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: amoxicillin / alphagan p attending: chief complaint: bile duct cancer major surgical or invasive procedure: : common bile duct excision,cholecystectomy, roux-en-y hepaticojejunostomy over a 5-french feeding tube. : tube cholangiogram history of present illness: 65-year-old male who initially presented with painless jaundice, e. coli bacteremia, and a mid bile duct stricture. he was successfully treated for his bacteremia and had undergone ercp with stenting of the mid bile duct stricture. he is now to undergo surgery past medical history: - cad s/p mi in - htn - oa - osa, wears bipap at night - hyperlipidemia - glaucoma and cataracts social history: married. nonsmoker, 1-2 drinks/week, no illegal drugs family history: negative for malignancy; father and sister with dm physical exam: vs: 100.4, 90, 103/63, 20, 96% general: nad card: rrr lungs: cta bilaterally, no rales or wheezes abd: soft, slightly distended, appropriately tender extr: 1+ edema. right ankle developed swelling and pain during the hospitalization pertinent results: on admission: wbc-9.9# rbc-3.83* hgb-13.1* hct-39.3* mcv-103* mch-34.2* mchc-33.3 rdw-15.5 plt ct-275 pt-14.9* ptt-26.5 inr(pt)-1.3* glucose-118* urean-18 creat-1.0 na-142 k-5.2* cl-111* hco3-21* angap-15 alt-95* ast-98* alkphos-66 totbili-1.5 calcium-8.9 phos-5.3*# mg-1.7 on discharge: wbc-6.0 rbc-3.38* hgb-11.4* hct-33.9* mcv-101* mch-33.7* mchc-33.6 rdw-14.8 plt ct-236 glucose-95 urean-10 creat-0.9 na-140 k-3.9 cl-107 hco3-23 angap-14 alt-25 ast-28 alkphos-56 totbili-0.8 calcium-8.4 phos-3.0 mg-2.0 brief hospital course: 65 y/o male with history of painless jaundice, e. coli bacteremia, and a mid bile duct stricture, who underwent ercp with stenting of the mid bile duct stricture. he is now brought to the operating room for common bile duct excision, cholecystectomy, and roux-en-y hepaticojejunostomy with dr . per dr operative note at the time of surgery, the mid third of the bile duct was firm and fibrotic consistent with a known tumor. the biliary stent was in place. after division of the distal common bile duct, the distal margin was initially positive for adenocarcinoma. an additional distal margin was taken that was interpreted as negative. our initial proximal margin was positive for carcinoma in situ, but no invasive carcinoma. our second proximal margin was negative. the patient had normal anatomy otherwise. he did have a fatty liver. the patient tolerated the procedure without complications and minimal blood loss. he was given an epidural for pain management and then transitioned to iv then po pain meds as tolerated. the ngt was d/cd on pod 3 and the patient slowly started to increase his diet. his abdomen was slightly distended, but he did have return of bowel function by pod 5. t tube choalngiogram was checked on pod 5 showing patent right hepatico-jejunostomy anastomosis with contrast flow freely through the anastomosis. no bowel leak visualized at the right hepatic duct. no dilation of right hepatic duct and its branches visualized. the roux tube was capped and the jp drain was pulled. the incision has a small area at the middle portion that had slight amount of discharge. staples were not removed and a dry dressing was kept on the site. he also had complaint of right ankle pain and swelling. lenis were obtained and there was no evidence of dvt in either leg. radiographs of the foot were also obtained and did not show evidence of acute fracture, he did have some degenerative changes. he was evaluated by pt who deemed him safe to d/c to home. although the patient initially did have return of some bowel function, he started to appear more distended and an ileus was confirmed by kub on . po intake was scaled back and we awaited return of bowel function. his distention improved and his diet was again advanced as tolerated. two areas of the incision were opened prior to his discharge and he was started on a week of po keflex. the wounds will be packed and he is discharged to home with vna. outpatient follow up with oncology will be arranged once he is healed from surgery. medications on admission: albuterol, atenolol, flovent, lisinopril discharge disposition: home with service facility: vna of /southern nh discharge diagnosis: bile duct cancer, pathology final report pending ileus wound cellulitis discharge condition: stable discharge instructions: please call dr office at for fever > 101, chills, nausea, vomiting, increased abdominal/back pain, diarrhea, constipation, inability to take or keep down food, fluids or medications. monitor the incision for redness, drainage or bleeding. the incision dressings should be changed once a day with damp saline gauze to 2 open areas by visiting nurse . schedule follow up with your pcp. need to resume lisinopril. no heavy lifting no driving if taking narcotic pain medication followup instructions: provider:. , md phone: date/time: at 3:20 , orthopedic private practice phone: date/time: 11:30 md, procedure: cholecystectomy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt other cholangiogram anastomosis of hepatic duct to gastrointestinal tract other excision of common duct diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery other postoperative infection cellulitis and abscess of trunk unspecified essential hypertension unspecified glaucoma other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction paralytic ileus obesity, unspecified obstruction of bile duct pain in joint, ankle and foot unspecified cataract malignant neoplasm of extrahepatic bile ducts hip joint replacement effusion of joint, ankle and foot obstruction of gallbladder 

Answer: The patient is high likely exposed to