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: giant paraesophageal hernia. major surgical or invasive procedure: esophagogastroduodenscopy, lapaaroscopic repair of hiatal hernia, laparotomy, gastroplasty, toupet fundoplication history of present illness: mr. is a 55-year-old gentleman who is self-referred for management of his reflux and regurgitation. the patient states that he has known that he has had a hiatal hernia for at least 7 years. he had been diagnosed with anemia approximately 2 years ago and for that had undergone an upper endoscopy that by the patient's report showed a gastric ulcer. this also showed a rather large hiatal hernia. surgery was not recommended at that time, and the patient had developed worsening symptoms. this includes daily reflux regurgitation for solid food, dysphagia for solid food and liquids as well as a hoarse voice. of note, the patient was admitted twice last year for pneumonia, although it is not clear to me if this represented aspiration pneumonia or pneumonia related to the patient's smoking history. the patient states that his symptoms have been getting worse, and over the past month or so, he has been troubled by daily reflux regurgitation and more recently vomiting of nonbilious food. he also complains of some difficulty breathing after walking up 2 flights of stairs. the patient states that he currently is on over-the-counter prilosec. this has some mild benefit, but certainly, he notes his symptoms would be far worse if the prilosec were to be discontinued. the patient states that he is troubled by significant dysphagia, regurgitation and reflux and wishes to proceed with repair of this giant paraesophageal hernia. past medical history: anxiety/depression diabetes mellitus type 2 hypertension/hyperlipidemia bronchitis kidney stone/calculi arthritis p.s. appendectomy, tonsillectomy, bilateral knee arthroscopy social history: he has a 15-pack-year smoking history. he had smoked for 16 years and quit, but recently resumed smoking about a year ago. he is currently unemployed. he lives with his family. he is not physically active, but is able to climb 2 flights of stairs without difficulty. he does not consume alcohol. family history: non-contributory physical exam: general: 55 year-old male in no apparent distress heent: normocephalic, mucus membranes moist neck: supple, no lymphadenopathy card: rrr normal s1,s2 no murmur/gallop or rub resp: scattered wheezes throughout gi: bowel sounds positive, abdomen soft non-tender/non-distended extr: warm no edema incision: lower abdominal mid-line with staples c/d/i no erythema neuro: non-focal pertinent results: wbc-6.5 rbc-4.71 hgb-13.2* hct-38.7plt ct-387 wbc-11.0 rbc-3.17* hgb-8.8* hct-27.4 plt ct-275 glucose-67* urean-28* creat-0.9 na-144 k-4.6 cl-108 hco3-28 glucose-168* urean-20 creat-0.9 na-138 k-4.4 cl-100 hco3-28 procedure date tissue received report date diagnosed by dr. /cma?????? diagnosis: i. hernia sac (a): mature fibroadipose tissue, consistent with hernial sac; numerous marginating neutrophils are present, likely procedure-related. ii. fundus, partial resection (b): unremarkable segment of gastric fundus. bas/ugi air/sbft upper gi gastrografin study: approximately 100 cc of gastrografin were administered and sequential images were taken of the upper gi tract. these demonstrate a free passage of contrast material through the distal esophagus and stomach without holdup at any location or evidence of leak. cta chest w&w/o c&recons, non-coronary impression: 1. no evidence of pulmonary embolism. 2. small right pneumothorax. 3. moderate right pleural effusion, and near complete atelectasis of the right lower lobe. small left pleural effusion. 4. ground-glass attenuation airspace opacities at the lung apices bilaterally, right greater than left, may represent aspiration. 5. post-surgical changes at the ge junction, consistent with recent history of paraesophageal hernia repair. chest (pa & lat) transthoracic drain has been removed from the right chest and mediastinum. a dilated stomach still projects above the plane of the left hemidiaphragm in the midline, with precise relationship to the left hemidiaphragm is indeterminate from this solitary view. small left pleural effusion is stable. heart size is exaggerated by the retrocardiac stomach, probably not enlarged. a small region of radiopacity in the right mid lung may represent a fissural fluid but should be followed to exclude pneumonia. no pneumothorax. brief hospital course: pt admitted on and taken to the or for giant esophageal hernia repair. an epidural was placed for pain control w/ good effect. surgery was uneventful. pt also had, ngt to sxn. pod#1 ngt was d/c'd. swallow study done with no leak and free passage of barium. epdiural was split- bupivicaine and pca dilaudid was added to optimize pain contol. started on sips and well. pod#2 developed stridor, wheezing fractory to racemic epi and nebs requiring hi flow o2. tansferred to icu for ongong resp monitoring. cta r/o pe which was neg. cxr done revealing right effusion- pigtail was placed and drained 850cc serosang fluid. started on levaquin prophylactically. pod#3 pt's symptoms improved over the next 24 hrs and was transferred from the icu to the floor. pod# pt ptogressed well w/o further resp issues. claer liquid diet. ambulating well on roomair w/ sats >95%. pigtail drain was d/c'd and subsequently epidural was d/c'd and pt was placed on po pain med w/ good effect. pt was d/c'd to home on pod#6 and will follow up w/ dr. in 2 weeks. medications on admission: celexa 10 mg-- celexa 20 mg--tablet(s) by mouth 1xd glyburide 5 mg--2 tablet(s) by mouth 2xd lisinopril 10 mg--1 tablet(s) by mouth 1xd loratadine --10mg 1xd metformin --1000mg po 2xd prilosec otc 20 mg--20mg tablet(s) by mouth 1xd simvastatin 40 mg--tablet(s) by mouth 1qd vicodin 5 mg-500 mg--7.5/750 tablet(s) by mouth 2xd discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po once a day. 2. celexa 20 mg tablet sig: one (1) tablet po once a day. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*11* 4. metformin 500 mg tablet sig: one (1) tablet po twice a day: increase to 1000mg once blood sugars are consistently elevated > 130. 5. loratadine 10 mg tablet sig: one (1) tablet po once a day. 6. actos 15 mg tablet sig: one (1) tablet po qam. 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day: take with narcotics. 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h () as needed for pain. disp:*75 tablet(s)* refills:*0* 10. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 11. xanax 0.25 mg tablet sig: one (1) tablet po as needed as needed for anxiety. 12. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation four times a day as needed for shortness of breath or wheezing. disp:*1 inhaler* refills:*0* 13. glipizide 5 mg tablet sig: one (1) tablet po twice a day: then increase to regular dose of 10mg when appetite returns to baseline. discharge disposition: home discharge diagnosis: hiatal hernia s/p laparoscopic repair, gastroplasty, toupet fundoplication anxiety/depression diabetes mellitus type 2 hypertension/hyperlipidemia bronchitis kidney stone/calculi arthritis p.s. appendectomy, tonsillectomy, bilateral knee arthroscopy discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -difficulty or painful swallowing avoid caffiene or carbonated beverages. remaining sitting for 30-45 minutes after meals chest-tube dressing remove and place bandaid until healed you may shower no bathing or swimming for 4 weeks no driving while taking narcotics: continue stool softners with narcotics. monitor fingerstick blood sugars: keep log and restarted your full dose diabetic medications when blood sugars are consistently elevated. no vicodan while taking oxycodone/acetaminophen abdominal staples to be removed when seen by dr. continue inhalers as previous diet: full liquid diet until seen by dr. . take small pills. followup instructions: follow-up with dr. call for an appointment in 2 weeks. report to the radiology department for a chest x-ray 45 minutes before your appointment follow-up with your pcp . procedure: thoracentesis other procedures for creation of esophagogastric sphincteric competence repair of diaphragmatic hernia with thoracic approach, not otherwise specified diagnoses: esophageal reflux tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse diaphragmatic hernia without mention of obstruction or gangrene dysthymic disorder other and unspecified hyperlipidemia iatrogenic pneumothorax other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation laparoscopic surgical procedure converted to open procedure other specified anomalies of esophagus anomalies of other specified sites of peripheral vascular system 

Answer: The patient is high likely exposed to