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: patient recorded as having no known allergies to drugs attending: chief complaint: hemothorax major surgical or invasive procedure: paracentesis, thoracentesis history of present illness: ms. is a 69 yo woman with recent diagnosis of cirrhosis who presented with sob and weakness to hospital. the weakness started about 1 week ago and was accompanied by doe. on she found herself unable to walk at all because of sob. she denies cough, cp, or palpitations with this. also denies fevers, chills, nausea, vomitting. . of note, she was recently diagnosed with cirrhosis of unknown etiology based on lfts and mri at hospital in fall, . at the time she presented for pre-op clearance for cataract surgery and was found to be thrombocytopenic. she has undergone extensive work-up by a hepatologist and her pcp (contact info below). she was completely asymptomatic until the past few months when her children noticed increasing yellow tint to her skin. her husband also notes dark urine. an ercp had been planned but not yet scheduled. . on presentation to hospital , cxr showed large l pleural effusion. thoracentesis revealed 2800 cc of "gross blood." upon removal patient had subjective improvement in dyspnea. hct there was 23 (unclear where in the course of transfusions this was checked) and inr 2.2. a total of 10 mg iv vitamin k, 4 units prbc and 2 units ffp given. she was transferred to the for further managment. at , initial vs t 99.5, bp 146/70, hr 114, rr 20, o2 sat 94% on 2l nc. she was seen by thoracics in the ed who would like serial hct. dry cough, tachypneic, on nc. thoracics saw her and want serial hct. not doing anything but will place ct if hct falls. has ej. got vit k, 2 unit ffp, 2 units prbc en route here. has ascites. no other edema. persistently tachy but ok bp. hct here 31. r lung looks low grade t to 100? got 100 cc/h ivns. blood on hold, t&c. liver knows about her and will see her in the morning. recent vs: hr 110, bp 137/59, rr 25, 4l at 92-95% o2 . past medical history: hypertension liver cirrhosis unknown origin cataract surgery social history: lives with husband, 2 children, lifetime nonsmoker. hx of only social etoh use. blood transfusion in . no hx of herbals, hx of arthritis unclear whether ra. no other hx of autoimmune disease. no hx of hypercholesterolemia though patient overweight. no hx of intravenous or intranasal drug abuse family history: mother with breast ca father expired age no hx of gallbladder, liver cancer, no hx of iron overload disease. no hx of iron overload disease physical exam: vs: 119/50, 102, 91% on 4l, afebrile gen:the patient is in no distress and appears comfortable. friendly. skin: no rashes or skin changes noted heent: no jvd, neck supple, no lymphadenopathy in cervical, posterior, or supraclavicular chains noted. chest: decreased breath sounds at bases bilaterally, l>r. cardiac: regular rhythm; no murmurs, rubs, or gallops. abdomen: no apparent scars. non-distended, and soft without tenderness extremities:no peripheral edema, warm without cyanosis neurologic: alert and appropriate. cn ii-xii grossly intact. bue , and ble both proximally and distally. no pronator drift. reflexes were symmetric. downward going toes pertinent results: 09:35pm pt-20.5* ptt-37.2* inr(pt)-1.9* 09:35pm wbc-10.4 rbc-2.84* hgb-10.1* hct-28.2* mcv-99* mch-35.5* mchc-35.8* rdw-23.2* 09:35pm alt(sgpt)-38 ast(sgot)-60* alk phos-95 tot bili-10.4* dir bili-2.8* indir bil-7.6 abdominal us: 1. cirrhotic liver with large amount of ascites. 2. cholelithiasis. gallbladder wall edema with a non-distended gallbladder, and lack of other findings of acute cholecystitis, likely due to third spacing/hepatic dysfunction. 3. patent hepatic arterial and venous vasculature. normal flow and directionality in the portal venous system. pleural fluid ( hospital): ldh:113; protein 3.3; rbc: 1.280.000 cells/ mm3 wbc: pmn 57%; lymph 7%; mono/mac: 32% brief hospital course: a 69 year-old woman with a recent diagnosis of cirrhosis of unclear etiology presents with hemothorax . # pleural effusion, doe - likely etiology hepatic hydrothorax vs. malignant ascites. no apparent trauma to explain blood in fluid. now without dyspnea on ra. chest ct shows reaccumlation of fluid on l side, as well as l sided retroareolar density. per discussion with patient's pcp, had until recently been lost to followup for ~20 years without any health maintenance. she reconnected with medical care ~2 mos. ago and at that time had a normal breast exam. she refused other maintenance measures such as mammography and colonoscopy at that time. - cytology from all thoracenteses (x3) neg - pleural fluid from grew out e. coli; on cefepime - per ip, plan for vats + pleural bx on monday, as malignancy is strongly considered on the differential for this exudative pleural effusion (by ldh light's criteria) - given breast lesion seen on chest ct, strongly recommend mammogram to be performed as outpatient, as well as additional cancer screening as warranted (i.e. colonoscopy) . # ams - patient developed altered mental status during this admission, remaining oriented x 3 but with occasional confabulation, non sequiturs. no syntax errors or dysarthria or other evidence of neuro deficits. unclear if this represents a baseline mental status due to mild dementia or an overlying hepatic encephalopathy or is infection. - holding lactulose temporarily in setting of ileus - given suspicion of malignancy, head imaging may be warranted at a later date . # cirrhosis - cirrhotic liver appreciated on ultrasound. reportedly positive on osh records but negative here. anti-smooth positive to 1:20 titer, igg wnl. per pcp , patient had positive at 1:120 titer, diffuse pattern. these findings are relatively nonspecific and do not significantly implicate an autoimmune etiology. hepatitis serologies negative. iron studies consistent with anemia of inflammation. . per dr. , her outpatient hepatologist following since , mrcp but not ercp had been performed. there were no filling defects visualized (distal bile duct may still have filling defect). hida scan to showed good flow down duct, no obstruction. prior labs notable for lfts in : inr 2.0, t bili 6.1, d. bili 2.4. . dr. is uncertain the etiology of cirrhosis. he does attribute her pancytopenia to portal hypertension and consequent hypersplenism. he also mentioned that she has pancreatic disease, likely premalignant, and he has been considering total pancreatectomy. - further outpatient w/u such as ceruloplasmin, a1at as warranted - continue lasix 60 / aldactone 250 - low salt die . the hepatology service at was following the patient and recommended multiple studies which were sent to work up the etiology of her cirrhosis. she had large ascites but no abdominal tenderness or discomfort. diagnostic paracentesis demonstrated 30 wbc, 3000 rbc. . . # elevated indirect bilirubinemia: concerning for hemolysis. likely secondary to recent 4 transfusions en route to , but the degree of elevation was unusual. unable to evaluate for intrinsic hemolysis given recent ffp and blood transfusions. transfusion reaction workup was initiated . # hypertension: lisinopril was initially held and restarted once blood volumes were stable. . # access: patient with easily bruisability and difficult access. picc was placed. . # contact: . full code status was confirmed with patient micu course ***patient admitted to micu on for status epilepticus. she was intubated and given keppra,ativan, fosphenytoin and started on a propofol drip. she had a head ct and an mri that showed diffuse cerebral edema. meeting was held with her husband and family on and the decision was made to focus on comfort care only. she was started on a morphine drip and then extubaed. she expired at 16:25. medications on admission: lisinopril 2.5mg qd vitamin k 5mg qd lorazepam 1 mg pred forte 1 gtt tid right eye . discharge medications: pt. expired discharge disposition: expired discharge diagnosis: primary: liver failure, status epilepticus, cerebral edema discharge condition: expired. discharge instructions: expired. followup instructions: expired. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube thoracentesis thoracentesis thoracentesis percutaneous abdominal drainage other bronchoscopy diagnoses: thrombocytopenia, unspecified unspecified essential hypertension cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia acute kidney failure, unspecified other convulsions alkalosis cerebral edema paralytic ileus unspecified disease of pancreas spontaneous bacterial peritonitis other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to