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: aspirin attending: chief complaint: abdominla pain, jaundice, hypokalemia major surgical or invasive procedure: ercp ct guided (ptbd) right chest tube (vats) history of present illness: this is a 63 year old male with obstructing ampullary mass. he was transferred from where he was admitted on . his chief complaint was jaudice and epigastric pain. his jaudice had been progressing over the preceeding week. he also noted puritis, and light colored stool. he was referred to for ercp. an ercp revealed a fungating mass near the ampulla. the ampulla could not be cannulated. past medical history: htn, mild asthma, gerd, chronic lbp, ?nash, s/p spinal fusion, etoh abuse, cirrhosis social history: no tobacco one quart of rum/day works in pest control lives with son family history: mother died at age 63 from cad father died at age 85 from asbestos exposure. physical exam: gen: comfortable, nontoxic, jaundice significantly improved neck: supple, no cervical/superclavicular adenopathy lungs: ctab cv: regular rate and rhythm, no murmurs abd: soft, nontender, nondistended pertinent results: 04:57pm blood wbc-9.1 rbc-3.51* hgb-10.6* hct-31.7* mcv-90 mch-30.3 mchc-33.6 rdw-15.3 plt ct-246 06:17pm blood wbc-9.5 rbc-2.76* hgb-8.5* hct-25.6* mcv-93 mch-30.9 mchc-33.3 rdw-15.7* plt ct-269 10:48pm blood wbc-11.1* rbc-2.64* hgb-8.3* hct-23.3* mcv-88 mch-31.3 mchc-35.4* rdw-16.2* plt ct-249 01:15am blood wbc-10.0 rbc-2.52* hgb-7.9* hct-22.3* mcv-89 mch-31.4 mchc-35.4* rdw-16.1* plt ct-223 06:36am blood hct-29.4* 04:57pm blood alt-159* ast-189* alkphos-610* amylase-31 totbili-17.9* 06:36am blood alt-78* ast-118* alkphos-216* totbili-16.8* chest (pre-op pa & lat) 4:53 pm findings: pa and lateral views of the chest demonstrates some mild compressive changes at both bases. the cardiac and mediastinal silhouettes are normal. there is no infiltrate or effusion. the right humerus is slightly low in the glenoid fossa. it is unclear if this is positional or if there is slight inferior dislocation. cta abd w&w/o c & recons 10:48 am impression: almost circumferential mass in the second portion of the duodenum with resulting intrahepatic and pancreatic duct dilatation secondary to the ampullary obstruction. multiple areas of low attenuation in the liver, which are non-specific in appearance but are concerning for metastatic disease given the presence of a duodenal mass. few prominent para-aortic and caval nodes are alos concerning for spread of disease. intro perc tranhepatic cath 7:49 am impression: successful placement of an 8-french percutaneous transhepatic biliary drainage catheter into the left biliary system with the pigtail coiled into the common bile duct. chest (portable ap) 6:33 am large right pleural fluid collection which decreased between 5:43 p.m. and 9:51 p.m. following insertion of a right basal tube has not changed in volume subsequently. mediastinum is midline indicating a degree of atelectasis corresponding to the pleural fluid volume. left lung clear. heart size normal. no pneumothorax. a drainage catheter projects over the upper abdominal midline but its precise location cannot be determined on this study. no substantial pneumoperitoneum is demonstrated. chest (portable ap) 3:47 pm findings: ap single view of the chest has been obtained with patient in marked lordotic position. the previously described two right-sided chest tubes remain in unchanged position. no pneumothorax has developed since the preceding examination obtained 4 hours earlier. mediastinal and cardiac contours unchanged with no evidence of chf. right-sided suprahilar mediastinal prominence, unchanged. brief hospital course: 63 year old male with epigastric pain and jaundice due to a 4.8 cm pancreatic head mass and failed ercp decompression on . prior to the placement, he received 4 units of ffp for an elevated inr of 2.0. he then proceeded with placement of a biliary via percutaneous transhepatic cholangiogram on . radiology confirmed the presence of a left biliary system drainage catheter draining cbd. post-ercp, he developed large right hemothorax. his o2 sats dropped to 90% and his bp was 90/60. his hct dropped from 26 to 22. a chest tube placed was promptly placed and it drained serosanguinous fluid. he was transferred to the sicu for monitoring of hypotension. he was transfused x 4 with prbc. a ct confirmed thoracic placement of chest tube. on he had a vats with the thoracic service. a second chest tube was placed. a hct after the procedure was 32.8. he continued to do well after evacuation of the clotted hemothorax and was transferred out of the icu on . on , he had both ct d/c'd without incident. over the next few days he improved markedly. by the time of discharge was tolerating a regular diet, his was collecting approximately 300cc of bile each day, he was ambulating well, and his pain was well-controlled. pathology: pathology results revealed an invasive adenocarcinoma. medications on admission: ms contin 100", atenolol 100', hctz 25' discharge medications: 1. oxycontin 80 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po twice a day. disp:*60 tablet sustained release 12hr(s)* refills:*2* 2. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for wheeze. disp:*1 vial/aerosol* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: obstructive jaundice pancreatic head mass right hemothorax discharge condition: good discharge instructions: * increasing pain * fever (>101.5 f) or vomiting * inability to pass gas or stool * other symptoms concerning to you please take all your medications as ordered. restart previous medications. followup instructions: please follow-up with dr. in 2 weeks. call ( to schedule. procedure: insertion of intercostal catheter for drainage other bronchoscopy other incision of pleura transpleural thoracoscopy other percutaneous procedures on biliary tract closed [endoscopic] biopsy of small intestine percutaneous hepatic cholangiogram endoscopic retrograde cholangiopancreatography [ercp] diagnoses: hemorrhage complicating a procedure obstruction of bile duct other and unspecified alcohol dependence, unspecified malignant neoplasm of ampulla of vater 

Answer: The patient is high likely exposed to