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: penicillins attending: chief complaint: abdominal pain cholecystitis major surgical or invasive procedure: ercp history of present illness: this is a 44 year old male with cholangitis admitted on with ruq abd pain fever and jaundice. he had an ultrasound-guided cholecystostomy tube placement and was discharged home. he was readmitted on with fevers and abdominal pain - wbc = 17.3. an us was consistent with acute cholecystitis with multiple stones lodged within the gallbladder neck. past medical history: multiple sclerosis hypertension depression social history: retired. no etoh. no tobacco. family history: non-contributory physical exam: vss: 98.8, 84, 117/70, 18, 97% ra gen: a+o x 3 cv: rrr pulm: ctab abd: soft, nondistended, mild ruq pain. negative sign. pertinent results: tube cholangiogram 1:48 pm tube cholangiogram reason: please evaluate patency of cholecystostomy tube and evaluate medical condition: 44 year old man with known cholecystitis and prior cholecystostomy tube with new cholecystitis. ? biliary drainage tube obstruction. reason for this examination: please evaluate patency of cholecystostomy tube and evaluate drainage of biliary ductal system, esp cd and cbd. indication: 44-year-old man with known cholecystitis and prior cholecystostomy tube with new cholecystitis. evaluate biliary drainage tube obstruction. evaluate common bile duct. comparison: there are no studies available for the purpose of comparison. note made of ultrasound . findings: optiray was injected through cholecystostomy tube under fluoroscopic guidance. preliminary view demonstrates pigtail catheter in place projecting over gallbladder. there are multiple filling defects in the gallbladder, consistent with stones. the largest is about 2 cm located in the gallbladder. there is a filling defect in distal common bile duct, approximately a centimeter in size, consistent with a stone. contrast is opacifying common bile duct and passing into duodenum. common hepatic duct is not opacified. impression: 1. multiple filling defects in gallbladder, consistent with stones. 2. filling defect in the distal common bile duct, consistent with a stone, nonobstructing. findings were discussed with dr. at 17:50 on . liver or gallbladder us (single organ) 5:56 am liver or gallbladder us (singl reason: eval cholecystitis ,ruq pain. fever medical condition: 44 year old man with ruq pain and fever, s/p t-tube placement. reason for this examination: eval cholecystitis, obstruction, free fluid indication: 44-year-old man with right upper quadrant pain and fever status post cholecystostomy tube placement. right upper quadrant ultrasound: compared to . the gallbladder remains distended with a thickened edematous wall and multiple large stones lodged within the gallbladder neck. positive son sign. the extrahepatic common bile duct is not significantly changed in size, measuring 5 mm. no intrahepatic biliary ductal dilatation. no ascites. the main portal vein demonstrates patent hepatopetal flow. impression: cholecystostomy tube in place; stable appearance of the gallbladder which remains consistent with acute cholecystitis with multiple stones lodged within the gallbladder neck. chest (pa & lat) 6:17 am chest (pa & lat) reason: eval infiltrate, effusion medical condition: 44 year old man with fever, swhite count, ? pna on osh reason for this examination: eval infiltrate, effusion indication: 43-year-old with fever and white count, evaluate for pneumonia. pa and lateral chest: no prior studies for comparison. low lung volumes. elevation of the right hemidiaphragm. heart is enlarged. there is an equivocal right medial basilar opacity. additionally, there is question of a left retrocardiac opacity in the ap view, which is not confirmed on the lateral view. the pigtail drainage catheter in the right upper quadrant. impression: low lung volumes. right medial basilar atelectasis and/or consolidation. ercp procedures: a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. a 12 mm balloon was used to sweep the cbd with successful extraction of the stone and sludge. excellent bile flow was subsequently achieved. impression: 1. cannulation of the biliary duct was successful and deep with a sphincterotome using a free-hand technique. cholangiogram showed an irregular shaped stone in the distal cbd. the proximal cbd, chd and ihds were mildly dilated. 2. a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. 3. a 12 mm balloon was used to sweep the cbd with successful extraction of the stone and sludge. excellent bile flow was subsequently achieved. brief hospital course: he was readmitted on with pain and fevers. on perc chole cholangiogram showed: 1. multiple filling defects in gallbladder, consistent with stones. 2. filling defect in the distal common bile duct, consistent with a stone, nonobstructing. he was npo with iv fluids and ordered for an ercp. this was performed on and cannulation of the biliary duct was successful. a sphincterotomy was performed in the 12 o'clock position, and a balloon was used to sweep the cbd with successful extraction of the stone and sludge. he recovered well from the procedure and was started back on a diet the next day. he will continue with levo and flagyl for 2 weeks and will return to have a cholecystectomy with dr. in weeks. pt: was evaluated by pt and sent home with services. medications on admission: neurontin 300''', baclofen 20 mg'''+ 40mg qhs, linisopril 30', paxil 20'', flomax 0.4', provigil 200 qam and afternoon discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. flagyl 500 mg tablet sig: one (1) tablet po every eight (8) hours for 2 weeks. disp:*qs tablet(s)* refills:*0* 3. saline flush 0.9 % syringe sig: one (1) injection once a day for 1 months. disp:*qs * refills:*0* 4. cipro 500 mg tablet sig: one (1) tablet po every twelve (12) hours for 2 weeks. disp:*28 tablet(s)* refills:*0* discharge disposition: home with service facility: community vna discharge diagnosis: cholecystitis stone - distal common bile duct discharge condition: good discharge instructions: * increasing pain * fever (>101.5 f) * inability to eat or persistent vomiting * inability to pass gas or stool * increasing shortness of breath * chest pain please restart all of your home medications and please take all new medications as ordered. followup instructions: provider: , md phone:. please follow-up in 4 to 5 weeks. call to schedule an appointment. provider: , md phone: date/time: 9:00 procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy percutaneous aspiration of gallbladder diagnoses: unspecified essential hypertension multiple sclerosis calculus of gallbladder with acute cholecystitis, without mention of obstruction calculus of bile duct with acute cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to