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: penicillins attending: chief complaint: nausea and vomiting major surgical or invasive procedure: ng tube placement endotracheal intubation history of present illness: ms. is a 60 yo f w/pmhx sx for metastatic rcc (liver, brain, lungs) on avastin, on 3l home oxygen who presents to the ed with two days of nausea and vomiting of brownish, feculent material, with no bms. she had also noted increasing abdominal distension, but without significant pain. per patient's daughter, she has been otherwise doing well. she denies brbpr, melena, dysuria, hematuria, chest pain, sob, fevers, chills. she has been tolerating the avastin without any significant side effects and last received a dose on wednesday. . in the ed, her vitals were t97.3 p 99 bp 147/110 o2sat 92% on 3l. she underwent a ct abdomen that showed sbo with transition point in distal jejunum/proximal ileum. ngt placed -- 2800cc feculant material drained. she was treated with levofloxacin 750mg iv and cultures were sent. she was seen by the surgical service but they declined surgical intervention. she was subsequently noted to have lower po2 on repeat abg and was intubated for hypoxemia. . she is admitted to the micu for medical management of her sbo. past medical history: * metastatic renal cell carcinoma, dx -s/p right nephrectomy with path showing grade 2 clear cell carcinoma; post-op course c/b colovesical fistula s/p lar, drainage of peritoneal abscess, ventral hernia repair -known mets to lungs, adrenals, brain -is on home o2 3l/min thought to pulm mets -s/p cyberknife tx to brain mets and -s/p 2 weeks il2 c/b neurotoxicity -s/p tx with sorafenib, sunitinib, and most recently avastin * h/o dvt on coumadin * pud * s/p ccy * anxiety social history: lives with husband. denies /etoh/drug use. family history: n/c physical exam: general: intubated and sedated. heent: mmm. no scleral icterus. neck: supple. jvd flat. pulm: fine crackles at bases anteriorly. cv: rrr. no mrg. abd: obese, distended. minimal bowel sounds. ngt in place draining feculent material. extrem: cool. 1+pulses. neuro: intubated and sedated. derm: no skin lesions seen. pertinent results: 06:00pm wbc-5.2 rbc-4.20 hgb-11.7* hct-37.8 mcv-90 mch-27.8 mchc-30.9* rdw-18.5* 06:00pm plt smr-normal plt count-275 06:00pm neuts-83* bands-2 lymphs-10* monos-4 eos-0 basos-0 atyps-0 metas-1* myelos-0 06:00pm hypochrom-1+ anisocyt-occasional poikilocy-normal macrocyt-occasional microcyt-occasional polychrom-normal 06:00pm pt-34.8* ptt-35.4* inr(pt)-3.7* 06:00pm albumin-3.8 06:00pm lipase-24 06:00pm alt(sgpt)-10 ast(sgot)-22 alk phos-200* amylase-28 tot bili-0.8 06:00pm glucose-137* urea n-19 creat-0.9 sodium-141 potassium-4.6 chloride-96 total co2-31 anion gap-19 08:55pm urine color-amber appear-clear sp -1.037* 08:55pm urine blood-neg nitrite-neg protein-500 glucose-neg ketone-tr bilirubin-sm urobilngn-4* ph-6.5 leuk-neg 08:55pm urine rbc-0-2 wbc-0-2 bacteria-rare yeast-none epi-0-2 10:44pm lactate-2.7* . micro urine cx negative blood cx negative sputum gram 1+ gnrs, 1+ gpc in pairs, 1+ budding yeast; culture with >3 colony types including mssa, gnrs, beta strep, oral flora, yeast . imaging ct abd/pelvis impression: 1. findings consistent with a small-bowel obstruction with transition point in the distal jejunum/proximal ileum. 2. new centrilobular and patchy opacities in the lower lobes bilaterally. this raises the question of aspiration. stable soft tissue density in the left hilum, incompletely evaluated and may represent lymphadenopathy. 3. stable pneumobilia and mild intrahepatic biliary ductal dilation. 4. central hernia containing small bowel as well as transverse colon. 5. stable bilateral adrenal masses consistent with metastatic disease. . cxr moderate cardiomegaly and marked pulmonary, hilar, and mediastinal vascular engorgement are all unchanged. there is suggestion of mild interstitial edema on today's study. left lower lobe consolidation is longstanding, probably atelectasis. et tube, left subclavian line, and nasogastric tube are in standard placements respectively. pleural effusion is presumed, small on the left. no pneumothorax. . renal u/s findings: the left kidney measures 11.6 cm. there is preservation of corticomedullary differentiation. there are no perinephric fluid collections. there is no hydronephrosis. no renal masses or stones are present. a foley balloon is present within a collapsed bladder which is grossly unremarkable. evaluation of the right renal fossa is unremarkable. impression: no evidence of left renal hydronephrosis. . brief hospital course: 1. small bowel obstruction: the patient's abdominal imaging showed a sbo. she was evaluated in the emergency room by the surgery team, who felt that she did not initially require urgent intervention in the operating room. her family preferred that surgery be avoided if possibile. she was initially medically managed with placement of a nasogastric tube. she was started on levofloxacin and flagyl empirically to cover possible intrabdominal infection. her ng tube continued to put out large volumes of feculent material during her admission. after discussion with her family, she was made cmo. ms. on at 2:35 am. 2. respiratory distress: ms. developed increasing dyspnea and hypoxemia in the emergency department, and was therefore intubated. her respiratory distress was thought to be secondary to increased abdominal distension in addition to possible aspiration pneumonia. of note, she required o2 at home thought secondary to pulmonary metastases. she was extubated following decision to change code status to cmo. 3. oliguria the patient's urine output remained poor during her hospitalization, and responded only marginally to volume resuscitation. renal ultrasound showed no evidence of obstruction, and measurement of bladder pressures showed no evidence of abdominal compartment syndrome. medications on admission: tylenol prn albuterol 1-2 puffs q4-6h prn atenolol 50 mg qd ativan 0.5 mg q6h prn vbenzonatate 100 mg tid compazine 10 mg q6h prn coumadin effexor 187.5 mg qd gabapentin 100 -300 mg qhs lisinopril 10 mg qd ondansetron 8 mg q6h prn oxycodone prn oxycontin 80 mg tid zolpidem 5 mg qhs discharge medications: n/a discharge disposition: discharge diagnosis: primary: 1. small bowel obstruction 2. aspiration pneumonia, suspected 3. renal cell carcinoma discharge condition: discharge instructions: n/a followup instructions: n/a md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of other (naso-)gastric tube diagnoses: other chronic pain unspecified pleural effusion acute kidney failure, unspecified anxiety state, unspecified acute respiratory failure pneumonitis due to inhalation of food or vomitus secondary malignant neoplasm of brain and spinal cord long-term (current) use of anticoagulants personal history of venous thrombosis and embolism other postprocedural status other acute pain encounter for palliative care secondary malignant neoplasm of lung hypovolemia lumbago personal history of malignant neoplasm of kidney volume depletion, unspecified personal history of peptic ulcer disease edema ventral, unspecified, hernia with obstruction secondary malignant neoplasm of adrenal gland 

Answer: The patient is high likely exposed to