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: an 84-year-old g3, p2-0-1-2 presents with a one to two week history of abdominal distention, nausea and diarrhea who was found to have ascites at that was tapped and was found to be positive for papillary adenocarcinoma. she was transferred from and was planned for surgery on . she initially presented at on the 5th with bloating, decreased appetite in five days, without nausea or abdominal pain. she also noticed some discomfort and loose stools for about six days. there was no heme in the stool. she noted increased fatigue, leg swelling. no chest pain, shortness of breath. initially at , they noticed anemia, hyponatremia and elevated liver function tests as well as ascites. a ct revealed ascites with omental caking and bilateral probable ovarian masses. paracentesis on revealed papillary adenocarcinoma. a gynecologic oncology consult was obtained as the patient complained of increased nausea and decreased bowel movement and was transferred to for an operative procedure due to her symptoms. past medical history: 1. mitral regurgitation 2. hypertension 3. paroxysmal atrial fibrillation 4. left leg claudication 5. high cholesterol 6. history of helicobacter pylori 7. uterine prolapse surgical history: 1. mitral valve repair in ' 2. angiocath in ' for mild coronary artery disease medications: 1. tylenol 25 mg po q day 2. lipitor 20 mg po q day 3. hydrochlorothiazide 25 mg po q day 4. zantac 150 mg po bid 5. univasc 15 mg po q day allergies: none social history: she lives alone in . denies drug use. she did smoke for about 10 years and she drinks about a glass of wine a day. gynecologic history: no gynecologic infections, fibroids, abnormal bleeding. she has a past history for prolapse. obstetric history: two normal spontaneous vaginal deliveries and one stillbirth. physical exam: vital signs: temperature 95.0??????, 122/60, 98, 20. head, ears, eyes, nose and throat: normal. extraocular muscles are intact. no lymphadenopathy. general: in no apparent distress. heart: regular. lungs: clear. abdomen: soft, distended, grossly uncomfortable, no localized tenderness. extremities: within normal limits. vaginal: deferred. labs from outside hospital: ca-125 of 15,510. white count 7.3, hematocrit 32.0, platelets 302. sodium 127, potassium 5.1, chloride 93, bicarbonate 23.5, bun 15, creatinine 1.2. calcium 8.3, albumin 3.6, total protein 4.2, total bilirubin 0.8, direct bilirubin 0.2, alkaline phosphatase 56, lipase 210. imaging: ct showed multiple mediastinal lymph nodes, ascites with omental caking. right adnexa showed a 4.3 x 2.8 cm tissue mass. there is a right pleural effusion, atrophic left kidney. assessment and plan: on admission, 84-year-old g3, p2-0-1-2 with ascites. ct consistent with omental caking and right ovarian and ca-125 that was extremely elevated consisted with ovarian cancer, here for exploratory laparotomy. summary of hospital course: on , the patient underwent a total abdominal hysterectomy/bilateral salpingo-oophorectomy, omentectomy and tumor debulking. findings including 3 liters of ascites, tumor throughout the entire pelvis and abdomen. the transverse colon is entirely enveloped in tumor of the omentum. the patient lost about 700 cc and she received 5000 cc of fluid and about 2 units of packed red blood cells. postoperative, the patient had hypotension in the pacu, 70s to 80s/30s to 40s of unclear etiology and she was requiring pressors. an electrocardiogram was done that showed no significant changes, however there was a significant right bundle branch block in atrial fibrillation which was unchanged. her central venous pressure was 9 and it was felt that she was going to be necessary to rule out mri. she was at this point transferred to the sicu on the for closer monitoring. the patient remained in the sicu over the course of the next four days. she was able to be taken off pressors by postoperative day #2. her pulmonary status remained tenuous, however and she required albuterol and atrovent nebulizers. by postoperative day #4, she was actually not requiring any more pain medications. she was out of bed to a chair and her she was maintaining her blood pressure without pressors and was transferred to the for further management. by this point, the patient was significantly debilitated. she was slowly able to start eating food and was able to get out of bed and ambulate. pt and social work were consulted here and the feeling was that she would be best taken care of at a rehabilitation facility. on she was deemed stable to be transferred to the rehabilitation facility. discharge medications: 1. percocet 5 1 to 2 po q 4 to 6 hours prn 2. motrin 600 mg po q6h prn 3. atenolol 25 mg po q day 4. lipitor 20 mg po q day 5. hydrochlorothiazide 25 mg po q day 6. zantac 150 mg po bid 7. univasc 15 mg po q day plan: the patient will follow up with dr. . discharge diagnoses: as above and ovarian cancer, status post total abdominal hysterectomy/bilateral salpingo-oophorectomy debulking and omentectomy. , m.d. dictated by: medquist36 procedure: other removal of both ovaries and tubes at same operative episode excision or destruction of peritoneal tissue diagnoses: acidosis pure hypercholesterolemia mitral valve disorders unspecified essential hypertension atrial fibrillation secondary malignant neoplasm of retroperitoneum and peritoneum malignant neoplasm of ovary secondary malignant neoplasm of genital organs 

Answer: The patient is high likely exposed to