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: leg weakness major surgical or invasive procedure: none history of present illness: 79 year old male male with h/o inoperable 6 cm aaa, severe as (0.9 cm), alcoholic cirrhosis, stable liver lesion x 3 years, who was in his usoh until 3 months ago, when he developed progressively worsening upper back and bilateral shoulder pain. he went to see his pcp, he was noted to have a 10 lb unintentional weight loss over one year, but ros otherwise negative. labs checked at that time were normal, except for an elevated afp of 450. an abdominal u/s demonstrated a stable liver lesion of three years (never biopsied at patient's wishes) and a new bladder lesion. he was treated with multiple, different regimens for his back pain, including motrin, xanaflex, toradol, and most recently oxycodone without relief. on day of admission, the patient's granddaughter, who is a rn, called the patient's pcp reporting that he fell yesterday from a standing position onto right side, and was now unable to get up from the couch and unable to urinate. at home, he was also noted to be hypotensive to 60/palp by his granddaughter. pcp's advice, the patient was then taken to the . he had a lumbar spine mri which was reportedly normal. in the osh ed, 800 cc of urine was drained by a foley. his bnp was elevated to 1600, troponin of 0.3 with no ischemic changes noted on his ekg. his creatinine was also noted to be elevated to 2.1 from a baseline of 1.0. the patient was also noted to be hypoxic at 86%/2lnc with an abg of 7.42/24/50. he was subsequently placed on 15 l of o2, with a sao2 of 91%. cxr was consistent with pneumonia and congestive heart failure. at the osh, he received 250 mg levoflox x 1, lasix 20 mg iv x 2, and lovenox sc for elevated troponin prior to transfer to icu for further management. past medical history: 1. 6 cm aaa - inoperable 2. severe as (0.9 cm) 3. alcoholic cirrhosis 4. h/o liver lesion x 3 yrs 5. new bladder lesion 6. elevated afp 7. right cea 8. active etoh use social history: he lives at home alone in a apt, able to ambulate at baseline up the stairs and 30-50 yards without dyspnea. former 20 ppy history, quit 20 years ago. still drinks pint per day per family (pt denies), last drink likely 2 days pta. family history: noncontributory physical exam: vital signs on admission vs: t 100, bp 115/56, hr 83, rr 24, sao2 96%/70% fm general: pleasant, fatigued-appearing, diaphoretic male in slight distress, ao x3. heent: nc/at, perrl, eomi. mmm, op clear. neck: supple, elevated jvp of 9 cm, from chest: few right basilar rales, otherwise cta-b cv: rrr, s1 s2 normal, sm at lsb without radiation abd: soft, distended, nt, nabs. dullness to percussion at flanks, no discernable fluid wave. normal rectal tone, no saddle anesthesia. ext: no c/c/e, cool extremities with dp 1+ b/l skin: large area of ecchymoses over the right hip extending over the right flank neuro: ao x 3, cn ii-xii grossly intact. markedly diminished sensation over the le extending from feet to b/l groins to pp/lt. normal sensation to lt/pp over ue and trunk. motor strength 5/5 in ue b/l; 4/5 strength in distal le with 1/5 strength in proximal le, r>l. +fasiculations and extensor spasms of b/l le. upgoing babinski's b/l. dtr's 2+ throughout. gait not tested. pertinent results: laboratory studies on admission wbc-9.1 rbc-4.77 hgb-13.2 hct-38.1 mcv-80 rdw-19.8 plt count-110 neuts-86.3 lymphs-7.8 monos-4.6 eos-0.5 basos-0.7 alt(sgpt)-28 ast(sgot)-106 ld(ldh)-428* ck(cpk)-1211* alk phos-119* amylase-98 tot bili-2.0 lipase-70* albumin-3.4 calcium-9.6 phosphate-4.5 magnesium-1.7 glucose-90 urea n-44 creat-1.7 sodium-140 potassium-4.4 chloride-103 total co2-20 anion gap-21 radiology: cxr: slightly improved rll opacity, new patchy opacity l base ct l-spine: markedly demineralized lumbar spine, extensive degenerative changes with spinal stenosis t12-l1, 6 cm aaa mri l spine: multiple bony lesions t3, t4, t5, t7, t8-12. t4 infiltrated with mild pathologic compression and retropulsion. t4 moderate spinal stenosis and spinal cord compression mri c-spine: probable metastatic compression t4 osh: abd u/s: 2.1 cm x 2.3 cm hyperdense lesion in right posterior lobe of liver, unchanged from , likely hemangioma. +splenomegaly and ascites, gb sludge and probable cholelithiasis. 1.7 x 2.3 cm polypoid soft tissue mass in the base of the urinary bladder. infraabdominal aaa 5.9 x 6.5 cm, increased since prior ct scan. - ct chest/abd/pelvis without contrast: small left, moderate right pleural effusion. moderate rll infiltrate abd atelectasis. copd with upper lobe with "honeycombing." nodular liver, spleen is enlarged, esophageal and periumbilical varices, and small amount of ascites. small calcified hepatic granuloma. +gallstones. several tiny non-obstructing left kidney stones, indwelling foley with a collapsed urinary bladder. 5.7 x 6.0 cm infra-abdominal aaa. brief hospital course: 79 y/o male with aaa, etoh cirrhosis, critical as, p/w le paresis found to have cord compression at t4 due to metastatic cancer (multiple spinal, liver, bladder) of unknown primary 1. spinal cord compression: spine mris showed t4 infiltrated with associated compression fracture and cord compression. multiple other lesions noted throughout thoracic vertebra t2-t8. the patient was started on iv decadron. given worsening lower extremity functioning, the patient was transferred to the medical service for urgent radiation. he had minimal if any improvement with radiation. neurosurgery evaluated him for possible surgery, but felt he was not a good operative candidate given critical aortic stenosis and 6 cm aaa. 2. metastatic cancer to spine (unknown primary). given known liver lesion and markedly elevated afp (865), hepatocellular carcinoma was suspected. other possibilities include bladder cancer (given bladder mass), although urine cytology showed only degenerated epithelial cells. spep showed a small monoclonal band (most polyclonal) and upep was negative. psa was within normal limits. initially, a full metastatic work-up (chest ct, bone scan) was planned with possible ir-guided biopsy (spine vs liver). however, given underlying medical problems (critical as), poor prognosis (multiple metastases), worsening medical status (worsening transaminitis, thrombocytopenia, possible dic, chf in setting of severe as, demand ischemia), the patient was felt to be unlikely to tolerate both invasive diagnostic testing and chemotherapy. a family meeting was held, and the decision was made to pursue comfort-oriented care with a plan to transition to hospice. the patient's mental status gradually declined, and he passed away on . medications on admission: meds (at home) - 1. asa 81 mg qd 2. lisinopril 20 mg qd 3. atenolol 25 mg qd 4. protonix 40 mg qd 5. lovastatin 20 mg qod discharge disposition: expired discharge diagnosis: primary: spinal cord compression secondary: metastatic cancer of unknown primary, aortic stenosis, abdominal aortic aneurysm, aspiration pneumonia. discharge condition: deceased md procedure: other radiotherapeutic procedure diagnoses: congestive heart failure, unspecified alcoholic cirrhosis of liver acute kidney failure, unspecified aortic valve disorders acute respiratory failure pneumonitis due to inhalation of food or vomitus secondary malignant neoplasm of brain and spinal cord retention of urine, unspecified abdominal aneurysm without mention of rupture other malignant neoplasm without specification of site secondary malignant neoplasm of bone and bone marrow myelopathy in other diseases classified elsewhere secondary malignant neoplasm of other urinary organs 

Answer: The patient is high likely exposed to