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: nausea/vomiting major surgical or invasive procedure: lij cvl placement tips revision history of present illness: mr. is 67 yo male with pmh significant for nash cirrhosis complicated by portal hypertensive gastropathy and was recently admitted for an upper and lower gi bleeding for which he required admission () and urgent tips placement on . after the tips he had no further episodes of bleeding. he did develop mild pulmonary edema which responded to diuresis. he did develop a progressive hyperbilirubinemia which was found to be largely indirect and was thought to be likely hemolysis in the setting of receiving blood transfusions. his tips was evaluated prior to discharge with an ultrasound which showed that the tips was patent and then he was discharged home. he then presented to the ed the following day () with new onset nausea and vomiting. his bilirubin was also noted to elevated to 33.2 from 22.6 at the time of her last discharge. there was concern for a biliary leak given her recent tips procedure and the plan was for tips reduction. per the radiologist, the attempt to reduce the shunt with a stent was not successful so it was pulled out. there was approximately 200-400cc of blood loss during this time. he was then transferred to the micu for closer monitoring. past medical history: 1)nash cirrhosis - child's class b evaluated for tips and olt by dr. in (by report dr. recommended tips, family did not want to proceed) 2)portal hypertensive gastropathy, chronic gi bleeding, leading to transfusion-dependent anemia 3)iron deficiency anemia 4)niddm 5)cad 6)htn 7)cva 8)systolic chf 9)hypothyroidism social history: divorced male, lives alone, quit smoking in . no significant etoh history. family history: non-contributory physical exam: vitals t 98.4 bp 125/55 ar 85 rr 20 o2 sat 97 nrb gen: somnolent but awakens to voice, jaundiced heent: mmm, scleral icterus lungs: poor air movement at bases, +wheezes heart: rrr, 2/6 systolic murmur at the rusb and apex, radiating to both neck and axilla abdomen: soft, nt/nd, +bs extremities: 1+ bilateral edema, 2+ dp/pt pulses bilaterally, lij in place neuro: oriented x 3 pertinent results: labs: . cbc wbc rbc hgb hct mcv mch mchc rdw plt 05:58am 9.5 2.15 7.5 20.1 93 34.8 37.3 24.2 115 06:15am 4.0 2.79 9.6 27.2 97 34.3 35.3 23.2 58 10:00am 4.6 3.13 10.6 30.3 97 33.7 34.9 23.0 63 . lfts: alt ast ldh ck(cpk) alkphos amylase totbili 05:58am 41.2* source: line-cvl 04:47am 56* 132* 246 94 44.2* specimen icteric 05:49am 47.3* icteric 04:30am 62* 171* 42.8* source: line-lij 04:16am 39.6* source: line-lij 04:28am 41.8* source: line-aline 03:56pm 42.0* source: line-lij 06:15am 85* 214* 305* 79 32.5* 10:00am 87* 208* 314* 88 33.2* . studies: . ultrasound: patent tips, with appropriate direction of flow. velocities within the main portal vein and tips are mildly increased in comparison to the baseline exam from suggesting interval growth of intimal hyperplasia. . tips redo: placement of covered stent into the existing wallstent. decrease in portosystemic gradient from 11 mmhg to 8 mmhg. . mri: no focal liver lesions identified. findings consistent with cirrhosis and portal hypertension. right greater than left pleural effusions. infrarenal abdominal aortic aneurysm measuring 3.5 cm. . hida scan: insufficient study to exclude/diagnose biliary leak in the setting of vicarious excretion related to hepatic failure. brief hospital course: 1)nash cirrhosis: patient presented with acute decline in hepatic function as evidenced by rising direct bilirubinemia along with worsening inr. likely due to tips shunt diversion away from liver resulting in relative hypoperfusion and depressed function. his lasix and aldactone were initially held given hypotension; but they were restarted at time of transfer to the liver service. he was continued on lactulose and rifaximin for his hepatic encephalopathy. tips revision was unsuccessful. liver failure progressed. pt underwent evaluation for liver transplant. cardiac evaluation revealed pt has multiple cardiac issues that would make him inelibible for transplant. pt and family were notified that he would not be eligible for transplant. with progression of liver failure palliative care and hospice were consulted. pt was scheduled to return home with hospice services. however, pt expired the evening prior to his scheduled discharge. . 2)hypotension: patient presented with nausea and vomiting and was noted to have a significant rise in his bilirubin. on previous admission he underwent tips on and was then discharged on . ultrasound prior to discharge showed patency of the tips. on this admission, given his rising bilirubin, he was taken to ir and stent placement was attempted through the rij without success. ebl was approximately 200-400cc. he was then transferred to the micu for closer monitoring. upon transfer to the micu he was significantly hypotensive 2/2 blood loss in the setting of his coagulopathy. an emergent lij central line was placed and he received 5 units prbcs, 2 units ffps, and 1 unit of platelets. during his stay in the micu, despite a rise in his bilirubin, his hematocrit remained stable. he was taken back to ir once he was hemodynamically stable which showed that his tips was patent and a biliary stent was placed in hopes to prevent further rising of his bilirubin. pt was then transfered to the liver service with blood pressure stable at baseline. . 3)chf: recent echo on showed mild systolic dysfunction with ef 45-50%. he is on lasix and aldactone as an outpatient. he received additional doses of iv lasix in the setting of receiving multiple blood products. at time of transfer to the liver service, he was restarted on home diuretic regimen. . 4)pleural effusion: patient noted to have r sided pleural effusion on chest x-ray. likely underlying liver disease and systolic dysfunction. . 5)type 2 dm: patient is on glyburide as an outpatient but this regimen was held during his inpatient stay. he was placed on an insulin sliding scale with close monitoring of his blood sugars. . 6)hypothyroidism: levothyroxine was initially held but then restarted once he was medically stable. medications on admission: medications on transfer: neutra-phos 1 pkt po bid pantoprazole 40 mg po q12h docusate sodium 100 mg po bid:prn furosemide 40 mg po daily rifaximin 400 mg po tid insulin sc lactulose 30 ml po tid spironolactone 100 mg po daily levothyroxine sodium 125 mcg po daily ursodiol 300 mg po bid medications at home: levothyroxine 125mcg po daily pantoprazole 40mg po q12 lactulose 30cc po tid furosemide 40mg po daily spironolactone 100mg po daily rifaximin 400mg po tid glyburide 5mg po daily discharge medications: none discharge disposition: expired discharge diagnosis: nash cirrhosis phtn gastropathy ugib anemia dmt2 discharge condition: pt expired discharge instructions: pt expired followup instructions: none md procedure: venous catheterization, not elsewhere classified angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells transfusion of other serum transfusion of platelets phlebography of the portal venous system using contrast material phlebography of the portal venous system using contrast material cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: unspecified pleural effusion congestive heart failure, unspecified cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension unspecified acquired hypothyroidism accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure hepatic encephalopathy hemorrhage of gastrointestinal tract, unspecified other specified disorders of stomach and duodenum other chronic nonalcoholic liver disease 

Answer: The patient is high likely exposed to