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 59-year-old man, with a history of hepatitis c virus leading to end-stage liver disease, post necrotic cirrhosis with biopsy in that showed hcc without evidence of metastatic disease. the patient has undergone 2 courses of radiofrequency ablation for these lesions. the patient has had no significant decompensation of fluid overload, encephalopathy, or gi bleeds during this time. the patient has been taking lactulose off and on due to gassy pains he feels it was causing him. the patient called in today by transplant staff to proceed with liver transplantation. medications on admission: 1. wellbutrin 450 mg qd. 2. ativan 0.5 mg q pm prn. physical examination: vital signs: 98.0 degrees fahrenheit, 122/80, heart rate 90, respiratory rate 16, oxygen saturation 97 percent on room air, weight 80.6 kg. the patient was in no apparent distress and was alert and oriented x 3. the patient's heart was in regular rate and rhythm, and no murmurs, rubs or gallops. lungs were clear to auscultation bilaterally with no wheezes, rales, or rhonchi. abdomen was nondistended with normoactive bowel sounds, was soft, nontender, and revealed a well-healed "hockey-stick" scar on left side of abdomen likely from his splenectomy. distal pulses were 2 plus. there was no peripheral edema. neurologically, the patient was intact throughout. hospital course: the patient was stable at this time and was admitted to to proceed with liver transplant procedure. the patient was consented. preoperative labs, ekg and x-ray were within normal limits, and the patient was able to proceed with liver transplant. thus, the procedure was carried out, and the patient underwent liver transplantation. surgical findings included 2 hepatomas in the right lobe with no noticeable extrahepatic disease. the patient tolerated the procedure very well and was admitted postoperatively to the surgical intensive care unit where the plan was to keep the patient intubated overnight until the first postoperative day, and labs were drawn q 2 h, and chemistries were drawn q 4 h. the patient was full code at this time. on postoperative day 1, the patient was still intubated, was alert in no apparent distress in the surgical intensive care unit, and was noted to be doing very well. the goal at this time was to proceed with the weaning of propofol which was done effectively. the patient's swan-ganz catheter was removed, and mmf and solu-medrol were started. on postoperative day 2, with the patient having been extubated on the prior day, the patient was doing well and was saturating at 98 percent oxygen on 3 liters of nasal cannula. the patient was alert and oriented x 3, and was again in no apparent distress, and was noted to be doing very well. his intravenous fluids were decreased to 70 per h, and the patient was to receive liver ultrasound to assess flows. the result of this revealed normal flow to the graft liver at this time in the arterial and venous phases. the patient was continued on mmf and a solu-medrol taper, and cyclosporin was started at this time. on postoperative day 3, , the patient was doing very well and noted to have increasing appetite and was passing gas at this point, but had not yet had a bowel movement. at this point, his iv was heparin locked. the patient was advised to advance his diet as tolerated, and the patient began being seen by occupational therapy and physical therapy. occupational therapy noted minimal deficits, and noted the patient to be doing very well for postoperative day 3, and noted a patient with good insight and excellent safety awareness, and recommended that the patient, when discharged, would be suitable for home, and rehab would not be necessary. on postoperative day 4, , the patient was doing very well, was complaining of minimal pain, was still passing gas, and had not yet had a bowel movement. he was having no nausea or vomiting, fevers, chills, chest pain, or shortness of breath. the patient was noted, at this time, to be progressing rapidly. he was tolerating full oral intake. his solu-medrol taper was continued. on the , postoperative day 5, the patient had no complaints. he was taking a full diet during this time. he was passing gas and having bowel movements at this time. vital signs were stable. on postoperative day 6, the patient continued to do very well on . his vital signs were stable with a temperature maximum over the last 24 hours of 98.4 degrees fahrenheit. the wound was examined again closely and revealed the staples to be in place without erythema or wound drainage. both drains had been removed at this point, and the patient was continued on his immune regimen, and the plan was to discharge the patient today. discharge diagnoses: status post orthotopic liver transplant. hepatitis c viral cirrhosis. hepatocellular carcinoma. status post splenectomy. discharge condition: stable. the patient was to be discharged home without services. the patient instructed to md if having increasing abdominal pain, increasing redness or drainage at surgical wound site, temperatures greater than 101 degrees fahrenheit, or if there were any other questions regarding medical regimens, or if there were any other questions. discharge medications: 1. fluconazole 400 mg po qd. 2. bactrim 1 tablet po qd. 3. bupropion 450 mg po qd. 4. valganciclovir 450 mg po bid. 5. mmf 1,000 mg po bid. 6. vicodin 5-500 mg tablets 1-2 tablets po q 4-6 h prn pain. 7. cyclosporin as directed upon determination of the transplant team based on the patient's cyclosporin level for the date of . disposition: the patient stable and discharged to home. , procedure: other transplant of liver diagnoses: cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma malignant neoplasm of liver, primary 

Answer: The patient is high likely exposed to