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: on hospital day one, he developed marked shortness of breath and hypotension, and blood pressure dropped into the 70s. he underwent urgent laboratory studies and stabilization. his hematocrit remained stable at 30, and he was transferred to the intensive care unit with a presumptive diagnosis of biliary sepsis. the chest x-ray demonstrated a large right sided pleural effusion and the chest tube was placed with return of greater than 2 liters of clear fluid. we were concerned that the right pleural effusion was biliary effusion secondary to malposition of the catheter, but the chemical analysis of the fluid did not confirm this. he continued aggressive volume resuscitation. he received multiple colloid transfusions. on hospital day three, he developed marked azotemia with an increase in his creatinine to 37.2 and oliguria. we were concerned that due to his markedly elevated bilirubin and cholangiocarcinoma, he may in-fact be developing hepatorenal syndrome. we continued his resuscitation and then gradually over the course of the next several days, his oliguria and azotemia improved. due to patient's poor medical condition and probable unresectable disease due to his marked jaundice, we did not believe that he was an operative candidate in light of the ongoing blood pressure problems and we believe that he would not make it to surgery. we had a lengthy discussion with his family and the patient regarding this, and at that time we elected to offer palliative care. patient and his family agreed to this. palliative care was consulted, and he was discharged home on the with home hospice. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other cholangiogram replacement of stent (tube) in biliary or pancreatic duct injection or infusion of oxazolidinone class of antibiotics diagnoses: acute kidney failure with lesion of tubular necrosis unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hepatorenal syndrome hypotension, unspecified bacteremia mechanical complication due to other implant and internal device, not elsewhere classified malignant neoplasm of other specified sites of pancreas 

Answer: The patient is high likely exposed to