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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain and bright red blood per rectum major surgical or invasive procedure: colonoscopy bleeding scan transfused 6 units prbc history of present illness: 82 yo f with hx of prior cva with residual r-sided weakness, as ( 1.2 cm2), known cecal and splenic flexure masses, recently admitted for sub-sternal chest pressure in the setting of brbpr and a hct of 20.8 presents with substernal chest pressure in setting of brbpr. . of note the patient was admitted from through with brbpr, acute on chronic anemia and chest pain with ecg changes. the patient was observed in the micu for 1 day and given a total of 4prbcs on that brought her hct from 20.8 to 30.8. the patients chest pain subsequently resolved and she was discharged home. there was a recommendation for tagged rbc scan during that admission, however she had no further episodes of bleeding during the hospitalization. . since discharge the patient has had mulitple episodes of brbpr. last night the pt noted "significant brbpr". on the morning of admission patient reported substernal chest pain across her chest that resembled prior episodes of chest pain. she was brought to the ed, where initial vs were 97.8 77 141/48 19 97. labs were notable for hct of 20.7 (down from 27.6 on ). ecg notable for nsr 66 std v3-6. general surgery was consulted. the patient was admitted to micu for closer monitoring. past medical history: -acute on chronic gi bleed () with associated cp requiring 4prbcs -l mca infarct , residual r sided deficits -as ( 1.1 cm2 by tte ) -htn -carotid stenosis -moderate pulm htn -cecal and splenic flexure mass ( bx showed superficial fragments of colonic mucosa with rare dilated crypts, granulation tissue formation and focal ulceration may be seen overlying/adjacent to a mass lesion or may represent superficial sampling of an inflammatory-type polyp) -diverticulosis -internal hemorrhoids social history: h/o tobacco use. 3 children (2 sons, 1 daughter, son in assists w/ care), many grandchildren. walks w/ a cane at baseline. uses meals on wheels. vna services weekly. family history: mother d. cancer, father d. cad, children healthy physical exam: vs: 98.3 144/58 66 18 97%ra 8h: 0 + 10 / 600+ (brp) 24h: 300 + 700 / 450+ gen: awake, sitting on edge of bed, nad heent: eomi, perrl, mmm, oropharynx clear without erythema or exudate, neck supple, no jvd, no cervical or supraclavicular lad cv: rrr, iii/vi crescendo-decrescendo murmur radiating to the carotids, no rubs or gallops, nl s1+s2 lung: ctab, no wheezes rales or rhonchi abd: soft, obese, nontender, nondistended, +bs, no rebound or guarding, no hsm ext: w/wp, no c/c/e, 1+ dp pulses b/l skin: warm, dry & intact without rashes or lesions neuro: a+ox3, cn ii-xii grossly intact with no focal deficits. some residual r-sided strength deficit from prior cva. gait not observed. pertinent results: admission labs: 04:04pm blood wbc-5.5 rbc-2.23*# hgb-6.6*# hct-20.7* mcv-93 mch-29.7 mchc-32.0 rdw-16.0* plt ct-354 04:04pm blood neuts-65.7 lymphs-24.5 monos-5.3 eos-3.5 baso-0.9 04:04pm blood pt-12.8 ptt-23.8 inr(pt)-1.1 04:04pm blood glucose-99 urean-36* creat-1.1 na-138 k-4.5 cl-105 hco3-24 angap-14 05:04pm blood hct-30.7* 12:22am blood ck-mb-2 ctropnt-<0.01 04:04pm blood ctropnt-<0.01 . discharge labs: 06:45am blood wbc-6.5 rbc-4.10*# hgb-11.5*# hct-36.7# mcv-90 mch-27.9 mchc-31.2 rdw-15.1 plt ct-465* 06:45am blood glucose-80 urean-12 creat-0.8 na-144 k-4.7 cl-110* hco3-25 angap-14 06:45am blood calcium-8.4 phos-3.5 mg-2.2 . colonoscopy report impression: mass in the hepatic flexure mass in the splenic flexure polyp in the sigmoid colon (polypectomy) polyp in the rectum diverticulosis of the whole colon otherwise normal colonoscopy to terminal ileum . gi bleeding study study date of impression: no evidence of active gastrointestinal bleed. . chest (portable ap) study date of 5:20 pm impression: left base linear atelectasis/scarring. otherwise, no acute cardiopulmonary abnormality. brief hospital course: 82f with hx of prior cva with residual r-sided weakness, as ( 1.2 cm2), known cecal and splenic flexure masses, recently admitted for sub-sternal chest pressure in the setting of brbpr and a hct of 20.8 presents with substernal chest pressure in setting of brbpr. she was ruled out for mi by ekg and enzymes. . # gi bleed: admission hct was 20.7, and pt was transfused a total of 4 units prbc to maintain a hct in the high 20s to low 30s. pantoprazole drip started; switched to po on the floor. she continued to have melenic and frankly bloody bowel movement. ng lavage was negative for ugi bleed; did not show any bile. tagged rbc scan did not show active bleed. colonoscopy showed splenic flexure and hepatic flexure masses concerning for malignancy; also showed rectal polyp that was presumed to be the source of bleeding (although was not bleeding at the time of colonscopy). discussion regarding surgery vs medical management was ongoing throughout admission. ultimately surgery decided that they would not intervene and recommended that patient follow up as an outpatient or sooner if she were to re-bleed. patient's aspirin and lisinopril were held. # substernal chest pressure: resembles prior episode in setting of ecg changes suggestive of ischemia. cardiac biomarkers negative. likely demand ischemia in setting of gastrointestinal bleed. pain resolved and patient's hct was kept in 28-30 range. statin was continued. . # htn: bp stable. antihypertensives were initially held in the setting of bleed, but verapamil was eventually restarted. lisinopril was discontinued per recommendations. . # prophylaxis: pneumatic boots. . # code: full code medications on admission: asa 81 mg simvastatin 20 mg daily lisinopril 10 mg daily verapamil 240 mg daily ferrous sulfate 325 mg daily vit d vit c mvi omega-3 discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 3. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. outpatient lab work blood work to be drawn every monday and thursday. check cbc with results faxed to dr. at . 8. verapamil 240 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). discharge disposition: home with service facility: vna discharge diagnosis: primary 1. lower gastrointestinal bleed 2. rectal polyp 3. colonic masses at the hepatic and splenic flexures discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: 1. you were admitted for gi bleeding. you had several studies or procedures performed, and we determined that your bleeding was coming from a rectal polyp. you will need to have blood work as an outpatient, with results faxed to your pcp. you have continued bleeding, you should see your pcp or go to your local emergency department immediately. 2. you were also found to have two masses in your colon that are concering for cancer. you will need to follow-up with your surgeon and gastroenterologist as an outpatient. 3. should should take your medications as prescribed. - stop taking aspirin - stop taking lisinopril 4. it is very important that you keep all of your doctors . followup instructions: department: gerontology when: tuesday at 4:00 pm with: , md building: lm bldg () campus: west best parking: garage department: surgery when: thursday, at 10 am with: , md where: ., ma phone: department: gerontology when: tuesday at 3:30 pm with: , md building: lm bldg () campus: west best parking: garage . department: cardiac services when: friday at 10:20 am with: , m.d. building: campus: east best parking: garage procedure: endoscopic polypectomy of large intestine diagnoses: unspecified essential hypertension acute posthemorrhagic anemia aortic valve disorders other chronic pulmonary heart diseases occlusion and stenosis of carotid artery without mention of cerebral infarction other specified forms of chronic ischemic heart disease other late effects of cerebrovascular disease hemorrhage of gastrointestinal tract, unspecified benign neoplasm of colon diverticulosis of colon (without mention of hemorrhage) anal and rectal polyp difficulty in walking other musculoskeletal symptoms referable to limbs neoplasm of unspecified nature of digestive system 

Answer: The patient is high likely exposed to