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: bee pollens / lisinopril attending: chief complaint: squamous cell carcinoma of tongue major surgical or invasive procedure: 1. direct laryngoscopy and biopsy of left lateral tongue 1. tumor and left anterior tonsillar pillar. 2. left modified radical neck dissection. 3. hemiglossectomy. history of present illness: 85 year old man with t2(possibly t4 if invading into base of tongue musculature) probable n2c (bilateral uptake) squamous cell carcinoma of the left lateral tongue and newly identified mid-esophageal squamous cell carcinoma at least in situ. for left scc of tongue patient underwent left partial glossectomy, left neck dissection and direct laryngoscopy by ent. . as patient is currently intubated history obtained through omr. patient first noticed a painful swollen tongue in - progressed to difficulty swallowing accompanied by a 25-pound weight loss over the course of three months. this prompted an evaluation at the hospital where he had a biopsy performed of the left lateral tongue on that revealed squamous cell carcinoma in situ extending to the specimen margins. there was no invasive carcinoma identified in the biopsy specimen. peg tube placed in preparation for treatment of tongue cancer. as part of work-up patient had egd , that demonstrated no abnormalities however egd which revealed a visible abnormality in his mid-esophagus with biopsy consistent with at least in situ squamous cell carcinoma. this egd was preformed on recent admission for weight loss and fatigue felt to be secondary to malignancy and pmr flare was consequently started on course of prednisone. past medical history: squamous cell carcinoma of the left lateral tongue squamous cell carcinoma of the esophagus hypertension gerd polymyalgia rheumatica: diagnosed about 2.5 years ago for the symptoms of hand swelling/stiffness. started on steroid 15-20 mg daily and was slowly tapered off over couple years. pt was on 1mg prednisone until - then recently re-started last admission. . social history: the patient performs his own adl's. he used to drink about 4oz of alcohol a day and smoke a pipe, but quit both when he was diagnosed with cancer. he began smoking a pipe at the age of 17. . family history: no family history of oral or gi cancers physical exam: on discharge: avss gen: eldery male, nad heent: perrl, anicteric, dry mucosa, tongue s/p left partial glossectomy. neck: left neck wound with steri-strips over incision, c/d/i resp: cta b/l with good air movement throughout anteriorly cv: s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly, + peg in use ext: no c/c/e skin: no rashes/no jaundice/no splinters . pertinent results: 04:16am blood wbc-11.8* rbc-3.89* hgb-12.0* hct-36.3* mcv-93 mch-30.8 mchc-33.0 rdw-15.3 plt ct-218 04:16am blood glucose-151* urean-13 creat-0.7 na-141 k-4.0 cl-103 hco3-29 angap-13 04:16am blood albumin-3.3* calcium-8.5 phos-2.4* mg-2.3 09:45am other body fluid triglyc-1475 . cxr: findings: in comparison with the study of , there has been placement of an endotracheal tube with its tip approximately 7.5 cm above the carina. hyperexpansion of the lungs persists suggestive of chronic pulmonary disease. however, no acute focal pneumonia, vascular congestion, or pleural effusion. cxr: aside from mild left basal atelectasis lungs are clear. heart size top normal, increased since , but no pulmonary vascular congestion or edema. small left pleural effusion may be present. no pneumothorax. . micro: urine culture (final ): no growth. brief hospital course: a/p: 85 yo male pmh oral scc s/p left partial hemiglossectomy, left neck dissection. the patient was admitted to the ent service on for treatment. on , the patient underwent left partial hemiglossectomy, left neck dissection and direct laryngoscopy, which went well without complication (reader referred to the operative note for details). the patient remained intubated after the procedure due to concern for postoperative edema, and was kept in the icu. the patient was hemodynamically stable. he was extubated on pod#1. the patient was hemodynamically stable. he was transferred to the floor on pod#2, where speech and swallow service saw the patient, and he was transitioned to thin liquids on pod#3 and also began supplemental tube feeds. his foley catheter was d/ced on pod#4, and he voided without difficulty. his diet was advanced further to pureed solids on pod#4, and his tube feeds were cycled overnight. the patient tolerated these well, however on pod#4 developed cloudy output from his jp drain which was found to contain elevated triglycerides and a chyle leak was suspected. his diet was reduced to clear liquids, and his tube feeding formula changed. by pod#7, his drain output became serosanguinous again, and his drain and staples were removed. the remainder of the hospital course was uneventful. post-operative pain was initially well controlled with iv pain medications, which was converted to oral pain medication when tolerating clear liquids. during this hospitalization, the patient ambulated early and frequently, was adherent with respiratory toilet and incentive spirrometry, and actively participated in the plan of care. the patient received subcutaneous heparin and venodyne boots were used during this stay. the patient's blood sugar was monitored regularly throughout the stay; sliding scale insulin was administered when indicated. at the time of discharge on , the patient was doing well, afebrile with stable vital signs. the patient was tolerating a clear liquid diet, ambulating, voiding without assistance, and pain was well controlled. the patient was discharged home with services for tube feeding. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: atenolol - 50 mg tablet - 1tablet(s) by mouth daily prednisone - 30 mg daily ms contin - 15 mg epinephrine - dosage uncertain omeprazole - 20 mg capsule, delayed release(e.c.) - 1 (one) capsule(s) by mouth once a day oxycodone-acetaminophen - (prescribed by other provider) - dosage uncertain discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). 3. prednisone 10 mg tablet sig: three (3) tablet po daily (daily). 4. morphine 10 mg/5 ml solution sig: ml po q4h (every 4 hours) as needed for pain. disp:*150 ml* refills:*0* 5. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: squamous cell carcinoma of the left lateral tongue discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: 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, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please follow up with dr. as scheduled: provider: , md phone: date/time: 10:40 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy radical neck dissection, unilateral partial glossectomy closed [needle] biopsy of tongue biopsy of tonsils and adenoids diagnoses: anemia, unspecified polymyalgia rheumatica esophageal reflux unspecified essential hypertension long-term (current) use of steroids gout, unspecified personal history of tobacco use other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation do not resuscitate status arthropathy, unspecified, site unspecified body mass index less than 19, adult complications affecting other specified body systems, not elsewhere classified malignant neoplasm of middle third of esophagus malignant neoplasm of other sites of tongue carcinoma in situ of lip, oral cavity, and pharynx 

Answer: The patient is high likely exposed to