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: rofecoxib attending: chief complaint: brbpr major surgical or invasive procedure: flexible sigmoidoscopy history of present illness: 67yo female with uterine ca s/p xrt complicated by procatitis and rectal ulcer. pt received multilpe xrt tx for uterine ca in and had subsequently underwent resection (incomplete) for vaginal recurrence. pt had initially noticed some rectal spotting as early as subsequent to receiving xrt treatments for her uterine ca, however due to her pressing cardiac issues had not paid it much mind. the patient underwent a flexible sigmoidoscopy in which showed severe radiation change in rectum and sigmoid and areas of active bleeding within the rectum which were treated with bipolar coagulation of the bleeding. the patient subsequently underwent another sigmoidoscopy in which found an area of nodular thickened mucosa on the anterior wall of the rectum about 5-7cm from the anal verge. the bleeding was thought to be secondary to radiation change and or infiltrating recurrent uterine cancer submucosally and was treated with bipolar coagulopathy. the patient was in her usual state of health until thurs, after , pt had noticed some brisk bleeding from the rectum which were described as bright red clots coming by the handful. she went to medical center where she was found to have stable vital signs, and hct of 32.8. she was given 1unit prbc and admitted for observation and bed rest. on , the patient reported increased bleeding, now described as gushing out when sitting down on the toilet to go urinate. the bleeding was no longer clots but now flowing bright red blood. the patient was given another unit of prbcs and transferred to for surgical evaluation. past medical history: past medical history: 1. hypercholesterolemia 2. hypertension 3. insulin-dependent diabetes mellitus 4. methicillin resistant staphylococcus aureus 5. gastroesophageal reflux disease 6. congestive heart failure 7. ovarian cancer 8. postoperative atrial fibrillation following coronary artery bypass graft 9. asbestosis . past surgical history: 1. coronary artery bypass graft x 3, off-pump complicated by recurrent wound infection of sternal site 2. status post cholecystectomy 3. status post appendectomy 4. status post right leg plate, open reduction and internal fixation 5. status post bilateral cataract extraction social history: the patient is a retired teacher. she lives alone. she has no tobacco or etoh history. family history: the patient denies any history of ca in her family physical exam: -vs: hr: 50 bp: 161/39 rr: 12 sao2: 100% -gen: well nutritioned female lying in bed in nad, pale, alert, oriented, appropriate, speaking in full sentences in soft voice. -cv: rrr, s1, s2, no murmurs, rubs, gallops -chest: cta bilaterally -abd: obese, vertical 10cm well healed surgical scar (presumably from prior hysterectomy), soft, tympanic, non-tender, bs+ -ext: warm, well perfused, no clubbing, cyanosis, edema. -neuro: alert, oriented x3. pertinent results: 05:46pm wbc-5.5 rbc-3.85* hgb-11.2* hct-33.5* mcv-87 mch-29.1 mchc-33.5 rdw-15.7* 05:46pm plt count-337# 05:46pm pt-13.0 ptt-20.1* inr(pt)-1.1 05:46pm tsh-1.2 05:46pm albumin-3.5 calcium-9.4 phosphate-3.6 magnesium-2.2 05:46pm alt(sgpt)-10 ast(sgot)-13 ld(ldh)-157 alk phos-70 tot bili-0.3 05:46pm glucose-130* urea n-45* creat-1.6* sodium-144 potassium-4.1 chloride-104 total co2-33* anion gap-11 ap upright portable chest at 8:15 am: the most recent prior study that i have for comparison is a study dated . there has been interval placement of a bipolar pacer. the patient is in failure with gross pulmonary edema. : a-v paced rhythm 50 bpm pacemaker rhythm - no further analysis since pervious tracing, no significant change : colonoscopy findings: excavated lesions a large >3 cm ulcer with active oozing of blood was found in the distal rectum. hemostasis and tissue destruction were successfully achieved with argon plasma coagulation. other extensive telangiectasis with active oozing of blood was visualized up to 30 cm into sigmoid colon. hemostasis and tissue destruction at sites of most active oozing were successfully achieved with argon plasma coagulation. impression: 1. ulcer in the distal rectum and extensive telangiectasis with active oozing of blood was visualized up to 30 cm into sigmoid colon. these findings are consistent with radiation proctocolitis. 2. hemostasis and tissue destruction at sites of most active oozing was successfully achieved with argon plasma coagulation brief hospital course: a/p: 67yo female with uterine ca s/p xrt complicated by procatitis and rectal ulcer who now presents with brbpr. . 1. gi bleed: she was initially sent to the icu for monitoring. she did not have any active bleeding and her vital signs and hematocrit were stable. she was transferred to the floor on for further management. she underwent a flexible sigmoidoscopy on which showed an ulcer in the distal rectum and extensive telangiectasis with active oozing of blood up to 30 cm into the sigmoid colon. the most active lesions were coagulated with an argon plasma laser. a repeat sigmoidoscopy as an outpatient was scheduled for for further plasma coagulation. post procedure, she passed several clots and hematocrit dropped four points, and this was expected per gi. she had no brisk rectal bleeding and was otherwise hemodynamically stable. she was discharged to home with strict instructions to return immediately if she developed further bleeding prior to her scheduled gi appointment. she was advised to stop all aspirin/nsaids. . 2. cv: a) coronaries: the patient has a significant cad history including multiple catheterizations, stent placements and cabg in past. her aspirin was held. her long acting beta= amd calcium channel blockers were switched to shorter acting. b) pump: the patient also has a known history of chf with ef of 50% (however with 3+mr). her lasix was initially held on transfer to the floor. she then developed shortness of breath with wheezing and was in mild acute heart failure. this improved quickly with diuresis, upright positioning, and oxygen. she was therafter maintained on lasix and remained euvolemic for the rest of her hospitalization. c) rhythm: pt has a history of afib but is currently in ns with a pacemaker. she was continued on amiodarone. . 3. dm: the patient has dm i. her nph dose was halved while npo and covered with hiss. . 4. cri: the patient's creatinine remained within her baseline throughout the admission. medications on admission: medications: 1. protonix 40 mg by mouth once daily 2. cardizem ext release 120mg once daily 3. lasix 80 mg by mouth twice a day 4. lescol 40 mg qhs 5. toprol xl 150 mg by mouth once daily 6. insulin nph 34 units in the morning, 10 units in the evening, humalog sliding scale 7. amiodarone 200mg once daily 8. nitroglycerin patch 0.2mg/hour on 8am and off at 8pm 9. fe sulfate 325mg once daily . allergies: 1. percocet 2. vioxx 3. fried shrimp discharge medications: 1. amiodarone hcl 200 mg tablet sig: one (1) tablet po hs (at bedtime). 2. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po bid (2 times a day). 3. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. insulin nph human recomb 150 unit/1.5 ml syringe sig: 34 units in am and 10 units in pm units subcutaneous twice a day: take your nph insulin and humalog sliding scale as you were prior to admission. check your blood sugar at least 3 times daily. 7. toprol xl 100 mg tablet sustained release 24hr sig: 1.5 tablet sustained release 24hrs po once a day. 8. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). 9. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 10. multivitamin capsule sig: one (1) cap po daily (daily). 11. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). discharge disposition: home with service facility: staff builders tlc out of discharge diagnosis: radiation induced proctocolitis radiation induced rectal ulcers lower gastrointestinal bleeding congestive heart failure coronary artery disease hypertension diabetes mellitus gerd ovarian cancer discharge condition: stable and improved. she was passing decreasing amounts of clots, and occasional specks of bright blood per rectum. she was hemodynamically stable with stable hematocrit and no brisk rectal bleeding. she was able to ambulate independently without difficulty. discharge instructions: 1. weigh yourself every morning, md if weight > 3 lbs. 2. adhere to 2 gm sodium diet 3. fluid restriction: 1.5 liters. 4. call your doctor or return to the emergency room immediately if you experience shortness of breath or if you experience brisk bleeding from your rectum. you should expect to have a small amount of blood from your rectum after your recent procedure. 5. follow up with gi for another flexible sigmoidoscopy on . followup instructions: 1.provider: , md where: building (/ complex) endoscopy suite phone: date/time: 11:30 2. provider: suite gi rooms where: gi rooms date/time: 11:30 3. follow up with your primary care provider within one week. procedure: endoscopic destruction of other lesion or tissue of large intestine transfusion of packed cells diagnoses: esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status percutaneous transluminal coronary angioplasty status personal history of malignant neoplasm of other parts of uterus hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease angiodysplasia of intestine with hemorrhage radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure personal history of malignant neoplasm of ovary ulcerative (chronic) proctitis 

Answer: The patient is high likely exposed to