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: history of present illness: patient is a 58-year-old male past medical history for hodgkin lymphoma treated in the late that is in remission. status post radiation therapy, complicated by significant brachial plexus injury rendering his right upper extremity, which is illicitly nonfunctional. the patient complained of abdominal discomfort that was consistent with biliary colic in , underwent an ultrasound, which demonstrated an intra and extrahepatic biliary ductal diltation prompting an ercp. ercp was performed in that demonstrated findings consistent with a klatskin type tumor and/or stricture located at the junction of the right and left hepatic ducts. ct of the abdomen was performed demonstrating a mass located in the hilum abutting the cystic and the common and hepatic duct with intrahepatic ductal diltation. findings were consistent with cholangiocarcinoma. also noted was abdominal lymphadenopathy with no evidence of hepatic disease, no intrahepatic metastases. patient underwent brushings at the time of the ercp and there was no evidence of malignancy observed. complains of significant pruritus and back pain. weight loss of 16 pounds over several weeks. complains of dark urine. no chest pain. no shortness of breath. no nausea, vomiting, fever, chills. past medical history: significant for hypertension, hyperthyroidism, hodgkin lymphoma status post radiation treatments, history of questionable pancreatitis and duodenal ulcer. past surgical history: splenectomy and appendectomy. medications: on admission hctz and synthroid 150 every day. allergies: bacitracin and penicillin. physical examination: temperature is 98.4. blood pressure 178/54. pulse 84. respirations 16. height 5'". weight 142. heent pupils equal, round and react to light. eoms are full. tongue midline. no exudates. lungs clear to auscultation bilaterally. abdomen positive bowel sounds, soft, nontender, no hepatomegaly. incisions are well healed. no hernias appreciated. extremities no cce. hospital course: the patient was admitted on and patient was operated by drs. and for a cholecystectomy, common bile duct excision, septoplasty, roux- en-y hepaticojejunostomy, liver biopsy. please see operative note from for more details of the surgery. postoperatively, patient went to pacu and then eventually to the cicu. patient was intubated on propofol. patient received fluid boluses for low blood pressure. patient had 2 jp drains in place. patient was placed on meropenem, vancomycin and fluconazole postoperatively. mrs was performed with a rectal swab demonstrating staph aureus coag positive. on , patient had a bronchioloalveolar lavage. it was noted on chest x-ray that patient had a right main stem bronchus with narrowing correlated to secretions that was demonstrated on recent cat scan on . on , the patient had bronchoalveolar lavage demonstrating staph aureus coag positive. id was consulted. urine culture, blood cultures were obtained on . urine culture demonstrate no growth. blood cultures demonstrated no growth. on the patient had a post pyloric feeding tube placed for nutrition. patient continued being ventilated. levophed was being weaned off. nutritional services were consulted for tube feed recommendations. patient continued on vancomycin and meropenem. patient was written for lasix for diuresis. patient was eventually extubated. physical therapy was consulted. patient still had jp drain in place and biliary tube 1 and biliary tube 2. the patient was continued on antibiotics for mssa pneumonia and polymicrobial cholangitis. on , the patient had a cholangiogram that demonstrated no evidence of obstruction, extravasation or anastomotic stricture. labs on were 21.3, hematocrit 29.7, platelets 593, sodium 138, 4.0, 97, 37, 20, 0.5, glucose 111, alt is 28, ast 46, alkaline phosphatase 66, total bili is 0.3. bile fluid was sent for gram stain and culture demonstrating staph aureus coag positive albicans. jp drain was removed. diet was advanced. calorie counts were obtained. the patient was transferred to the floor on . physical therapy continued working with patient. patient received boost t.i.d. on the floor patient received aggressive chest pt, pulmonary toilet, calorie counts, bedside swallow to evaluate if he had any problems swallowing. his abdomen with 3 cm lateral wall defect, getting wet to dry dressings. speech had seen him on demonstrating that he has significant dysphagia at the bedside. speech pathologist suggested him to be npo pending a video swallow. barium swallow was notable for a weak tongue, dysarthria, right horner and severe dysphagia. etiology is unclear, but is likely multifactorial and felt that he should be npo and continue tube feeds. it was strongly suggested by the speech pathologist that neurology see the patient for dysphagia and other findings including horner syndrome. they felt that patient should be npo and time course of recovery of swallow is unclear. physical therapy continued to work with patient. calorie counts from the demonstrated 370 calories and 9 grams of protein, but food was supplemented with tube feeds. all drains have been removed. continues to be afebrile. vital signs stable and the patient has been walking around with physical therapy, done remarkably well. on postop day 18, no significant overnight events. afebrile. vital signs stable. good is and os. abdomen with bowel sounds soft, nontender, nondistended. repeat barium swallow is being performed today. he is being screened by rehab and hopefully will have a bed very soon. he will be going home on the following medications, albuterol inhalers 6 puffs every 4 hours p.r.n., clobetasol propionate 0.05% cream one application b.i.d. to effected areas. heparin subq 5000 b.i.d., insulin sliding scale, levothyroxine 150 mg every day, protonix 40 mg every 24. patient should call if any fevers, chills, nausea, vomiting, inability to take medications, any abdominal pain, jaundice, incision redness/bleeding or purulent discharge, patient to unable eat or drink or any increased swelling in legs, please call immediately. patient is to follow up with dr. , please call for an appointment. final diagnosis: a 58-year-old male status post roux-en-y hepaticojejunostomy for benign stricture on . secondary diagnoses: dysphagia. path results came back on from the surgery demonstrating the lymph node shows no malignancies. the common bile duct distal margin shows acute and chronic inflammation and fibrosis. common bile cyst duct and common bile duct demonstrate acute and chronic inflammation and fibrosis. gallbladder with chronic cholecystitis, 2 lymph nodes that were not malignant. the septum of bifurcation demonstrated fibrous and granulation tissue with chronic inflammation and fibrosis and liver needle core biopsy demonstrated mild portal inflammation with focal bile duct proliferation, 2 minimal macrovesicular steatosis without intracellular hyalin or neutrophils. also trigone stain increased portal fibrosis, no bridging and iron stain no stainable iron. patient will go to rehab on tube feeds at this point. he will be going to rehab on impact with fiber at 3/4 strength, goal rate is 110 milliliters per hour. please check residuals every 4 hours and hold for residuals of greater than 100 milliliters. also flush with 30 cc of water ever 4 hours. patient should receive physical therapy, occupational therapy in the rehab setting. also make sure he has pulmonary toilet. , md,phd procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed (percutaneous) [needle] biopsy of liver cholecystectomy closed [endoscopic] biopsy of bronchus anastomosis of hepatic duct to gastrointestinal tract excision of other bile duct diagnoses: pneumonia, organism unspecified other iatrogenic hypotension unspecified pleural effusion chronic airway obstruction, not elsewhere classified pulmonary collapse acute respiratory failure pneumonitis due to inhalation of food or vomitus methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites postinflammatory pulmonary fibrosis accidents occurring in residential institution cholangitis obstruction of bile duct tachycardia, unspecified insomnia, unspecified unspecified sinusitis (chronic) chronic cholecystitis neoplasm of unspecified nature of digestive system 

Answer: The patient is high likely exposed to