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: presents for surgical manangement of distal esophageal neoplasm s/p course of neoadjuvant therapy. major surgical or invasive procedure: minimally invasive combined thoracoscopic and laparoscopic total esophagogastrectomy with cervical gastric anastomosis. history of present illness: the patient is a delightful 65 yo gentleman with stage t2n1 adenocarcinoma of the distal esophagus who underwent preoperative staging, including staging laparoscopy with placement of a jejunostomy tube and neoadjuvant chemoradiotherapy. he has had an excellent response and is now being taken forward for a minimally invasive esophagogastrectomy. he first noted dysphagia in , and the neoplasm was identified and staged by by edg and us as being responsible for his symptoms of partial ge obstruction. has since undergone neoadjuvant therapy and placement of a j-tube for weight-. past medical history: 1. esophageal cancer 2. htn 3. lower gi bleed () 4. pilonidal cyst (distant past) social history: social history: alcohol: social drinker. tobacco: two packs per day for 30 years, discontinued 10 years ago. semiretired, dental lab. family history: supportive pertinent results: 09:14pm blood wbc-10.7 rbc-3.48* hgb-9.6* hct-27.9* mcv-80* mch-27.5 mchc-34.3 rdw-14.2 plt ct-250 12:31am blood wbc-8.8 rbc-3.40* hgb-9.0* hct-27.5* mcv-81* mch-26.5* mchc-32.8 rdw-13.8 plt ct-293 04:45pm blood plt ct-282 09:14pm blood pt-13.1 ptt-22.0 inr(pt)-1.1 12:31am blood plt ct-293 09:14pm blood glucose-159* urean-19 creat-0.9 na-141 k-4.1 cl-108 hco3-25 angap-12 12:31am blood glucose-117* urean-13 creat-0.9 na-138 k-3.7 cl-101 hco3-33* angap-8 09:14pm blood albumin-3.4 calcium-8.2* phos-3.4 mg-2.6 12:31am blood calcium-7.7* phos-2.1* mg-1.8 ugi (): no evidence of anastomotic leak. sluggish emptying of barium into the small bowel, which could be related to postop inflammation. brief hospital course: patient tolerated procedure well. post operatively, he remained in sicu for 3 days till . pain was well controlled throughout hospitalization. hospital course was uncomplicated. he had slight change in mental status and needed a 1:1 sitter and ativan on . on tube feeds were started at 1/2 strength. on he was transferred to floor. on , the swallow study came back normal. on ng and left chest tube was removed. on swallow study was found to be normal. he was started on sips and slowly advanced to clears. tube feeds were advanced to 3/4 strength. on right chst tube was removed. on 3/38 foley and jp were removed. patient was deemed suitable and stable for discharge on pod7. medications on admission: anzemet 100mg--compazine 10mg (during chemo) hydrochlorothiazide 12.5 mg lipitor 10 mg lisinopril 40 mg protonix 40 mg discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. disp:*150 ml(s)* refills:*0* 2. cyclobenzaprine hcl 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed. disp:*30 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: capsules po every hours as needed for pain. disp:*30 capsule(s)* refills:*2* 4. lansoprazole 30 mg susp,delayed release for recon sig: one (1) dose po once a day. disp:*60 doses* refills:*2* 5. lipitor 10 mg tablet sig: one (1) tablet po once a day. 6. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 7. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po once a day. discharge disposition: home discharge diagnosis: adenocarcinoma, stage t2n1 of the distal esophagus. discharge condition: good, stable discharge instructions: discharge to home with instructions to take medications as perscribed and follow-up with dr. as indicated. if you experience fever >101.5, unremitting abdominal, chest or throat pain; nausea/vomitting or any other symptoms concerning to you, please seek medication evaluation at a local er. you may resume your regular diet with the soft-solid modification. however, do not engage in heaving lifting or stennous activity until you follow-up visit. you may shower, but do not bath, and always be careful to dry the incisions/wounds well. keep a dry, sterile gauze dressing over the wounds, to be changed daily or as needed. there may continue to be minimal amounts of drainage from your chest tube sites as you resume your daily activities, but if this becomes copious, purulent or painful, seek medical evaluation. crush pills. followup instructions: please call dr. ( ) and dr. ( ) to schedule follow-up appointments . follow up with pcp procedure: other total gastrectomy enteral infusion of concentrated nutritional substances diagnoses: pure hypercholesterolemia unspecified essential hypertension malignant neoplasm of lower third of esophagus secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes status of other artificial opening of gastrointestinal tract 

Answer: The patient is high likely exposed to