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: dysphagia major surgical or invasive procedure: 1. - minimally invasive esophagectomy history of present illness: mr. is a 61-year-old man with progressive dysphagia. he has had an abnormal barium swallow,was found to have adenocarcinoma at the gastroesophageal junction, which is biopsy-proven positive. he had a ct scan,which shows no evidence of nodal disease. there was a 3 to 4 cm segment of wall thickening at the gastroesophageal junction. he had a pet-ct, which showed no evidence of metastatic disease and an endoscopic ultrasound, which showed a very long segment of at least 3 cm in length, which was at least a t2, the possibility of a t3 lesion could not be completely excluded. there were no obvious nodes on endoscopic ultrasound. he also acknowledged having lost pounds. mr. completed chemoradiation which allowed him to eat better and gain approximately 10 pounds. his recent pet scan showed decreased amounts of avidity of the eprimary mass and no evidence of metastatic disease. past medical history: none. social history: he lives with his wife. is a former smoker. he smoked 2 packs per day for 30 years and quit 15 years ago. family history: non-contributory physical exam: tmmax: 98.5 t:94.5 p:80 bp:115/60 rr:20 spo2:100% 2lnc gen:cachetic male sitting in chair in nad. resp:good air movement on nc. ctab cv:rrr, nom/r/g abd:soft, normoactive, nontender, nondistended. j tube in place. dressing on right chest where chest tube was formerlhy inserted is c/d/i. stitch where former drain was inserted is also c/d/i. extremities: no c/c/e pertinent results: 09:17am glucose-155* lactate-0.9 na+-140 k+-3.6 cl--105 09:17am hgb-11.1* calchct-33 09:17am freeca-1.14 blood culture, routine:no growth. 8:49am new right middle lobe opacity on the lateral view which is likely atelectasis but should be watched on subsequent studies to exclude developing pneumonia.stable moderate left and small right pleural effusions. no evidence of pneumothorax. pathology specimen: adenocarcinoma, poorly differentiated, signet ring cell type, with invasion into the subserosal soft tissue (ypt3); see synoptic report.seven of seventeen regional lymph nodes with involvement by carcinoma (-ypn3).resection margins free of carcinoma.lymph nodes, station 7, excision (af-ag):six lymph nodes with no carcinoma seen (0/6). no her2-neu gene amplification was observed for this specimen brief hospital course: the patient was admitted to the surgical service for evaluation and treatment. on , the patient underwent a minimally invasive esophagectomy, which went well without complication (reader referred to the operative note for details). the patient was in the icu afterwards because of a collapsed right lung with oxygen desaturation. this required a right chest tube to be inserted in addition to the black drain he already had on that side. additionally the patient developed atrial fibrillation in the icu that was controlled with amiodarone and metoprolol. as his oxygen saturation improved in the icu he was transferred to the floor npo, on iv fluids and antibiotics, with a foley catheter. the patient was hemodynamically stable. his course on the floor was as follows: neuro: the patient received oxycodone with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient remained stable from a cardiovascular standpoint. he was continued on amiodarone and metoprolol. he stayed in nsr with pvc on the floor.he was asymptomatic. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirometry were encouraged throughout hospitalization.he arrived to the floor with a jp drain and a chest tube to water suction. one chest tube had an air leak and required pleurodesis. the patient tolerated this procedure well. in the following days the chest tube no longer had an air leak and both chest tubes were removed. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. he was started on tube feeds, and diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating his diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. he was discharged home on oxygen and nursing services. medications on admission: cialis discharge medications: 1. albuterol 0.083% neb soln 1 neb ih q6h 2. metoprolol tartrate 12.5 mg po bid hold for sbp<100, hr<60 rx *metoprolol tartrate 25 mg 1 tablet(s) by mouth once a day disp #*12 tablet refills:*0 3. pantoprazole 40 mg po q24h rx *pantoprazole 20 mg 1 tablet(s) by mouth once a day disp #*7 tablet refills:*0 4. amiodarone 400 mg po bid rx *amiodarone 400 mg 1 tablet(s) by mouth twice a day disp #*24 tablet refills:*0 5. acetaminophen (liquid) 1000 mg po q6h rx *acetaminophen extra strength 500 mg 2 (two) tablets by mouth four times a day disp #*56 tablet refills:*0 6. oxycodone liquid 5-10 mg po q4h:prn pain rx *oxycodone 5 mg 1 capsule by mouth every six hours disp #*16 capsule refills:*0 7. senna 1 tab po bid:prn constipation rx *senna 8.6 mg 1 capsule by mouth twice a day disp #*14 capsule refills:*0 8. docusate sodium (liquid) 100 mg po bid rx *colace 100 mg 1 capsule by mouth three times a day disp #*21 capsule refills:*0 9. respiratory therapy home supplemental oxygen sig: home oxygen 1-2 l cont nc flow for spo2 87% disp:1 oxygen saturation 87% on room air discharge disposition: home with service facility: vna discharge diagnosis: esophageal cancer postoperative pneumothorax with air leak discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted after undergoing a minimally invasive esophagectomy for your esophageal cancer. you were then admitted to the icu because of a collapsed lung. you had a chest tubes inserted in addition to the drain that you already had in place. you were then transferred to west 3 surgery and were followed by the surgery and thoracics team. you underwent pleurodiesis for a persistent air leak from your chest tube. consequently your chest tubes stopped leaking and were removed. you have tolerated this procedure and are now ready to be discharged home on oxygen. 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. you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. continue your tube feeds as detailed in the diet section. also you are to remain on l of continues nc oxygen for an oxygen saturation less than 87%. take your new medication for atrial fibrillation( amiodarone and metoprolol) until you follow up with your primary care physician or cardiologist. be sure to follow up with your physician shortly as you received a limited dose of new medications. followup instructions: please follow up with dr. in days. you can schedule an appointment by calling his office at(. procedure: insertion of intercostal catheter for drainage enteral infusion of concentrated nutritional substances other bronchoscopy other bronchoscopy laparoscopy transpleural thoracoscopy division or crushing of other cranial and peripheral nerves regional lymph node excision injection into thoracic cavity partial esophagectomy partial gastrectomy with anastomosis to esophagus intrathoracic esophagogastrostomy bronchial dilation other surgical collapse of lung diagnoses: chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use iatrogenic pneumothorax alkalosis other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of irradiation, presenting hazards to health malignant neoplasm of cardia pleurisy without mention of effusion or current tuberculosis status of other artificial opening of gastrointestinal tract postoperative air leak 

Answer: The patient is high likely exposed to