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: codeine attending: chief complaint: dysphagia major surgical or invasive procedure: 1. minimally-invasive esophagectomy with intrathoracic anastomosis. 2. laparoscopic jejunostomy. 3. buttressing of intrathoracic anastomosis with pericardial fat. 4. esophagogastroduodenoscopy . history of present illness: mr. is a 63 year old male with a history of gerd and barrett's esophagus for which he was undergoing surveillance endoscopy. he was found to have an adenocarcinoma within an esophageal nodule near the ge junction. he underwent eus on which noted a 1cm malignant appearing lesion at the ge junction without evidence of invasion beyond the mucosal layer. a single 0.7 x 0.8 cm lymph node was seen in the periesophageal region which was sampled via fna. ln negative for malignancy. the patient underwent endoscopic mucosal resection on with pathology as low grade well to moderately differentiated adenocarcinoma, at least intramucosal, multifocally extending to specimen margins with concern for invasion, possibly into the muscularis mucosae. he presents to discuss the possibility of surgical resection. mr. explains that he had some mild heartburn in the past but has difficulty remembering exactly when he was first started on antacid medication. he reports having been followed with serial endoscopy for at least 3-5 years for what sounds like barrett's esophagus likely found at the time of his initial gi workup in the past. the cancer was diagnosed on recent surveillance egd. the patient complains of a 15 pound weight loss and significant anxiety which began upon learning his diagnosis. otherwise he denies reflux, dysphagia, odynophagia, heartburn, nausea, shortness of breath, dyspnea on exertion, chest pain. eating and drinking well. denies heart disease, mi, has never needed oxygen therapy, never been hospitalized, never taken inhalers or steroids for his lungs. he has a heavy smoking history, having quit 2 weeks ago. also a heavy drinking history, sober for last 20 years. the patient states that he hopes to have surgery as soon as possible. past medical history: past medical history: copd, htn, htn, depression, tobacco use, hypercholesterolemia, bph, gerd past surgical history: none social history: cigarettes: never current pack-yrs: 40 pack years etoh: no yes drinks/day: prior heavy drinker, sober 19 yrs exposure: no yes radiation asbestos other: occupation: retired truck driver marital status: married single lives: alone pertinent social history: does not exercise but states that he does a lot of walking, says does not get out of breath with 2 flights ________________________________________________________________ family history: mother: colon cancer father siblings: brother lung cancer offspring other: aunt bladder cancer physical exam: vital signs sheet entries for : bp: 117/73. heart rate: 78. weight: 198.3. height: 71.25. bmi: 27.5. temperature: 97.5. resp. rate: 16. pain score: 0. o2 saturation%: 98. general all findings normal wn/wd nad aao abnormal findings: heent all findings normal nc/at eomi perrl/a anicteric op/np mucosa normal tongue midline palate symmetric neck supple/nt/without mass trachea midline thyroid nl size/contour abnormal findings: respiratory all findings normal cta/p excursion normal no fremitus no egophony no spine/cvat abnormal findings: cardiovascular all findings normal rrr no m/r/g no jvd pmi nl no edema peripheral pulses nl no abd/carotid bruit abnormal findings: gi all findings normal soft nt nd no mass/hsm no hernia abnormal findings: gu deferred all findings normal nl genitalia nl pelvic/testicular exam nl dre abnormal findings: neuro all findings normal strength intact/symmetric sensation intact/ symmetric reflexes nl no facial asymmetry cognition intact cranial nerves intact abnormal findings: ms all findings normal no clubbing no cyanosis no edema gait nl no tenderness tone/align/rom nl palpation nl nails nl abnormal findings: lymph nodes all findings normal cervical nl supraclavicular nl axillary nl inguinal nl abnormal findings: skin all findings normal no rashes/lesions/ulcers no induration/nodules/tightening abnormal findings: psychiatric all findings normal nl judgment/insight nl memory nl mood/affect abnormal findings: pertinent results: 09:42am glucose-180* lactate-1.1 na+-138 k+-6.3* cl--107 09:42am hgb-13.8* calchct-41 10:43am glucose-170* lactate-1.6 na+-139 k+-6.4* cl--108 12:30pm glucose-190* urea n-18 creat-0.9 sodium-139 potassium-4.8 chloride-110* total co2-26 anion gap-8 ba swallow : status post esophagectomy with gastric pull-through, without evidence of holdup or leak at the neogastroesophageal junction cxr : the right-sided chest tube has been removed. emphysematous changes in the lungs are again visualized. there is improved aeration in the left lower lung with decreased effusion; however, there continues to be some retrocardiac volume loss. old rib fractures on the right are again seen brief hospital course: mr. was admitted to the hospital and taken to the operating room where he underwent a laparoscopic esophagectomy. he tolerated the procedure well and returned to the pacu in stable condition. he maintained stable hemodynamics and his pain was well controlled with a thoracic epidural catheter. his tube feedings were started via j tube on post op day #1 and he was eventually cycled over 18 hours. he was able to use his incentive spirometer effectively and his oxygen was gradually weaned off with room air saturations of 94%. his epidural was removed and he was treated with oxycodone for pain via the j tube. a barium swallow was done on post op day #6 which confirmed no anastomotic leak and he began a liquid diet which he tolerated well. unfortunately his j tube site started to leak some purulent material and some erythema was noted around the tube. the j tube was removed on and his diet was advanced to soft solids along with ensure supplements which he continued to tolerate well. the j tube site had a 1 cm area of cellulitis around the insertion site and was i&d'd at the bedside with placement of a wick. he was also placed on keflex and the wound was monitored for another 24 hours. the area receded a bit and he continued to undergo dressing changes. he remained afebrile and his pain at the j tube site decreased. he was up and walking independently and continued to increase his oral intake with soft food and supplements. he was discharged to home on with vna services and he will follow up with dr. in 1 week. medications on admission: preadmission medications listed are correct and complete. information was obtained from patientpharmacy. 1. fluoxetine 60 mg po daily 2. omeprazole 40 mg po bid 3. atenolol 25 mg po daily 4. atorvastatin 10 mg po daily 5. aspirin 81 mg po daily 6. multivitamins 1 tab po daily 7. quetiapine extended-release 600 mg po hs discharge medications: 1. atenolol 25 mg po daily 2. fluoxetine 60 mg po daily 3. acetaminophen 650 mg po q6h pain do not exceed 4 tabs in 24 hours 4. cephalexin 500 mg po q6h thru rx *cephalexin 500 mg 1 tablet(s) by mouth four times a day disp #*20 tablet refills:*0 5. oxycodone (immediate release) 5-10 mg po q3h:prn pain rx *oxycodone 5 mg tablet(s) by mouth every four (4) hours disp #*60 tablet refills:*0 6. aspirin 81 mg po daily 7. atorvastatin 10 mg po daily 8. multivitamins 1 tab po daily 9. omeprazole 40 mg po bid 10. quetiapine extended-release 600 mg po hs 11. protein supplements ensure 1 can tid disp 1 case refill 3 months dx esophageal cancer 12. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*2 discharge disposition: home with service facility: homecare discharge diagnosis: esophageal cancer j tube wound infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr office if you experience: -fevers greater than 101 or chills -increased shortness of breath, cough or chest pain -nausea, vomiting -increased abdominal pain -incision develops increased drainage j tube site -wick in place -change dressing twice daily and as needed with the help of vna -call dr. if the redness around the wound increases beyond the purple mark pain -oxycodone as needed -take stool softners with narcotics activity -shower daily. wash incision with mild soap & water, rinse, pat dry -no tub bathing, swimming or hot tub until incision healed -no driving while taking narcotics -no lifting greater than 10 pounds until seen -walk 4-5 times a day for 10-15 minutes increase to a goal of 30 minutes daily diet: soft solids as tolerated with protein supplements ( 4 cans a day) eat small frequent meals. sit up in chair for all meals and remain sitting for 30-45 minutes after meals daily weights: keep a log bring with you to your appointment no carbonated drinks danger signs fevers > 101 or chills increased shortness of breath, cough or chest pain incision develops drainage nausea, vomiting (take anti-nausea medication) increased abdominal pain followup instructions: department: hematology/oncology when: tuesday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage please report 30 minutes prior to your appointment to the radiology department on the of the clinical center for a chest xray. procedure: other enterostomy enteral infusion of concentrated nutritional substances other incision with drainage of skin and subcutaneous tissue division or crushing of other cranial and peripheral nerves regional lymph node excision partial esophagectomy diagnoses: esophageal reflux cellulitis and abscess of trunk unspecified essential hypertension chronic hepatitis c without mention of hepatic coma chronic airway obstruction, not elsewhere classified personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) delirium due to conditions classified elsewhere barrett's esophagus malignant neoplasm of cardia infection of colostomy or enterostomy 

Answer: The patient is high likely exposed to