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: ciprofloxacin / latex attending: chief complaint: adenocarcinoma of the head of pancreas major surgical or invasive procedure: whipple procedure with smv reconstruction history of present illness: born in , mr. is a strong and healthy gentleman who suffered a recent episode of acute pancreatitis in of this summer of . he was identified as having a pancreatic head mass on ct imaging amidst the pancreatitis. this has been followed up further with subsequent mri and mrcp imaging in . he lost some weight, suffered through some anorexia that is slowly improving, and was ultimately discharged from the hospital and has continued to improve. he is moving his bowels, making good urine, and has no diarrhea. he has never developed obstructive jaundice. the only recent symptom otherwise was just a general feeling of dizziness about three to four months ago. he has no real prior surgical history. there was a question of coronary artery disease, but he did well according to his result with the stress test three to four years ago. i asked him to determine from you if he has had any sort of carotid imaging in light of the dizziness feeling and question of a vision loss that occurred three to four months ago. he had prostate cancer for which he received external beam radiation therapy and he has known barrett's esophagus. he also underwent an endoscopic ultrasound by dr. . this clearly sees the pancreatic head lesion, which does not involve any of the vasculature. quite surprisingly, in my judgment, the cytology report is negative for malignancy. he has no other symptoms of chest pains or palpitations; no pneumonia, shortness of breath, and he has not got diabetes. other than the recent weight loss around this acute illness, he has been well. there is no family history of pancreatic cancer. he is not anticoagulated, but does take aspirin 325 mg a day. past medical history: barrett's esophagus retinal vascular occlusion - branch cancer, prostate s/p radiation beam therapy in coronary artery disease headache - migraine hypercholesterolemia presbyopia hearing loss, sensorineural glaucoma social history: retired. software developer (worked on the first computer system at the ), then product development consultant. now composes computer music. two children from previous marriage. lives with wife. : cigars in 20s. etoh/illicits: never. family history: no first degree relatives with cancer. physical exam: pre-op exam on physical exam, he is well appearing, not jaundiced, and quite intelligent. he understands the uncertainties of his case. his neck is supple with midline trachea and no jugular venous distention. his chest is clear. his cardiac rate and rhythm is normal. his abdomen is entirely benign today with no masses or tenderness. his extremities show no peripheral edema and full range of motion with a normal gait and grossly normal neurologic and vascular exams. discharge exam 98.2 97.6 67 122/62 18 99%ra gen: nad, a&ox3 cv: rrr pulm: ctab abd: soft, non-distended, non-tender, well healing incision dressed with steri-strips; dressed prior jp site pertinent results: 11:00am blood wbc-8.5 rbc-4.32* hgb-11.6* hct-35.9* mcv-83 mch-26.8* mchc-32.2 rdw-14.3 plt ct-218 02:00am blood wbc-15.5* rbc-4.15* hgb-11.3* hct-34.1* mcv-82 mch-27.2 mchc-33.1 rdw-14.7 plt ct-175 03:25am blood wbc-21.9* rbc-4.40* hgb-11.7* hct-36.1* mcv-82 mch-26.6* mchc-32.4 rdw-14.8 plt ct-192 06:08pm blood wbc-24.5*# rbc-4.50* hgb-12.1* hct-37.2* mcv-83 mch-26.9* mchc-32.5 rdw-14.6 plt ct-191 11:00am blood plt ct-218 02:00am blood plt ct-175 03:25am blood plt ct-192 03:25am blood pt-14.2* inr(pt)-1.3* 06:08pm blood plt ct-191 06:08pm blood pt-14.1* inr(pt)-1.3* 11:00am blood 02:00am blood 03:25am blood 06:08pm blood 11:00am blood glucose-123* urean-11 creat-0.7 na-139 k-4.2 cl-104 hco3-30 angap-9 02:00am blood glucose-129* urean-13 creat-0.7 na-139 k-4.2 cl-105 hco3-29 angap-9 03:25am blood glucose-148* urean-15 creat-0.8 na-137 k-4.3 cl-104 hco3-24 angap-13 06:08pm blood glucose-147* urean-16 creat-0.8 na-137 k-4.5 cl-106 hco3-20* angap-16 11:00am blood alt-62* ast-52* alkphos-44 totbili-0.3 02:00am blood alt-63* ast-48* alkphos-32* totbili-0.5 03:25am blood alt-97* ast-72* alkphos-33* totbili-0.5 06:08pm blood alt-136* ast-104* alkphos-35* totbili-0.7 11:00am blood albumin-3.3* calcium-8.1* phos-2.4* mg-2.0 02:00am blood calcium-8.0* phos-1.7* mg-2.1 03:25am blood calcium-8.3* phos-3.0 mg-2.3 06:08pm blood calcium-7.9* phos-4.3# mg-1.7 06:39pm blood type-art po2-86 pco2-41 ph-7.32* caltco2-22 base xs--4 04:30pm blood type-art temp-36.8 rates-10/ tidal v-560 fio2-100 po2-120* pco2-46* ph-7.32* caltco2-25 base xs--2 aado2-549 req o2-91 intubat-intubated vent-controlled 02:09pm blood type-art po2-160* pco2-44 ph-7.33* caltco2-24 base xs--2 12:40pm blood type-art po2-194* pco2-42 ph-7.39 caltco2-26 base xs-0 04:30pm blood glucose-155* lactate-4.0* na-136 k-4.6 cl-106 02:09pm blood lactate-2.6* 12:40pm blood glucose-130* lactate-1.7 na-137 k-4.5 cl-107 04:30pm blood hgb-13.8* calchct-41 02:09pm blood hgb-13.8* calchct-41 12:40pm blood hgb-13.8* calchct-41 04:30pm blood freeca-1.06* 12:40pm blood freeca-1.11* 11:01am blood ca -9 -pnd brief hospital course: the patient was admitted to the hepatopancreaticobiliary surgery on for treatment of a presumed pancreatic adenocarcinoma with suspected invasion of superior mesenteric vein. on , the patient underwent pylorus preserving pancreaticoduodenectomy with en bloc resection of superior mesenteric vein, superior mesenteric vein primary venorrhaphy (end-to-end), and cyberknife fiducial placements, which went well without complication (reader referred to the operative note for details). of note, a left subclavian line was placed with a post-placement cxr that showed a large left sided pneumothorax. a pigtail catheter chest tube was placed and eventually, the lung fully expanded. the chest tube was then removed with post-removal cxr showing continued expansion of the lung. after a brief, uneventful stay in the pacu, the patient was transfered to the icu for increased monitoring given his vascular repair. after being stabilized in the unit for a couple days, the patient arrived on the floor npo on iv fluids, with a foley catheter and a jp drain in place, and an epidural for pain control. the patient was hemodynamically stable. the hospital course was uneventful except for the need for a chest tube placement (see above) and followed the whipple clinical pathway without deviation. post-operative pain was initially well controlled with an epidural, which was converted to oral pain medication when tolerating clear liquids. the ng tube was discontinued on pod#3, and the foley catheter discontinued at midnight of pod#4. the patient subsequently voided without problem. the patient was started on sips of clears on pod#4, which was progressively advanced as tolerated to a regular diet by pod#7. jp amylase was sent in the evening of pod#6; the jp was discontinued on pod#7 as the output and amylase level were low. during this hospitalization, the patient ambulated early and frequently, was adherent with respiratory toilet and incentive spirrometry, and actively participated in the plan of care. the patient received subcutaneous heparin and venodyne boots were used during this stay. the patient's blood sugar was monitored regularly throughout the stay; sliding scale insulin was administered when indicated. at the time of discharge on , the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. staples were removed, and steri-strips placed. the patient was discharged home without services. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 2. diltiazem hcl 120 mg capsule, extended release sig: one (1) capsule, extended release po daily (daily). 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po hs (at bedtime). 5. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 6. atorvastatin 20mg daily discharge medications: 1. aspirin 325 mg po daily rx *aspirin 325 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*5 2. brimonidine tartrate 0.15% ophth. 1 drop left eye 3. diltiazem extended-release 120 mg po daily 4. fluticasone propionate nasal 2 spry nu :prn congestion 5. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain rx *hydromorphone 2 mg tablet(s) by mouth every four (4) hours disp #*30 tablet refills:*0 6. senna 1 tab po bid 7. ranitidine 150 mg po hs 8. pantoprazole 40 mg po q24h rx *pantoprazole 40 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*5 9. metoclopramide 10 mg po q6h rx *metoclopramide hcl 10 mg 1 tablet(s) by mouth daily disp #*56 tablet refills:*0 10. latanoprost 0.005% ophth. soln. 1 drop both eyes hs 11. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 discharge disposition: home with service discharge diagnosis: adenocarcinoma of the head of the pancreas discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a whipple procedure for adenocarcinoma of the head of your pancreas with reconstruction of your superior mesentery vein. please call your doctor or nurse practitioner if you experience the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. . general discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: , md phone: date/time: 9:30am procedure: insertion of intercostal catheter for drainage radical pancreaticoduodenectomy cholecystectomy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt resection of vessel with anastomosis, abdominal veins diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia personal history of malignant neoplasm of prostate personal history of tobacco use anxiety state, unspecified iatrogenic pneumothorax malignant neoplasm of head of pancreas unspecified hearing loss secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes presbyopia 

Answer: The patient is high likely exposed to