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: no known allergies / adverse drug reactions attending: chief complaint: hematemesis major surgical or invasive procedure: upper endoscopy history of present illness: 25 yo m from with h/o hep b cirrhosis, extensive hepatocellular carcinoma transferred from rehab for hematemesis. per note, pt has been followed at for several years for chronic hepatitis b. it has been presumed that his hepatitis b was acquired perinatally. pt has extensive hepatocellular carcinoma and been presented in liver tumor conference. . per , pt presented with hematemesis ~ 1hr prior to arrival. pt's sbp was in 70son initial arrival, bp 119/79 after 2 u prbc transfusion. ptcontinued to vomit fresh blood and was intubated in ed for airway protection. in total, received 7 uprbc, 4 ffp, 2 plt. gi performed upper endoscopy which revealed varices at the lower third of the esophagus. active bleeding from fundic varices. large expansile fresh blood clots in the fundus of stomach, no able to perform endoscopic therapy due to lack of access. tube was placed to stop bleeding. there was also e/o ? hemothorax on cxr. repeat cxr did not show this. past medical history: hepatocellular ca: -dx, surveillance u/s -mri ab : extensive tumor involving the right liver lobe with possible extension to the liver capsule at the inferior edge.; also extensive tumor thrombus involving the main, right, and left portal veins as well as a large bilobed adrenal mass measuring 9 cm consistent with metastasis. -trying to enroll in sorafenib trial hepatitis b diagnosed in , maintained on entecavir at hosp cirrhosis c/b variceal bleeding ( s/p banding) history of positive ppd treated with six months inh. history of h. pylori infection. history of hypertension. h/o +ppd, s/p 6mos inh social history: born in . the patient denies any tobacco, alcohol or other illicit drug use. he graduated from with a degree in accounting in . family history: the patient's father suffers from hypertension, and his mother, two brothers and one sister are all healthy and well. there is no significant family history of liver disease. the patient does not believe that anybody else in his family has hepatitis b as well. physical exam: gen: intubated, sedated heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: rales at bases cv: rr, s1 and s2 wnl, no m/r/g abd: distended abd ext: no c/c/e; left and right femoral cvl's in place skin: no rashes/no jaundice/no splinters neuro: intubated, moving all extremities. pertinent results: 04:18am blood wbc-13.7*# rbc-2.08*# hgb-5.6*# hct-17.9*# mcv-86# mch-27.1 mchc-31.5 rdw-18.2* plt ct-226 12:08pm blood hct-32.2* 04:18am blood pt-19.0* ptt-34.4 inr(pt)-1.7* 04:18am blood glucose-150* urean-10 creat-1.0 na-129* k-5.2* cl-101 hco3-19* angap-14 08:29am blood glucose-92 urean-9 creat-0.7 na-136 k-4.0 cl-107 hco3-20* angap-13 04:18am blood alt-87* ast-139* alkphos-346* totbili-1.5 08:29am blood alt-89* ast-142* ld(ldh)-337* alkphos-266* totbili-4.7* 04:18am blood calcium-7.8* phos-5.3*# mg-1.6 08:29am blood albumin-2.9* calcium-10.4* phos-4.2# mg-1.4* 07:39am blood lactate-10.9* egd findings: esophagus: protruding lesions 3 cords of grade ii varices were seen in the lower third of the esophagus, no active bleeding. stomach: other active bleeding from fundic varices. large expansile fresh blood clots in the fundus of stomach, no able to perform endoscopic therapy due to lack of access. tube was placed to stop bleeding. duodenum: other full of blood clots. impression: varices at the lower third of the esophagus active bleeding from fundic varices. large expansile fresh blood clots in the fundus of stomach, no able to perform endoscopic therapy due to lack of access. tube was placed to stop bleeding. full of blood clots. otherwise normal egd to duodenal bulb brief hospital course: 25 yo m with hcc, hbv, cirrhosis and h/o varices, presents with massive gib and hematemesis d/t fundic varices, now s/p intubation and tube. # massive gi bleed: secondary to fundic variceal bleed. hct on admit was 17.9. s/p 9 u prbcs, 4 u ffp and 2 u plts. tube in place. hct improved to 34.8. the hepatology service was consulted and they recommended shifting goals of care to comfort-oriented as there were not any good options for controlling the patient's bleeding. a family meeting was held with hepatology present and the patient's family agreed to optimize the patient's comfort. the patient's esophageal balloon was left in place, and the patient soon expired. medications on admission: at rehab: dronabinol 5mg tid qac lasix 40 daily megesterol 400mg po nystatin 5ml s+s omeprazole 40mg daily ondansetron 8mg q8 oxycontin 40 q8 propranolol 20 mg daily spironolactone 50 daily tylenol 325 q6 hydromorphone 4mg iv q2h hydromorphone 12mg q4 po lactulose 10g daily zofran iv zolpidem 5mg qhs discharge medications: expired. discharge disposition: expired discharge diagnosis: expired. discharge condition: expired. discharge instructions: expired. followup instructions: expired. procedure: other endoscopy of small intestine diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol encounter for palliative care malignant neoplasm of liver, primary esophageal varices in diseases classified elsewhere, with bleeding chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta 

Answer: The patient is high likely exposed to