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: lorazepam attending: chief complaint: hemothorax major surgical or invasive procedure: vats chest tube history of present illness: pt is 61 yo m w/ recent dx of hcc () s/p rfa procedure for svt on , s/p rfa of hcc on as part of clinical trial,ivc clot on lovenox, who presented to the ed w/ fever, dyspnea. pt stated that although he initially felt well after the procedure he began to note r sided chest pain that was worse with deep inspiration, which radiated to the r shoulder and r upper back. he also noted dyspnea on exertion, with activities including climbing the stairs. he presented to the ed where a ct scan was obtained which demonstrated a large r hemothorax. thoracic surgery was consulted and a chest tube was placed. the pt was then admitted to the micu. . in the ed, initial vs were: 96.0 100 111/70 16 100% on unknown oxygen level. patient had a cxr that showed large r pleural effusion, ct scan showed a large right hemothorax. thoracics placed a chest tube. and did not think that protamine was indicated. 2 18g and 1 20g piv were placed for access. while in the ed, the pt developed o2 requirement and vitals at the time of transfer were 98% 4l, p 119, rr 18, bp 108/66. . upon arrival to the floor, t 99.7, hr 112, bp 112/73, rr 17, o2 sat 98% on 2l. pt is complaining of pain at the site of chest tube insertion. past medical history: 1. h/o svt since age 39 2. hcv cirrhosis, hcc: - hcv dx , genotype 3, presumably ivdu - liver biopsy showed cirrhosis, s/p pegylated interferon-ribavirin x48 weeks, became aviremic but lost to f/u x1 year, no documented svr - abnl lfts noted when hospitalized for unrelated illness - afp : 14.8 - ct : ill-defined 5.6cm mass in superior right lobe of liver - bx : moderately-differentiated hcc, with broad bands of fibrosis - not transplant candidate (lesion outside criteria), not resection or chemoembolization candidate (tumor thrombus) - s/p cyberknife to tumor thrombus - cirrhosis well-compensated, with evidence of portal hypertension (varices) and ascites seen on last ct scan 3. biliary colic since (on ursodiol) 4. peripheral neuropathy - he has numbness of the soles of his feet and the tip of his second toe bilaterally, appears to be interferon treatment 5. hypertension 6. history of alcohol use 7. history of iv drug use 8. seasonal allergies 9. s/p knee surgery age 16 social history: he is married and has one daughter, age 24. has a distant history of moderate alcohol use but quit 20 years ago. he smoked cigarettes but quit in . he currently lives in the . family history: denies any family history of hepatitis or hepatocellular carcinoma. grandfather died from heart disease and his grandmother had an unknown cancer. physical exam: vitals: t 99.7, hr 112, bp 112/73, rr 17, o2 sat 98% on 2l general: alert, oriented, no acute distress, somewhat cachetic heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp elevated 8cm, no lad, trachea midline lungs: breath sounds absent on r lower and middle lung base, no wheezes, rales, ronchi cv: tachycardic, regular, normal s1 + s2, no murmurs, rubs, gallops. chest tube in place draining abdomen: soft, distended,bowel sounds present, no rebound tenderness or guarding. gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema . pertinent results: 02:43pm lactate-2.6* 02:40pm glucose-130* urea n-24* creat-1.0 sodium-131* potassium-4.3 chloride-96 total co2-26 anion gap-13 02:40pm alt(sgpt)-60* ast(sgot)-74* ck(cpk)-60 alk phos-95 tot bili-1.7* impression: 1. large right-sided hemothorax with two areas of active extravasation, one of which may be arising from intercostal artery. 2. expected hematoma within the rfa site in the liver dome without enhancement. 3. thrombus within the main portal vein and smv, slightly decreased when compared to prior exam. previously identified thrombus in the middle hepatic vein is not well seen. cavernous transformation of the portal vein is also identified. 4. heterogeneous appearance of the liver concerning for multifocal tumor, incompletely characterized. 5. large amount of ascites. the study and the report were reviewed by the staff radiologist . cxr small loculated areas of air seen in the right base at the site of one of the chest tubes which has now been removed. no apical pneumothorax is present. atelectasis at the right base persists, little changed from the prior chest x-ray. the left lung field remains clear. there is no failure. impression: no significant change. brief hospital course: # hemothorax: the patient was initially admitted for hemothorax which was felt to be secondary to intercostal vessel injury in the setting of his rfa. this required vats with 2 liters of old blood removed, and the placement of three chest tubes. eventually all three chest tubes were pulled, the patients cxrs showed healing, and he began to ambulate easily with physical therapy. the patient was initially recomended for subacute rehab placement, however an amenable facility could not be found. he worked more intensely with pt who cleared him to go home with home pt. follow-up was scheduled with thoracic surgery. . # increasing abdominal distension: on the second day out of the unit the patient began experiencing abdominal distension, gastric discomfort. ng tube was placed, kub was checked and an illeus was discovered. eventually with ng suction, ambulation, and pr suppositories, the illeus resolved and the patient felt relief. he continued to complain of abdominal distension and discomfort. repaeat imaging showed resolution of his bowel gas pattern, and persistent ascites. paracentesis was discussed among the team, the patient, and the patient's hcp and it was determined that the preference would be to spare the patient another procedure. he was initially started on 50 of spironolactone and 20 of lasix, with a small improvement in his distension. . # svt: patient is s/p ablation for svt, however the night before he was transferred out of the icu he was found to be in svt, which he came out of with iv dilt. with oral metoprolol he never returned into a rapid rhythym. he was in sinus the entire time he was on the floor. . #anemia: pt w/ hct on admission of 29 from 39.5, 4 days ago. up to 33.4 with 8 units transfed in unit, though no transfusions since the 29th. his hct was stable the entire time he was on the floor. . #hyponatremia: pt w/ na of 131 upon arrival to the floor. suspect hypovolemic hyponatremia in setting of recent blood loss into hemothorax. has increased to 134 with ivf and xfusions. eventually normalized with iv hydration (albumin). . #hcc: pt currently on clinical trial for hcc, dr. followed the whole time the patient was in house, which was greatly appreciated. . #ivc clot vs smv/portal vein clot there was extensive imaging of this lesion, which was documented to have resolved and the patient was discharged without need for anticoagulation. . #hypertension - we held home antihypertensive medications in setting of the bleed, and the patient never had issues with hypertension so he was sent out off of them. . medications on admission: 1. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 2. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 3. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 4. ursodiol 500 mg tablet sig: one (1) tablet po once a day. 5. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for bloating. disp:*30 tablet, chewable(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day then once a day: take one tablet twice a day for three days, then take one tablet once a day (in the morning) for three more days, then stop. disp:*9 tablet(s)* refills:*0* discharge medications: 1. hydromorphone 2 mg tablet sig: 0.5-1 tablet po q4h (every 4 hours) as needed for pain for 14 days. disp:*84 tablet(s)* refills:*0* 2. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): 12 hours on then remove for 12 hours. disp:*30 adhesive patch, medicated(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 7. simethicone 80 mg tablet, chewable sig: 1.5 tablet, chewables po qid (4 times a day). 8. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day). disp:*60 suppository(s)* refills:*2* 9. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: personal touch vna discharge diagnosis: hemothorax illeus ascites discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted after being found to have bleeding following your rfa for your hepatocellular cancer. you underwent surgical drainage of this blood and briefly required chest tubes. you did well after these chest tubes came out and eventually were safe to walk around the floor. your stay was complicated by constipation known as illeus, and accumulated fluid in your abdomen. we started you on diuretic medications for the fluid and laxatives for the illeus. . the following changes were made to your home medications: the following medications were stopped and must be discussed with your pcp at lisinopril, amlodipine, ursodiol the following medications were started: dilaudid 2mg .5-1tab every four hours as needed for pain lidocaine patch 12 hours on 12 hours off once per day for pain metoprolol 25mg three times per day to control your heart rate omeprazole 40mg daily to protect your stomach docusate 100mg twice per day for constipation senna 8.6mg 1 tab twice per day for constipation simethicone 80mg up to four times per day as needed for gas bisacodyl 10mg per rectum up to twice per day as needed for constipation spironolactone 50mg daily lasix 20mg daily albuterol inhalers every 6 hours as needed for sob/wheezing atrovent inhalers every 6 hours as needed for sob/wheezing followup instructions: department: transplant when: friday at 10:00 am with: , md building: lm campus: west best parking: garage department: thoracic surgery when: tuesday at 9:30 am with: , md building: de building ( complex) campus: east best parking: garage department: hematology/oncology when: wednesday at 2:00 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: insertion of intercostal catheter for drainage other incision of pleura transpleural thoracoscopy diagnoses: anemia of other chronic disease cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia acute kidney failure, unspecified hyposmolality and/or hyponatremia portal hypertension unspecified viral hepatitis c without hepatic coma personal history of tobacco use accidental puncture or laceration during a procedure, not elsewhere classified hemorrhage complicating a procedure other specified cardiac dysrhythmias paralytic ileus accidental cut, puncture, perforation or hemorrhage during other specified medical care personal history of venous thrombosis and embolism other ascites hypoxemia malignant neoplasm of liver, primary other disorders of plasma protein metabolism esophageal varices in diseases classified elsewhere, without mention of bleeding radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure benign essential hypertension essential thrombocythemia other specified forms of effusion, except tuberculous allergic rhinitis due to other allergen 

Answer: The patient is high likely exposed to