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: no allergies/adrs on file attending: chief complaint: variceal bleed major surgical or invasive procedure: tips tube placement arterial line placement history of present illness: patient is a 60 year old male with a history hcvand alcoholic cirrhosis complicated by known varices, with right renal to portal vein thrombosis, hypertension, hyperlipidemia and significant smoking history who initially presented to this morning with hematemesis and hematochezia. prior to presentation per his family he had been complaining of nausea. at he underwent an egd that was initially done without intubation but when they saw the amount of blood he was intubated for airway protection. per the gastroenterologist at all that could be seen on the egd were varices and that the esophagus/stomach were both full of blood, as a result 7 bands were placed blindly. he had five piv's placed (4x18g and 1x16g in his ej), he received a 7 units of prbc's, 4 of ffp and 2 of platelets, was started on octreotide and pantoprazole drips and transferred to for further evaluation. in the ed, initial vs were: 70, 114/76, 17, 100%. he arrived intubated and sedated, his blood pressures dropped into the 90's systolic so he was given a total of 4lns. he was given his 8th and 9th units of blood, and then the massive transfusion protocol was initiated. after discussion with hepatology since he was continuing to bleed, the plan was for the patient to go to ir for an emergent tips, despite his history renal vein and right portal vein thrombosis ir felt that the procedure would be successful. additionally, he only made about 100cc's of urine since his transfer from . his labs were notable for a hct of 22.5, plt of 132, inr of 2.0, k of 7.8, ca of 5.8, cr of 2.0 (unknown baseline), hco3 of 13 and lactate of 6.0. he was given 1g of calcium gluconate, 10units of iv insulin and an amp of d50 to treat the hyperkalemia, 1g of ceftriaxone for sbp prophylaxis and transferred to the ir suite for his procedure. vs on transfer: 70, 114/76, 14, 100% on psv , 100% fio2. . in ir he continued to receive blood products, he received a total of 10 units of prbc's, 6 units of ffp, 1 pack of platelets and 1 unit of cryo. a femoral a-line was placed for monitoring, was placed in ir with the gastric balloon inflated due to continued bleeding. the tips was eventually successfully completed along with embolization of one large caliber gastric varix, with reported good radiographic appearance. also during his ir course he became progressively more acidemic and difficult to ventilate with rising pco2 from the 50's up into the 70's. . on arrival to the micu, he was hemodynamically unstable on three pressors, and then began to have large volume output of bright red blood from his nose and mouth. . review of systems: unable to obtain, patient is intubated and sedated past medical history: - hepatitis c and alcoholic cirrhosis - known varices seen on prior egd - h/o encephalopathy - right portal vein thrombosis - hypertension - hyperlipidemia - significant smoking history social history: married, two daughters, 1 son, per family report significant smoking history, remainder unknown family history: unknown physical exam: gen: intubated, sedated, nonresponsive heent: football helmet in place, +, +ett, large amount of bright red blood in mouth, coming out of his nose and down his face lungs: coarse breath sounds throughout cv: regular, difficult to hear over the lung sounds abd: distended, firm ext: warm (was warmed during tips as he became hypothermic), +1 edema pertinent results: chest x-ray: impression: 1) et tube approximately 2.9 cm above the carina. 2) low inspiratory volumes with bibasilar atelectasis. if there is concern for an infectious infiltrate, then a lateral view may help for further assessment. 3) possible enlargement of the superior mediastinum. clinicial correlation requested. pa upright chest or alternatively cross sectional imaging could help for further assessment . ct a/p (osh): wet read by radiology-> gastric and small bowel distension. small bowel measures ~3.0cm. nodular liver + ascites. no pneumatosis. right portal vein thrombosis with extension into main portal vein. brief hospital course: 60yo man with a h/o hcv / etoh cirrhosis who presented with an acute variceal gi bleed, intubated for airway protection and acute respiratory failure. 1) variceal bleed: in the setting of known underlying cirrhosis and his clinical presentation, a variceal bleed was found to be the source of his bleed. he was on octreotide and ppi gtts, underwent an emergent tips, while undergoing massive transfusion. despite successful tips with lower pressures post procedure he continued to have large volume upper gi bleeding. was placed with both balloons inflated, still with no hemostasis. he was supported with transfusions but continued to bleed, surgery was also involved given the volume of his bleed and progressive abdominal hypertension, but it was felt that a surgical intervention was not indicated and would not be helpful. his shock continued to worsen and he was requiring increasing amounts of vasopressors, and developed worsening renal dysfunction with acidemia and hyperkalemia. despite aggressive resuscitative efforts his condition worsened, after discussions with the icu and hepatology teams his family decided to make him comfort measures only and he passed away shortly after withdrawal of supports. medications on admission: unknown discharge medications: none discharge disposition: expired discharge diagnosis: pt expired discharge condition: pt expired discharge instructions: pt expired followup instructions: pt expired md procedure: percutaneous abdominal drainage diagnoses: esophageal reflux cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma encounter for palliative care esophageal varices with bleeding portal vein thrombosis 

Answer: The patient is high likely exposed to