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 / codeine attending: chief complaint: pancreatitis major surgical or invasive procedure: ercp history of present illness: medicine admission note cc: abdominal pain hpi: ms. is a 66 yo woman with history of hypertension, possible ckd, prior ccy (), here from with pancreatits, after she presented there with abdominal pain. she in fact developed abdominal pain 10 days ago, on good , and presented to lgh. she was discharged from the ed. she was called back for possible pulmonary edema, and to rule out mi, which was negative. after discharge, she continued to have abdominal pain, with nausea and anorexia. the pain has been constant, throughout her entire abdomen, and radiating to her back. the pain was not relieved by tylenol. she has had shortness of breath with the pain. she had dark urine, but no changes in her stool. she has not had fevers, but has had chills. prior to the onset of pain, she had been taking protein shakes, substituting for one meal a day, for weight loss. she lost 7 lbs. she has intermittent headaches. she denies any other urinary symptoms, rashes, diarrhea, masses or lesions. ros otherwise reviewed in 13 systems and negative. past medical history: pmh hypertension, poorly controlled ?hyperlipidemia ?ckd prior ccy, prior hysterectomy, for benign mass prior abnormal pap smears social history: sh: originally from . works as secretary. no alcohol or tobacco. married, 2 children, grown, one grandchild. family history: fh: mother died in early 80s, "old age", father still alive, age , just diagnosed with cancer. physical exam: physical exam vital signs: tmax 98.0 bp 148/78 hr 60 16 91% ra o2 sat general: in nad, obese heent: faint scleral icterus, op moist, no lad, jvp difficult to see. lungs: decreased at bases, no rales, no wheezes with forced expiration. cv: rrr without murmurs abdomen: soft, tender in epigastrium, and throughout upper abdomen, no rebound or guarding. nondistended, bowel sounds present. ext: no edema neuro: alert/oriented x3, face symmetric, answers all questions appropriately, full strength in upper and lower extremities. sensation normal. pertinent results: relevant data: labs 139 105 11 119 agap=15 ------------- 3.7 23 1.0 trop-t: <0.01 ca: 8.7 mg: 1.9 p: 3.1 alt: 803 ap: 329 tbili: 4.1 alb: 3.8 ast: 628 lip: 8590 wbc 6.4 hgb 12.0 hct 38.1 plts 259 n:81.1 l:15.5 m:2.8 e:0.4 bas:0.2 pt: 11.6 ptt: 27.8 inr: 1.1 ua with trace ketones, trace protein, 1 wbc, 1 rbc urine culture pending ruqus : impression: 1. status post cholecystectomy with common bile duct dilatation to 13 mm, but no intrahepatic biliary duct dilatation. no stones are seem in the visualized portions of the common bile duct, though the distal duct is not well evaluated. mrcp is a more sensitive exam for the detection of choledocholithiasis and can be performed for further evaluation. 2. echogenic liver consistent with fatty infiltration of the liver. more severe hepatic disease including significant hepatic fibrosis/cirrhosis cannot be excluded on the basis of this study ekg sb nl axis, intervals, no ischemic changes. labs at lgh : cr 1.04 alk phos 372 bili 5.4 ast 732 alt 911 lipase 6741 ct from lgh, dissection protocol: no dissection, found to have acute pancreatitis, without pseudocyst or abscess. small 5 mm increased density in the region of the pancreatic head/distal cbd could be an obstructing stone/choledocholithiasis. ercp report: a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. a single stone was extracted successfully using a balloon. two more balloon sweeps were performed that did not reveal additional stones or sludge. impression: the ampulla appeared bulging concerning for an impacted stone cannulation of the biliary duct was successful and deep with a sphincterotome using a free-hand technique a moderate diffuse dilation was seen at the biliary tree with the cbd measuring 13 mm. the cholangiogram did not definitively show a filling defect in the distal cbd. however given the clinical picture suggestive of gallstone pancreatitis and the finding of bulging ampulla concerning for an impacted stone, a decision was made to perform a sphincterotomy. a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. a single stone was extracted successfully using a balloon. two more balloon sweeps were performed that did not reveal additional stones or sludge. otherwise normal ercp to second part of the duodenum 06:10am blood alt-132* ast-25 ld(ldh)-223 alkphos-159* totbili-0.7 brief hospital course: icu course: 66f with pmhx of hypertension, s/p ccy , who was transferred to from lgh for acute gallstone pancreatitis s/p ercp w/sphincterotomy , hospital course complicated by new onset atrial fibrillation with rapid ventricular response. # afib w/rvr: after the ercp, the patient developed new-onset afib w/rvr. etiology unclear, possibly related to hypersympathetic tone in the context of acute pancreatitis. tsh was normal. cardiac enzymes were negative. did not anticoagulate her given chads2 score of 1 and bleeding risk from sphincterotomy during ercp. a tte was performed which showed normal global and regional biventricular systolic function, however there was mild left atrial dilatation which may have been a cause or effect of the atrial fibrillation. the patient spontanously converted back to sinus rhythm. given her chads 2 score, use of both aspirin and plavix can be considered. she was started on aspirin alone, and advised to discuss with her pcp any additional use of plavix. # hypoxemia: most likely secondary to flash pulmonary edema in the context of fluid resuscitation and new atrial fibrillation. resolved. # pancreatitis: patient is s/p ercp with sphincterotomy and stone extraction. lfts are trending down and she reports improvement in her abdominal pain. will continue symptom management. lfts improved over course of hospitalization. # leukocytosis: patient presented with normal wbc 6.4 on admission, which rose to 16.8. likely due to inflammation from acute pancreatitis. s/p ercp w/sphincterotomy; no evidence of cholangitis on ercp, but given low-grade fevers (99.5) and increasing leukocytosis, started empiric cipro. no evidence of pneumonia on cxr. she will complete one week of ciprofloxacin at home. # hypertension: she was discharged on amlodipine and metoprolol. she will f/u with her pcp for continued blood pressure management. # ? nash/hepatic fibrosis on ultrasound. pcp should discuss dietary measures, consider liver biopsy to further assess. medications on admission: home medications: per - she does not know her medications metoprolol tartare 25 mg po bid lisinopril 10 mg po bid hctz 12.5 mg po daily (last refilled in ) amlodipine 5 mg po daily (last refilled in ) discharge medications: 1. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 days. disp:*5 tablet(s)* refills:*0* 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 3. amlodipine 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. bisacodyl 5 mg tablet sig: one (1) tablet po once a day as needed for constipation. disp:*10 tablet(s)* refills:*0* 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po once a day. discharge disposition: home discharge diagnosis: gallstone pancreatitis atrial fibrillation pumonary edema discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with abdominal pain and found to have pancreatitis caused by gallstones. an ercp was performed to remove the stone. your course was complicated by atrial fibrillation (irregular heart rhythm) with rapid heart rate and fluid in the lung requiring icu stay. your heart rate was controlled and you were moved back to the medical floor. you were able to start eating on . you will need to follow up with your pcp to discuss treatment for atrial fibrillation with at least daily aspirin, but this may also include an additonal medication, clopidogrel. you need to complete one week of antibiotic treatment with ciprofloxacin and this will end on . in regards to your blood pressure, please take metoprolol 25 mg by mouth twice a day, and restart the amlodipine at 5 mg daily. hold the hydrochlorothiazide and lisinopril until you see dr on . please start taking a baby aspirin every day starting on . you may take dulcolax (bisacodyl) to help you move your bowels. followup instructions: pcp : , at 4:15pm with: ,md location: medical associates address: , , phone: procedure: endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy diagnoses: congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation acute on chronic diastolic heart failure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hypoxemia obesity, unspecified cholangitis hepatitis, unspecified acute pancreatitis leukocytosis, unspecified acquired absence of both cervix and uterus calculus of bile duct without mention of cholecystitis, with obstruction 

Answer: The patient is high likely exposed to