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: latex / cefazolin / red dye / cephalosporins / nickel attending: chief complaint: low abdominal pain, bloating, ct with abdominal ascites major surgical or invasive procedure: paracentesis history of present illness: this is a 55 yo g0 s/p exlap/bso for a large left adnexal mass found to be stage 1c mucinous borderline tumor of the ovary who presented to gyn oncology clinic yesterday with concern for low abdominal pain and bloating. this has been getting progressively worse for several months. she had been attributing her abdominal pain to diet and nsaid use, but found that altering these had minimal effect. she reports that laying supine leads to nausea and vomitting. this has led her to sleep in a reclining chair, which she believes has caused some back pain. she endorses significant constipation. of note, she reports being seen at hospital ed recently where she was told she had a subclinical uti infection. for this she was prescribed macrobid, which has caused further emesis. following her gyn oncology appointment yesterday, she was sent for ct of the abdomen and pelvis. prelim read revealed: "moderate ascites with multiple enlarged mesenteric and retroperitoneal nodes and peritoneal implants, worrisome for metastatic disease. there is a loop of jejunum demonstrating marked wall thickening, raising concern for metastatic involvement. there is no evidence of obstruction with passage of contrast beyond this point and lack of upstream dilation. other loops of small bowel also demonstrate mild mucosal thickening. periumbilical subcutaneous nodule, measuring 2.1 cm, may also represent metastatic disease. there is a 8 mm right breast nodule. correlation with mammogram is recommended. simple cyst in the 6th hepatic segment is noted. lll 5 mm subpleural nodule, given underlying malignancy close interval follow-up is recommended. moderate sized axial hiatal hernia. r kidney lower pole 1 cm low attenuation lesion, incompletely characterized given lack of iv contrast. evaluation of uterus and adnexa is limited given technique, correlation with mr or us is recommended." the decision was made to directly admit the patient for further workup including paracentesis. past medical history: ob/gyn hx: g0. stage ic borderline mucinous tumor of the left ovary, treated with bso and biopsy as above. pmh: migraines, seasonal allergies. she reports that her last mammogram was "several years ago." colonoscopy was performed last year. psh: exlap, bso, omental bx, cervical polypectomy social history: lives with husband in . denies t/e/d. family history: no history of breast or gyn malignancy. physical exam: at the time of admission: 98.4, 110, 142/82, 20, 96% ra no i/o recorded yet gen: awake and alert, sitting up at side of bed, well appearing cv: regular rhythm, tachy lungs: ctab ant and post, good inspiratory effort back: no cvat abd: soft, nt, +distended, tympanic to percussion superiorly bilaterally, well healed vertical midline scar, +bs gu: no vb extr: nontender, nonedematous pertinent results: 03:50pm cea-3.3 ca125-275* 03:50pm wbc-17.3* rbc-4.31# hgb-13.0# hct-38.9# mcv-90 mch-30.2 mchc-33.4 rdw-14.1 03:50pm plt count-536* 03:50pm pt-12.3 ptt-22.1 inr(pt)-1.0 03:50pm urea n-9 creat-0.6 sodium-136 potassium-4.1 chloride-95* total co2-26 anion gap-19 03:50pm glucose-108* . ct scan final report indication: 55-year-old woman with symptoms consistent with recurrent ovarian cancer. please evaluate for obstruction. comparison: ct abdomen and pelvis without contrast . technique: mdct axial images from the lung bases to the pubic symphysis were obtained with and without iv contrast. multiplanar reformatted images (axial,coronal, sagittal) were generated. findings: ct abdomen: the visualized lung bases show evidence of small bilateral pleural effusions. the visualized heart and pericardium are unremarkable. a 2-mm nodule reported along the pleura of the left lower lobe is not visualized in this study. a hiatal hernia is once again noted. a hyperdense lesion measuring 9.2 x 9.2 mm is once again noted in the right breast. at the junction of segments v and vi of the right lobe of the liver, there is a 25 x 25 mm well-demarcated, low-density lesion which has not changed in size, previously measuring 25 x 25 mm. the gallbladder appears contracted. the spleen appears normal in size and appearance. the pancreas is normal appearing without evidence of masses. the adrenals appear unremarkable. the kidneys enhance and excrete contrast symmetrically without evidence of hydronephrosis. in the lower pole of the right kidney, there is a 12 x 9.8 mm well-circumscribed hypodensity (2, 34) with attenuation coefficient of 36.5. this is unchanged in size from that noted on prior ct scan. ascitic fluid is noted throughout the abdominal cavity, unchanged in appearance from that noted on prior ct. mesenteric stranding and thickening consistent with omental caking is noted. there is thickened peritoneum suggesting peritoneal implants. findings are consistent with peritoneal carcinomatosis, concerning for metastatic disease. numerous mesenteric and retroperitoneal lymph nodes are noted. small supradiaphragmatic/left paracardial lymph nodes are noted (2, 15). within the region of the umbilicus, in the soft tissues, there is a 20 x 10 mm density that likely represents a small umbilical hernia, but could represent a metastatic lesion (2, 38). the proximal and mid small bowel loops appear dilated. the distal terminal ileum is not dilated, likely representing a transition point at the terminal ileum. the large bowel does not appear dilated. findings are suggestive of partial small-bowel obstruction. the aorta and abdominal vasculature appear patent. there is no free air noted. ct of the pelvis: ascitic fluid is noted within the pelvis, obscuring contours of the pelvic organs. the bladder appears normal. the uterus and adnexa are not clearly visualized secondary to ascitic fluid, however a nodular mass about the fundus of the uterus is noted, which could be exophytic fibroid or metastases. there is no pelvic lymphadenopathy. osseous structures: an area of sclerosis is seen in the posterior aspect of the right iliac bone. impression: 1. proximal and mid small bowel loops are dilated with a possible transition point in the distal terminal ileum, with no dilation of large bowel. findings are consistent with partial small-bowel obstruction. 2. ascites with omental caking and peritoneal implants are noted unchanged from prior ct, concerning for recurrence of ovarian metastatic disease. small bilateral pleural effusion. 3. a nodular mass is noted above the fundus of the uterus. the differential diagnosis includes metastases versus exophytic fibroid. 4. a right-sided breast nodule is noted. correlation with mammogram recommended. 5. a simple cyst is noted in segment vi of the liver, stable in size and appearance from that noted on prior ct. 6. a hypodense lesion is noted in the lower pole of the right kidney, too small to characterize; attention on follow up. dr. was notified of results on the same day. the study and the report were reviewed by the staff radiologist. . final report indication: 55-year-old woman with likely recurrence of ovarian cancer, scheduled for or, pre-op. comparison: ct abdomen and pelvis of . chest, two views: heart size, mediastinal and hilar contours are normal. no focal consolidation or pneumothorax. small right pleural effusion persists. pulmonary vasculature is normal. no gross osseous abnormality. impression: no acute intrathoracic abnormality. small right pleural effusion. . single ap portable view of the chest reason for exam: followup lung abnormalities. comparison is made with prior study performed a day earlier. extensive alveolar diffuse opacities and consolidations have worsened consistent with worsening severe pulmonary edema. cardiac silhouette is obscured by the parenchymal abnormalities. the lines and tubes remain in standard position. . single ap portable view of the chest reason for exam: severe ards. comparison is made with prior study performed a day earlier. there has been markedly improvement in still moderate diffuse alveolar opacities most likely due to markedly improved moderate pulmonary edema. cardiac size is normal. there is no pneumothorax. et tube is in standard position. right ij catheter tip is in the mid svc. ng tube tip is in the stomach. if any there are small bilateral pleural effusions. brief hospital course: the patient was admitted to the gyn oncology service for further work up of her ascites, abd pain, and nausea and vomiting. . *) recurrence of ovarian mucinous cancer the pt was given iv fluids for rehydration and symptomatic relief with zofran and famotidine. her ca-125 was noted to be elevated at 275. she underwent paracentesis on hd#2 which led to drainage of 3000cc of ascitic fluid. cytology revealed malignant cells consistent with involvement by the patients known mucinous ovarian neoplasm and likely represented a recurrence. at attempt was made to obtain an mri of the abdomen and pelvis but the pt was unable to tolerate the procedure. a pelvic us revealed a heterogeneous endometrium consistent with appearance in and a large amount of complex ascites. hd#5 the pt was to undergo a biopsy of an abdominal nodule but this area was felt to be a hernia at time of biopsy and no biopsy was performed. hd#6 a mammogram was done to evaluate the right breast nodule and it was felt to be benign. hd#7 the pt underwent another ct abd/pelvis due to worsening abd sx which revealed a partial sbo. the patient declined an ngt. she was added on for the or for a likely bowel resection, possible resection of recurrent mucinous borderline tumor on hd#9. she was kept npo after midnight and received an enema prior to surgery. she had an ekg which was unremarkable except for sinus tachycardia and a normal cxr. ... post-operative course: the patient was taken to the operating room on hd#9 for a possible bowel resection and tumor debulking. pre-operatively a right ij line was placed and a right a-line. she was also noted to have aspirated despite a rapid sequence intubation. upon entering the abdomen 5 liters of ascites was drained and diffuse invasive tumor was noted throughout her dilated small bowel as well as within the mesentery and coating the large bowel and stomach. there were multiple areas of small bowel with also complete obstruction. the small bowel was edematous and there were no areas noted to be free of tumor. the ileocecal junction and appendix noted to be the area with the highest grade obstruction. there was no distinct tumor seen on the appendix. the tumor also covered the surface of the uterus and bladder and pelvic sidewall. please see operative report for full details. given the extensive tumor , intraoperative consult was made to dr. of general surgery to help create a palliative loop ileostomy and gastrostomy tube which was done. while closing the abdomen, a needle perforation of the small bowel was oversewn with silk sutures. the patient became unstable with hypotension requiring a pressor and becoming hypoxic and tachycardic. anesthesia had noted a small amount of aspiration at the time of intubation and a bronchoscopy was done which revealed a small amount of aspirate and this was suctioned. the patient became slightly less hypoxic but later again desaturated and anesthesia again did bronchoscopy and pushed in 100% oxygen to open the aeriolae. she was given deep, high pressure breaths and 2units of prbcs were pushed to improve the hypotension and likely hypovolemia given the 5 liters of ascites removed. once the patient's stabilization improved to o2 sats in the low 90s and bps steady in the 90s/40s on one pressor, she was transferred to the icu. in the icu the paient remained hypoxic, hypotensive, and tachycardic. she was noted to be in shock and a cxr revealed signficant bilateral infiltrates consistent with ards. the patient continued to be mechanically ventilated on ards protocol. cxr showed radiographic improvement of lung opacities bilaterally the following day, however the patient remained hypoxic with multiple pressor requirement. a family meeting was held to discuss goals of care. given substantial tumor and poor prognosis, the patient's husband made the decision to make the patient comfort-measures only. all non-comfort interventions, including pressors were dicontinued at this time. pain was controlled with morphine. the patient was subsequently extubated. she became progressively more hypoxic and hypotensive. she went into asystole and expired 12 hours post-extubation. medications on admission: macrobid, ativan prn discharge medications: n/a discharge disposition: expired discharge diagnosis: deceased ovarian cancer discharge condition: deceased discharge instructions: n/a followup instructions: n/a md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage other gastrostomy exteriorization of small intestine biopsy of peritoneum diagnoses: acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified hyposmolality and/or hyponatremia other specified intestinal obstruction other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation urinary complications, not elsewhere classified secondary and unspecified malignant neoplasm of intrathoracic lymph nodes secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes secondary malignant neoplasm of retroperitoneum and peritoneum secondary malignant neoplasm of large intestine and rectum secondary malignant neoplasm of small intestine including duodenum personal history of malignant neoplasm of ovary secondary malignant neoplasm of other urinary organs secondary malignant neoplasm of genital organs malignant ascites other (abnormal) findings on radiological examination of breast 

Answer: The patient is high likely exposed to