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: hematemesis major surgical or invasive procedure: ir coil embolization of hepatic artery history of present illness: 66 y/o female with h/o cholangiocarcinoma s/p l lobectomy, recently discharged home, then readmitted with fatigue, n/v and had g tube placed . d/c to rehab. patient had c/o ruq pain and lower abdominal pain and had vomiting with large amount brown undigested food. past medical history: osteoporosis l hepatic lobectomy cholangiocarcinoma failure to thrive social history: living at single family home currently with husband who has suffered several strokes retired from . no tob, occ etoh. one healthy son. she is one of 13 children family history: mult aunt and uncles with cancers, unknown type physical exam: vs: t 101, 100/58, 118, 18 gen: lying in bed, nad heent: icteric sclera cv: rrr, s1,s2 lungs: diminshed at bases extr: no c/c/e pertinent results: 08:10pm glucose-150* urea n-25* creat-0.5 sodium-134 potassium-3.6 chloride-100 total co2-21* anion gap-17 alt(sgpt)-55* ast(sgot)-48* ld(ldh)-141 alk phos-81 amylase-258* tot bili-5.2* lipase-1116* albumin-2.1* calcium-6.8* phosphate-3.6 magnesium-1.6 wbc-6.8# rbc-3.19* hgb-10.0* hct-27.6* mcv-87 mch-31.3 mchc-36.1* rdw-16.2* neuts-93* bands-1 lymphs-6* monos-0 eos-0 basos-0 atyps-0 metas-0 myelos-0 hypochrom-normal anisocyt-1+ poikilocy-1+ macrocyt-normal microcyt-1+ polychrom ovalocyt-1+ burr-occasional plt smr-normal plt count-192 pt-17.0* ptt-37.5* inr(pt)-1.6* fibrinoge-472* urine color-amber appear-clear sp -1.024 blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-mod urobilngn-neg ph-6.0 leuk-tr rbc-0-2 wbc- bacteria-occ yeast-none epi-0-2 brief hospital course: 66 y/o female with h/o cholangiocarcinoma s/p l lobectomy, recently discharged home, then readmitted with fatigue, n/v and had g tube placed . d/c to rehab. patient had c/o ruq pain and lower abdominal pain and had vomiting with large amount brown undigested food. she was febrile with coffee ground emesis and hypotension. initial attempts to flush existing catheter produced leakage around the catheter. during assessment vitals signs deteriorated and the patient required intubation and transfusion of rbcs (1 unit) biliary catheter was evaluated using pullback cholangiogram that demonstrated arterial communication within the biliary tree, corresponding to the level of the right hepatic artery. there is also multiple peripheral biliary lesions that might correspond to biloma/metastatic disease. a hepatic angiogram was performed for coil embolization of the right hepatic artery with good angiographic results. patient subsequently transferred to the icu. serial hcts performed for gi bleeding, eventually requiring 8 units rbcs. egd showed a large clot in the pylorus, no varices. extubated on . family discussion in the icu and plans for comfort meausures only were discussed. this measure was implemented on the 27th with plan for transfer to regular surgical floor on morphine drip. palliative care consult requested, patient known to palliative care from previous hospitalizations. ativan and morphine were adjusted and used to keep patient comfortable. occasionaly becomes agitated and small dose of ativan is very effective in providing relief of anxiety. patient 3 days on routine surgical floor when family asked for transfer to facility closer to their home. patient to transfer to skilled nursing facility for palliative care. palliative care note/recommendations: pt remains confused but alert at times. she is comfortable on morphine 3mg/hr iv infusion and this dose can be decreased. her family has requested a transfer to a closer to home since she is living beyond the expected few days. they would like to be able to visit more frequently and more easily. today pt is awake, confused. no complaints of pain. in order to transition to oral meds please stop iv infusion. one hour later administer concentrated oral morphine elixir 10 mg sl/po and then administer q2 not prn. please make sure there is a prn order too. if pt becomes somnolent please reduce to q3 round the clock. medications on admission: sq hep 5000 last dosed 9am , prevacid30' last dosed 7am, ativan 1' prn, dilaudid 2mg q4 prn, levoquin 500', phenergan 25'q4 prn, remeron 15 discharge medications: 1. ativan 0.5 mg tablet sig: 1-2 tablets po prn: q 4 hours: may give sl. disp:*30 tablet(s)* refills:*2* 2. morphine concentrate 20 mg/ml solution sig: 0.5 ml po q 2 hours: please reduce to q 3 hours if too somnolent. disp:*60 * refills:*2* 3. morphine concentrate 20 mg/ml solution sig: 0.5 ml po prn q 4 hours. discharge disposition: extended care facility: - discharge diagnosis: cholangiocarcinoma tumor erosion into hepatic artery discharge condition: poor/cmo discharge instructions: call dr. office if questions please do not awaken patient between the hours of 8 pm to 8 am per family request. patient becomes very anxious when awakened during the night followup instructions: none procedure: other endoscopy of small intestine arteriography of other intra-abdominal arteries other endovascular procedures on other vessels diagnoses: secondary malignant neoplasm of other specified sites hematemesis malignant neoplasm of intrahepatic bile ducts 

Answer: The patient is high likely exposed to