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: bee pollens attending: chief complaint: post-operative pain hct monitoring major surgical or invasive procedure: liver biopsy radiofrequency ablation history of present illness: 62yo m with history of alcoholic cirrhosis complicated by encephalopathy and ascites with three hcc liver lesions who is admitted for monitoring after scheduled rfa. he underwent rfa by ir to the three lesions this afternoon and had liver biopsy. after ablation of the third lesion, active mild extravasation was noted but the tract was ablated. he was hemodynamically stable throughout. his hct after procedure 33 from baseline of 39 two days prior. . on the floor, he complains of some ruq pain over biopsy area that is starting to come back after pain meds he received in pacu. otherwise, he has been in his normal state of health and feels fine. past medical history: -etoh cirrhosis (meld 12 in ) with history of decompensations with hepatic encephalopathy, ascites, and varices. currently listed for transplant at . -osteoarthritis -s/p multiple back/neck surgeries for "disc disease" -s/p bowel resection & anastamosis ~15 yrs ago for perforation social history: married. retired. former smoker. no etoh currently. hobbies include fly fishing and golf. family history: father and brother with prostate ca. two brothers with dm type 2 physical exam: admission physical exam: vitals: t: 97.8 bp: 103/64 p: 54 r: 18 o2: 100% ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, 3/6 systolic murmur loudest over l upper sternal border abdomen: soft, ruq tenderness with mild guarding, non-distended, bowel sounds present, no rebound tenderness, hepatomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: no asterixis . discharge physical exam: o: tc 98.8/99.8, 120/70, 67, 18, 96% ra, i/o: 960/820+ (32h), bm x 3 x 24h general: appears sad, nad heent: sclera icteric, mmm lungs: pleural rub over rll but no crackles, wheezes, or rhonchi throughout rest of lung cv: regular rate and rhythm, normal s1 + s2, 3/6 systolic ejection murmur heard best over rusb abdomen: soft, nt, distended, normoactive bowel sounds ext: trace edema in le bilat at ankles neuro: aaox3, can say dow backward, no asterixis pertinent results: admission labs: 10:11pm blood wbc-9.2# rbc-2.36* hgb-8.7* hct-25.0* mcv-106* mch-37.1* mchc-35.0 rdw-14.1 plt ct-79* 10:11pm blood pt-18.7* ptt-39.3* inr(pt)-1.7* 10:11pm blood glucose-137* urean-16 creat-1.0 na-133 k-6.8* cl-105 hco3-24 angap-11 09:20pm blood alt-53* ast-174* alkphos-73 totbili-4.6* 10:11pm blood calcium-7.5* phos-4.0# mg-1.6 cta ap 1. moderate right hemothorax along with progression of previously visualized perihepatic hemorrhage. there is no evidence of active arterial extravasation. these findings are likely related to venous bleeding, either from post-procedure or from variceal rupture. 2. evidence of cirrhosis with varices and a recanalized periumbilical vein. 3. the patient is status post rfa of three hepatic sites. cxr : right side chest tube is seen with its tip approximately at posterior 6th rib but the side hole is located at the level of the intercostal space. minimal air is seen in the right subcutaneous region, likely following the recent chest tube placement. right hemothrax better demonstrated on prior chest ct dated is mild-to-moderate in quantity. there is no pneumothorax. left lung is clear. heart size, mediastinum and hilar contours are normal. abd u/s : 1. shrunken nodular liver consistent with cirrhosis. limited evaluation of known hepatic lesions. 2. patent main portal vein with hepatopetal flow. evaluation of the portal branches is limited. 3. evidence of portal hypertension including splenomegaly and moderate intra-abdominal ascites. 4. gallbladder sludge. cxr : as compared to the previous radiograph, there is an improvement. the linear opacities along the right minor fissure have almost completely resolved. a small gas bubble in the right soft tissues, at the site of the previous chest tube insertion, is also resolved. there is no evidence of pneumothorax or of pleural effusion. the appearance of the left hemithorax is unchanged. unchanged left axillary clips. discharge labs: 05:50am blood wbc-6.7 rbc-3.23* hgb-11.2* hct-31.0* mcv-96 mch-34.5* mchc-36.0* rdw-17.3* plt ct-70* 05:50am blood pt-18.7* ptt-35.4* inr(pt)-1.7* 05:50am blood glucose-104* urean-10 creat-0.6 na-136 k-4.1 cl-101 hco3-28 angap-11 05:50am blood alt-61* ast-75* alkphos-69 totbili-7.0* 05:50am blood calcium-8.2* phos-1.6* mg-1.7 brief hospital course: 62yo m with history of alcoholic cirrhosis complicated by encephalopathy and ascites who was initially admitted to the medical floor for observation after schedule radiofrequency ablation of three hcc liver lesions and liver biopsy, complicated by right hemothorax. # hemothorax: post procedure hct was 33 down from 39 prior to the rfa. on the floor the evening of admission, he became hypotensive to the 70s. he was noted to have low uop with concentrated urine, dry-appearing, and cool to the touch. he recieved 3l ns with improvement in pressures to 100s and better uop. hct was 25 upon recheck. after discussion with ir, pt was sent emergently to ct given concern for intra-abdominal bleeding and was found to have a right-sided hemothorax. he got one unit of prbc's at this time and labs also showed k 6.8. he was given insulin/d50 and calcium; no significant ecg changes were seen. in the micu, a chest tube was placed by thoracics on . he got a total 6 units prbcs, 3 units ffp, and 1 unit plts while in the micu. pt was on an octreotide gtt in the micu at the request of liver. his hct stabilized near 31 and he was transferred to the general medicine service to be followed by the liver attending. on the floor, he was continued on octreotide subcutaneously for another 2d. on the evening of the chest tube had minimal output and hct was stable and the tube was removed by thoracics. his hct remained stable and a repeat cxr showed near resolution of hemothorax. he was discharged on oxycodone 5mg po q6h prn for pain in addition to his home dose of tramadol 50mg po bid. he was instructed not to drive while on narcotics. # cirrhosis: diuretics were held after patient developed hemothorax, but pt was continued on rifaximin, lactulose, and pantoprazole during admission. nadolol was held initially but was restarted upon transfer to the general medicine floor on . he began to develop trace edema in his le on ; his volume status and hct were stable at this time so his diuretics were restarted. his lft's remained stable throughout admission. he was also placed on levofloxacin for 5d for infection prophylaxis. his home medication regimen included both omeprazole and pantoproazole, which was thought to be redundant, so pantoprazole was discontinued on discharge and pt was instructed to take only omeprazole 20mg po bid with plans to further discuss this with dr. . # tachycardia: on pt developed tachycardia to the 160s. he did not have symptoms. he had not yet received his am nadolol and was given this medication, after which his tachycardia resolved, but nadolol has little systemic effect so it is more likely that the tachycardia resolved spontaneously. he said he had a similar episode in the past 7-8 years ago. he denied a history of afib or being treated for a heart condition, and an ekg taken at the time revealed multifocal atrial tachycardia, so no further work up or treatment was pursued. transitional issues: # follow up with liver specialist in one week # discuss ppi regimen with dr. (pantoprazole was dc'ed and omeprazole was continued) # repeat ct scan in 1 month medications on admission: alprazolam 0.25 mg po prn nightly calcipotriene ointment clobetasol ointment epipen prn furosemide 40 mg po qd lactulose 10gm/15ml solution 30 ml tid po nadolol 20 mg po qd omeprazole 20 mg po bid pantoprazole 40 mg po qd rifaximin 550 mg po bid spironolactone 100 mg po bid tramadol 50 mg po bid mvi discharge medications: 1. multivitamin tablet sig: one (1) tablet po daily (daily). 2. rifaximin 550 mg tablet sig: one (1) tablet po bid (2 times a day). 3. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day). 6. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day): titrate to bowel movements per day. 7. spironolactone 100 mg tablet sig: one (1) tablet po bid (2 times a day). 8. alprazolam 0.25 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 9. calcipotriene 0.005 % ointment sig: one (1) application topical twice a day: apply to hands and feet twice daily monday through friday. . 10. clobetasol 0.05 % ointment sig: one (1) application topical twice a day: apply to hands and feet twice daily. use 2 wks/month. do not apply to face, skin folds, armpits, groin. . 11. epipen 0.3 mg/0.3 ml pen injector sig: one (1) injection intramuscular once as needed for anaphylaxis. 12. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 13. tramadol 50 mg tablet sig: one (1) tablet po twice a day. 14. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days: last dose . disp:*3 tablet(s)* refills:*0* 15. furosemide 40 mg tablet sig: one (1) tablet po once a day. 16. spironolactone 100 mg tablet sig: one (1) tablet po twice a day. 17. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*28 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnoses: acute post-procedure bleeding/hemothorax radiofrequency ablation secondary diagnoses: hepatocellular carcinoma alcoholic cirrhosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. discharge instructions: dear mr. , it was a pleasure taking care of you in the hospital. you had radiofrequency ablation of parts of your liver. after the procedure, you were admitted for close observation to control post-operative pain and ensure that you were not actively bleeding. you developed a bleed into your chest cavity and you received 6 units of blood cells, 3 units of fresh frozen plasma, and 1 unit of platelets to control your bleeding. you also had a chest tube placed to drain the blood that had collected there. your blood counts stabilized and the chest tube was removed. change the dressing daily over the chest tube site and keep the area dry. avoid baths until scab has completely formed over the area. you may shower starting on . we reviewed your medications and noticed that you were on both pantoprazole and omeprazole which have a similar mechanism of action. it is unnecessary to take both of these; we recommend that you take omeprazole only and discuss this with dr. at your next visit. the following changes were made to your medications: stop pantoprazole and discuss at your next appointment with dr. start levofloxacin 750mg by mouth daily for three days (last dose ) start oxycodone 5mg by mouth every 6 hours as needed for pain followup instructions: 1. transplant clinic phone: date/time: @ 8:00 2. cat scan phone: date/time: @ 11:30 procedure: insertion of intercostal catheter for drainage closed (percutaneous) [needle] biopsy of liver percutaneous ablation of liver lesion or tissue diagnoses: hyperpotassemia other iatrogenic hypotension acute posthemorrhagic anemia alcoholic cirrhosis of liver hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure disorders of phosphorus metabolism hypoxemia malignant neoplasm of liver, primary hepatic encephalopathy other and unspecified alcohol dependence, unspecified other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to