folate 1' ativan 0.5 q6 prn metoprolol xl 150' quinapril 10' discharge medications: 1. aspirin 81 mg po daily 2. atorvastatin 80 mg po daily 3. clopidogrel 75 mg po daily 4. folic acid 1 mg po daily 5. metoprolol succinate xl 150 mg po daily 6. quinapril 10 mg po daily 7. sulfameth/trimethoprim ds 1 tab po bid 8. senna 1 tab po bid:prn constipation 9. acetaminophen 1000 mg po q6h 10. bisacodyl 10 mg pr daily:prn constipation 11. caphosol 30 ml oral qid:prn oral mucositis discharge disposition: extended care facility: - discharge diagnosis: small bowel obstruction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. discharge instructions: you were admitted to the hospital for abdominal pain. upon imaging, it was revealed that you had a small bowel obstruction and you were taken to the operating room for a small bowel resection. post-operatively, you developed a gastrointestinal bleed and you were transfused with several units of blood. you will be going to rehab for physical therapy and you will continue your antibiotics for your urinary tract infection. you will followup in the clinic, as well as with hemaotologist and a new cardiologist. please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: department: cardiac services when: wednesday at 9:40 am with: , md building: sc clinical ctr campus: east best parking: garage department: general surgery/ when: thursday at 4:15 pm with: acute care clinic with dr phone: building: lm bldg () campus: west best parking: garage procedure: other partial resection of small intestine central venous catheter placement with guidance diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site other specified intestinal obstruction personal history of tobacco use percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease hemorrhage complicating a procedure anxiety state, unspecified malignant neoplasm of upper lobe, bronchus or lung surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation macular degeneration (senile), unspecified chronic systolic heart failure long-term (current) use of anticoagulants anticoagulants causing adverse effects in therapeutic use personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health long-term (current) use of aspirin history of fall secondary malignant neoplasm of adrenal gland secondary malignant neoplasm of small intestine including duodenum acute myocardial infarction of other anterior wall, subsequent episode of care 

Answer: The patient is high likely exposed to