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: bronchoesophageal fistula and lung abscess/mass major surgical or invasive procedure: central line placement mechanical ventilation and intubation arterial line history of present illness: mrs. is a 54 year old female with a history of hypertension, hyperlipidemia, type 2 diabetes transferred from an osh for bronchoesophageal fistula and lung mass. the patient initially presented to osh on with weight loss (19 lbs in last month, 40 lbs over past year), cough and emesis with injestion of liquids and solids, and progressive weakness. she was found to be in arf with a ct chest and barium swallow that demonstrated a bronchoesophageal fistula. prior to being admitted, the patient went to her pcp and was noted to have a hr of 150 with possible afib, but while admitted to the osh was in sinus rhythmn. while at osh, she was treated with azithromycin, ceftriaxone, and pip/tazo. in addition, a bronch/egd for stent placement was unsuccessful, and the patient was then transferred while intubated to for further management on . . while in the t/sicu, the patient was treated with flagyl and cefepime for lung abscess/consolidation and remained intubated. she underwent bronchoscopy on demonstrating nectrotic mucosa in the right bronchus intermedius. the patient was also evaluated by thoracic surgery, and after discussion with the patient's hcp, surgical intervention with thoracotomy, bilobectomy, window, esophagectomy with cervical espophagogastrostomy and j tube was declined. the patient was then transferred to the for planned egd for biopsy and possible esophageal stenting tomorrow. . currently, the patient is sedated on mechanical ventilation. past medical history: htn hyperlipidemaia diabetes, type 2 previous pna asthma bronchitis tuberculosis as a child. social history: tobacco - 70 pack year history (active 1+ ppd). etoh - none. no iv, illicit, or herbal drug use. lives with boyfriend . on , friend, for a mental disorder. family history: cad physical exam: admission physical exam: vs: 97.5 100/57 66 19 98% ac 400 x12, 5, 50% gen: sedated in nad heent: perrl, sclerae anicteric. ett in place. cv: nl s1+s2 pulm: rhonchorous throughout to anterior auscultation. decreased breathsounds with rales at right base. abd: s/nt/nd +bs ext: no c/c/e neuro: sedated, opens eyes to voice, does not follow commands. pertinent results: 07:27pm blood wbc-18.4* rbc-4.67 hgb-14.9 hct-44.4 mcv-95 mch-31.9 mchc-33.5 rdw-13.1 plt ct-194 07:27pm blood pt-16.2* ptt-28.3 inr(pt)-1.4* 07:27pm blood glucose-237* urean-7 creat-0.7 na-137 k-3.2* cl-102 hco3-23 angap-15 07:27pm blood calcium-7.7* phos-2.6* mg-1.4* pathology of esophageal biopsies (): - poorly-differentiated carcinoma (see note). - foreign material and amorphous debris, consistent with food particles. additional immunohistochemical stains are performed to further characterize the tumor. tumor cells stain positive for ttf-1 and cytokeratin 7 and are negative for cdx-2 and cytokeratin 20. the immunophenotype is suggestive of a lung primary. imaging: ct of the thorax (): findings: a large poorly marginated soft tissue mass is seen in the subcarinal region and right lower lobe of the lung. the exact extent is difficult to delineate without contrast. there is cavitation of the portion located within the right lower lobe. there is obliteration of the normal fat planes and encasement of the esophagus. a nasogastric tube extends to the mid esophagus. optiray has been instilled and outlines portions of the proximal esophagus. in the mid to distal esophagus, there is a linear track of optiray extending outside the normal esophageal contour (2:27). contrast extravasates into the area of cavitation in the right lower lobe. there also appears to be communication of this cavity with the right lower lobe bronchus (3:25) immediately following the bifurcation of the right middle lobe bronchi from the bronchus intermedius. the mass narrows the right middle lobe bronchi, which remain patent. a small pleural effusion has increased in size. patchy parenchymal opacification throughout the remainder of the right lung likely represents aspiration or infection. there also are patchy airspace opacities within the lingula. impression: subcarinal and right lower lobe cavitary mass encompassing the esophagus. direct communication of the cavitary portion with the esophagus and right lower lobe bronchus. findings are concerning for bronchogenic carcinoma or alternatively esophageal cancer. brief hospital course: the patient was initially on the cardiothoracic service and transferred to the medical icu after the family declined high risk cardiothoracic surgery with significant mortality to fix the bronchoesophageal fistula. while in the micu, the patient remained intubated. she developed low bps and low uops consistent with sepsis, likely due to the bacterial source from the cavitary lung lesion. she was aggressively fluid resusitated, started on dopamine, and prescribed broad spectrum antibiotics of flagyl, vancomycin and cefepime. after initial resusitation the patient remained hemodynamically stable with map>65 and uop>30 cc/hr. her pressure requirements were weaned, however, the patient remained ventilator dependent. she failed multiple spontaneous breathing trials despite medical optimization. the extensive nature of the bronchoesophageal fistula seemed to be malignant. gi performed an endoscopy and thought the stricture looked malignant. they biopsied some areas and the pathology revealed a poorly differentiated adenocarcinoma of lung origin. after discussing the prognosis, the health care proxy and family decided to make her comfort measures only. this decision was based on multiple meetings with the family members and health care proxy as well as supporting pathology data that signified a poor prognosis. the patient was extubated with her family by her side and expired. medications on admission: medications (transfer): albuterol inhaler 6 puff ih q4h wheeze cefepime 2 g iv q12h chlorhexidine gluconate 0.12% oral rinse 15 ml oral famotidine 20 mg iv q fentanyl citrate 25-100 mcg iv q1h:prn pain heparin 5000 unit sc tid insulin sc ipratropium bromide mdi 6 puff ih q4h metronidazole (flagyl) 500 mg iv q8h midazolam 5-10 mg/hr iv drip . medications (home): lisinopril 20 daily zocor 20 daily asa 81 daily albuterol mdi prn discharge medications: none discharge disposition: expired discharge diagnosis: primary: 1. primary lung adenocarcinoma 2. bronchoesophageal fistua 3. septic shock secondary: 1. drug rash discharge condition: expired procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus esophagogastroduodenoscopy [egd] with closed biopsy removal of intraluminal foreign body from esophagus without incision diagnoses: anemia, unspecified tobacco use disorder unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia severe sepsis atrial fibrillation other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus septic shock abscess of lung dermatitis due to drugs and medicines taken internally malignant neoplasm of lower lobe, bronchus or lung foreign body accidentally entering other orifice secondary malignant neoplasm of other digestive organs and spleen other specified disorders of esophagus foreign body in esophagus unspecified drug or medicinal substance causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to