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: abdominal distension, lower extremity swelling and poor appetite major surgical or invasive procedure: egd with intubation history of present illness: mr. is a 66 year-old man with known hepatitis b cirrhosis and recently-diagnosed hepatocellular carcinoma who presented to the ed with approximately one week of progressive abdominal distension and bilateral leg swelling as well as a new anemia. he has become progressively fatigued as his leg swelling and abdominal distension have progressed. his abdomen has felt uncomfortable due to the distention, but he denies any actual abdominal pain, constipation, or diarrhea. he also denies any hematemasis, hematochezia but may have had some melena. he denies any frank fevers but has "felt warm" with some chills as well. aside from him being fatigued, his family has not noticed his mental status to be altered; his daughter denies him being confused or disoriented. he has noted a decreaed appetite and has had a poor po intake. due to the poor intake, his family brought him into the ed. . review of systems: negative for fevers, melena, hematochezia. positive for abdominal distension, leg edema, chills, fatigue, and anorexia. . . past medical history: - chronic hepatitis b infection (precore mutation positive, hbeab positive, hbeag negative) with cirrhosis with known grade ii varices on egd in - chronic thrombocytopenia, presumably from cirrhosis - recent hepatocellular carcinoma diagnosis with "innumerable nodules" on liver mri with elevated alpha-fetoprotein - positive ppd social history: smoked less than one pack of cigarettes per day. recent alcohol use, several drinks per week but has stopped drinking over the past month. from . lives with his wife. family history: his wife has a history of hepatitis b infection; otherwise noncontributory. physical exam: on admission general: fatigued-appearing man, uncomfortable appearing heent: marked scleral icterus, dry mucous membranes neck: supple, jvd to earlobe chest: bibasliar rales cv: regular rate/rhythm, 3/6 systolic murmur abdomen: tense ascites, nontender, hypoactive bowel sounds, no palpable masses extremities: 3+ pitting edema to buttocks bilaterally with 2+ pt pulses neuro: alert, oriented x3 per family, cn 2-12 intact, no asterixis skin: markedly jaundiced with no rashes pertinent results: on admission 04:05pm blood wbc-18.7*# rbc-2.72*# hgb-10.1*# hct-29.9*# mcv-110* mch-37.1* mchc-33.8 rdw-20.7* plt ct-107* 04:05pm blood neuts-73* bands-0 lymphs-7* monos-16* eos-0 baso-0 atyps-0 metas-0 myelos-3* promyel-1* 04:05pm blood hypochr-normal anisocy-2+ poiklo-1+ macrocy-3+ microcy-normal polychr-1+ ovalocy-1+ tear dr1+ 04:05pm blood pt-31.0* ptt-58.6* inr(pt)-3.2* 04:05pm blood glucose-137* urean-43* creat-1.8*# na-128* k-4.9 cl-97 hco3-23 angap-13 04:05pm blood alt-243* ast-235* alkphos-129* totbili-30.5* dirbili-18.6* indbili-11.9 04:05pm blood albumin-2.5* calcium-8.2* phos-4.5 mg-3.0* 03:19am blood type-art po2-101 pco2-30* ph-7.48* caltco2-23 base xs-0 06:15pm blood lactate-3.8* 05:27am blood type-art peep-5 fio2-50 po2-80* pco2-36 ph-7.45 caltco2-26 base xs-1 intubat-intubated vent-spontaneou 03:19am blood lactate-3.6* . hepatitis b viral load pcr (): 23,400 iu/ml alpha-fetoprotein (): 760.7 ebv serologies (): negative igg and igm cmv serologies (): positive igg, negative igm . studies: cxr ap (): there is elevation of the right hemidiaphragm, which appears new when compared to the prior study. findings may be due to increased perihepatic fluid, but a subpulmonic effusion cannot be completely excluded. cardiac, mediastinal, and hilar contours otherwise are unchanged, with unfolding of the aorta again noted. the left lung is clear. no pneumothorax is identified. osseous structures are unremarkable. . cxr : interval development of edema . mri abdomen (): there is decrease in signal intensity of the liver diffusely on the in-phase images, compatible with presence of siderotic nodules. the liver is diffusely heterogeneous in signal intensity. there is nodularity of the liver contour compatible with chronic liver disease. there are several nodules within the liver, which have increased signal intensity on the t1-weighted images, pre-contrast and decreased signal intensity on the t2-weighted images. on the arterial phase images, there is no definite enhancement, however, minimal peripheral enhancement of the lesions is identified post-contrast and there also appears to be new wash-out of contrast from many of the lesions. the liver appears to have innumerable nodules throughout, which appear bigger and more discrete compared to the previous study and also show new wash-out and increased heterogeneity in the later phases post-contrast compared with the previous study. these findings are concerning for diffuse hepatoma (hcc). the largest discrete lesions are as follows measuring 1.2 x 1.3 cm in the dome of the liver. this lesion was present on the previous study, but currently has a more round shape. previously, it measured approximately 1.5 x 0.9 cm. just medial to this, there is another lesion, which measures 1.9 x 1.4 cm and appears more prominent than on the previous study, although this area is difficult to evaluate as it is at the dome of the liver. in segment v of the liver, there is a 1.8 x 1.6 cm nodule, on series 200, image 68, which previously was approximately 1.5 x 1.3 cm. there are also tiny cysts within the liver such as an 8-mm cyst in segment viii and a tiny cyst in the dome. there is a linear area of increased enhancement seen in segment vi of the liver subcapsularly. this region shows minimal increased signal intensity on the t2-weighted images and probably represents fibrosis with also some shunting between the portal vein and hepatic vein without significant change. there is minimal ascites. there is a tiny cyst in the mid left kidney. the adrenals, spleen, and visualized pancreas appear unremarkable, as is the gallbladder. . . brief hospital course: upon arrival to the ed, t 97.8, bp 99/64, hr 100, rr 18, sat 95% on room air. his labs were notable for a hct of 29.9 (down from 44.7 on ), a wbc of 18.7 with 73% pmns, 3% myelos, and 1% promyelos (no bands), and an inr of 3.2 (up from 2.7 on ). he was given two units of ffp and a diagnostic paracentesis was performed to rule out sbp; prior to the ascitic fluid cell count results returning, he received 1000 mg of iv vancomycin (he was also written for 4.5 grams of piperacillin/tazobactam but did not receive this). of note, he had guaiac positive brown stool on rectal exam. . first night in the hospital, he became dyspneic after ivf fluids and albumin; a chest xray: mod fluid overload. pt developed a new o2 requirment. serial hct trending down to 22 and then, the following morning, he had a maroon, jelly-consistency stool. gave 2 units of prbc's with lasix in between. bp drifted down to sbp 80s-90s, with mild tachycardia 80s-> 105. pt received 2 more units of prbcs and was transferred to the micu for urgent egd with intubation. . in the micu, egd showed blood in stomach, stigmata of variceal bleeding, one varices banded, duodenal ulcers one of which looked ulcerated and suspicious for malignancy. pt was continued on ocreotide gtt, protonix gtt and antibiotics. he was given 2 more units ffp, one bag plt and two more prbc's. pt was extubated post-egd and maintained on non-rebreather. paracentesis attempted but not successful. cxr c/w bowel gas, ngt to suction. pt's renal function deteriorated, consistent with hepatorenal syndrome, despite volume challenge with albumin, normal saline and blood products. pt's dire prognosis was discussed at length with patient and patient's family. ultimately the decision was made to change his status to comfort measures only, and the patient was transferred to the floor. pt was kept comfortable with supplemental oxygen and morphine prn. pt expired on . medications on admission: tenofovir 300 mg daily discharge medications: n/a discharge disposition: expired discharge diagnosis: pulmonary edema hep b cirrhosis hcc discharge condition: expired discharge instructions: na procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia acute kidney failure, unspecified hepatorenal syndrome hyposmolality and/or hyponatremia acute respiratory failure other ascites encounter for palliative care malignant neoplasm of liver, primary gross hematuria esophageal varices in diseases classified elsewhere, with bleeding chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction pulmonary congestion and hypostasis leukocytosis, unspecified viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta 

Answer: The patient is high likely exposed to