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: history of present illness: the patient is a 63-year old female with a history of colon cancer. underwent a right hemicolectomy on for an ulcerated poorly differentiated adenocarcinoma. the tumor stage was t3, n2, m1. a liver biopsy at the time of that exploration confirmed metastatic adenocarcinoma consistent with a colonic primary. from a ct scan that was from ; it documented metastatic disease, and she was subsequently treated with 5- fu, leucovorin - and she believes irinotecan and avastin. on she underwent a ct of her chest that demonstrated a 3- to 4-mm tiny pulmonary nodule peripherally and posteriorly at the right lung base. a follow-up ct of the abdomen was performed demonstrating that the liver had multiple lesions that were present on a prior examination from and that all the lesions had increased in size; with the largest located posteriorly in the right lobe and measuring 7 cm. there was 1 new lesion that developed peripherally in the right lobe since her prior study. dr. had reviewed the ct scans of her abdomen from which demonstrated 5 lesions in the right lobe of the liver; with the largest lesion posteriorly abutting the inferior vena cava and splitting the right middle hepatic veins. there appeared to be no extrahepatic disease, and no disease in the left lobe of the liver. she is presently asymptomatic. she denies any fevers, chills, nausea, vomiting, diarrhea or constipation. her last dose of avastin was 3 weeks ago. past medical history: significant for colon cancer diagnosed in , status post chemotherapy; history of prolapsed mitral valve diagnosed in the ; history of osteoporosis diagnosed in . past surgical history: significant for a right hemicolectomy and liver biopsy on ; status post hysterectomy in . allergies: the patient has no known drug allergies. medications on admission: estradiol 0.5 mg daily. social history: she is married. no children. works as a full- time librarian. tobacco: no history of tobacco. no history of iv drug use. no history of tattoos, hepatitis. alcohol: she has an occasional glass of wine every other day. she has had multiple blood transfusions in the past. physical examination: temperature 96.8, blood pressure 120/68, heart rate 84, respirations 16, height 5 feet, weight 101 pounds. the patient is a thin, well-developed, well- nourished female in no acute distress. skin: unremarkable. heent: there is scleral icterus. pupils equal, round and reactive to light. mouth: tongue midline. no exudates. neck: no lymphadenopathy. no thyromegaly. carotids 2+/4 without bruits. lungs: clear to auscultation. cardiovascular: regular rate and rhythm, normal s1/s2, without murmurs or rubs. abdomen: positive bowel sounds. no tenderness. no ascites. no hepatosplenomegaly. she has a well-healed lower midline scar, and also a well-healed port site from her laparoscopic colectomy. extremities: no peripheral edema, 2+/4 bilaterally. neurologic: exam is unremarkable. laboratory data: wbc of 5.9, hematocrit of 37.9, platelets of 262. sodium 139, potassium 4.6, chloride 101, bicarbonate 29, bun 15, creatinine 0.9. albumin 4.7, ast 26, alt 20, alkaline phosphatase 98, total bilirubin 0.4, and a cea of 140. hospital course: so, the patient was admitted on . preop diagnosis of metastatic colon cancer to the liver. the patient had a right hepatic trisegmentectomy, portal lymph node dissection, cholecystectomy, intraoperative ultrasound performed by dr. and dr. . the patient tolerated the procedure well. please see operative note for more details. postoperatively, the patient went to the icu. the patient was on unasyn postoperatively, afebrile, vital signs stable. good i's and o's. the patient had a jp drain in place. on postop day #1, continued to do well, afebrile, vital signs stable, awake, alert. abdomen soft, mild tenderness. lungs were clear. labs with white count of 13.3, hematocrit of 38.9, platelets of 230. sodium 139, potassium 5.0, chloride 109, bicarbonate 22, bun 6, creatinine 0.5, with a glucose of 245. inr was 1.3. alt 596, ast 633, alkaline phosphatase 61, total bilirubin 1.3, albumin 2.0. on postop day #2, the patient was on ten. jp drain output was 185. unasyn was discontinued. the patient was started on clears, out of bed, iv fluids were decreased. on the patient had an ultrasound of her liver demonstrating unremarkable appearance of the remaining liver and intrahepatic vessels, status post trisegmentectomy. her diet was advanced, out of bed, urinating without difficulty. the patient was transitioned from iv pain medications to p.o. pain medications and doing well. physical therapy was consulted and felt that the patient was doing well and that she could be discharged home or to the hotel that she was staying for a few days after being discharged. pain was well controlled. the patient was given intermittent boluses for a low urine output. on postop day #6, the patient continued to be afebrile, vital signs stable. her jp drain output for 24 hours was since midnight 220. her labs on were the following: wbc of 10.3, hematocrit of 42, platelets of 289. sodium 134, potassium 4.2, chloride 101, bicarbonate 26, bun 4, creatinine 0.6, with a glucose of 116. ast was 27, alt was 62, alkaline phosphatase was 74, total bilirubin was 0.7, and albumin was 2.8. her pathology results are still pending. so, she was doing well overnight. she could potentially be discharged tomorrow. depending on how her jp drain output is overnight, there may be a possibility of the drain being removed tomorrow and she would be able to go home or to the hotel where she is going to be staying at for a few days. the patient will be going on home on the following medications. discharge medications: colace 100 mg twice a day and vicodin 1 to 2 tablets q.4-6h. p.r.n.. discharge instructions: 1. the patient should call ( (which is the transplant surgery department) if there is any fevers, chills, nausea, vomiting, inability to take medications; any abdominal pain, jaundice, incision that appears red/bleeding or any purulent drainage. 2. the patient may shower. 3. the patient will have a follow-up appointment with dr. . final discharge diagnoses: metastatic colon cancer to the liver with a history of metastatic colorectal adenocarcinoma; pathology is still pending. , md,phd procedure: cholecystectomy division or crushing of other cranial and peripheral nerves regional lymph node excision partial hepatectomy diagnoses: malignant neoplasm of liver, secondary personal history of malignant neoplasm of large intestine secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes 

Answer: The patient is high likely exposed to