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: no known allergies / adverse drug reactions attending: chief complaint: liver abscess major surgical or invasive procedure: mrcp under general anesthesia for liver abcess history of present illness: 50f with down sydrome who had surveillance mrcp today as part of her follow up after cholecystectomy complicated by the development of hepatic abscess requiring percutaneous drainage. she was put under general anesthesia for the mrcp with rocuronium and propol. prior to the scan, her bp was in the 90's. shortly after the mrcp she was noted to be hypotensive with bp transiently in the 60's and bradycardic with a hr in the 50's. she was transferred to the pacu and started on neosynephrine past medical history: pmh: mental retardation, hypothyroidism, mood disorder, dementia, osteopenia psh: ercp x 2, lap ccy social history: sh: no t/e/d, hcp , . lives at group home family history: noncontributory physical exam: vitals: 99.2 99.0 53 118/45 13 96%3l gen: the patient is . no evidence of distress. card: rrr pulm: breath sounds present bilaterally. abd: soft, nt, nd. past incision well healed. ext: warm. good capillary refil no edema noted. pertinent results: 09:41pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.5 leuk-neg 09:41pm urine color-straw appear-clear sp -1.013 ::::mrcp:::: there is evidence of scarring within segment vi of the liver related to the recent intervention. no recurrent abscess cavity is present. ::::cxr:::: ap single view of the chest was obtained with patient in sitting semi-upright position. available for comparison is the next preceding portable chest examination of . there is significant cardiac enlargement. no typical configurational abnormality can be identified, but the pulmonary vasculature demonstrates vascular distention and perivascular haze consistent with acute left-sided chf. conclusive evidence for central pulmonary edema is, however, not seen as yet. also the lateral pleural sinuses remain free and there is no evidence of pneumothorax in the apical area. when comparison is made with the previous examination of , it is clear that the pulmonary vasculature is now significant congested. ::::cardiac echo:::: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. mild aortic regurgitation. pulmonary artery hypertension. increased pcwp. compared with the prior study (images reviewed) of , the estimated pulmonary artery systolic pressure is higher and increased pcwp is now suggested. the other findings are similar. brief hospital course: after underoing a gadolinium contrast mrcp, the patient's sbp was found to drop to the 60's from the 90's preprocedure. the patient was also bradycardic to the 50's, though she remained in sinus. she was admitted to the pacu and was placed on a phenylephrine drip, after which she was taken to the icu where the pressor continued. she was asymptomatic throuhgout. an echocardiogram was obtained, the results of which are included in hte "pertinent results" section. a cardiology consult was also obtained. they were of the opinion that the patient's hypotension was a result of an anaphylactic-type reaction to either the anestheisa or the gadolinium. in light of an ekg without interval abnormalities beyond sinus bradycardia, as well as the fact that she had been bradycardic in the past, they weere of hte opinoin that her bradycardia was not contributing to her hypotension. they suggested continuation of hemodynbamic support but indicated that no cardiac intervention was necessary. the patient remained in the icu until she was weaned of pressors at which time she was discharged. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding at baseline with the assistance of her caretaker who her from the housing complex where she stays. patient was not in pain and asymptomatic from baseline as per patient and as per report. the patient received discharge teaching and there was verbalized agreement with the discharge plan. medications on admission: abilify 5', aricept 10', synthroid m-f, 150 sasu, mvi, clonazepam 1', ursodiol 300', prilosec 20', tylenol prn discharge medications: 1. aripiprazole 5 mg tablet : one (1) tablet po daily (daily). 2. donepezil 10 mg tablet : one (1) tablet po hs (at bedtime). 3. levothyroxine 112 mcg tablet : one (1) tablet po daily (daily). 4. multivitamin tablet : one (1) tablet po daily (daily). 5. ursodiol 300 mg capsule : one (1) capsule po bid (2 times a day). 6. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 7. fexofenadine 60 mg tablet : one (1) tablet po daily (daily). 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 9. acetaminophen 325 mg tablet : two (2) tablet po q4h (every 4 hours) as needed for pain. discharge disposition: extended care facility: capabilities discharge diagnosis: distributive shock discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were seen kept in the intensive care unit for close monitoring of blood pressure and heart rate. you were kept on pressors (a kind of medication that raises your blood pressure) during your stay. cardiology was consulted and they concluded that no further intervention was required for your low heart rate and blood pressure. a repeat blood pressure done on the leg revealed that your arm and lower extremity demonstrated different pressures. pressors were stopped and you remained stable throughout your stay. please call your doctor if you notice any of the follwing: you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. followup instructions: please follow up by calling ( procedure: magnetic resonance imaging of other and unspecified sites diagnoses: other iatrogenic hypotension other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure abscess of liver disorder of bone and cartilage, unspecified down's syndrome shock, unspecified 

Answer: The patient is high likely exposed to