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 / talwin / darvocet-n 100 / xalatan / synthroid attending: chief complaint: stage iii esophogeal cancer major surgical or invasive procedure: s/p 3-hole iver- esophagectomy for stage iii esophogeal cancer. past medical history: oncologic hx: esophageal carcinoma diagnosed in of . she first noticed difficulty swallowing in , as well weight loss of lbs. egd on revealed a large ulcerated mass involving the proximal esophagus extending from about 20-25cm from the incisors. bx showed invasive moderately differentiated squamous cell carcinoma. chest ct reportedly did not show evidence of metastatic disease. eus on showed from 19cm-25cm a circumferential ulcerated mass c/w malignancy. scope could not be passed beyond 25cm. three small lymph nodes suspicious for malignancy were noted at 19cm. us staging was t3, n1. . other pmh: 1. collagenous colitis (on colonscopy and bx in in the setting of diarrheal illness). 2. osteopenia 3. calcific bursitis 4. glaucoma 5. hypothyroidism 6. pneumonia in 7. hsv outbreaks in coccygeal region social history: she is widowed and has one daughter. she works as a geologist for the us geological survey. she lives alone in , but has been staying with family members while in the area. she smoked one ppd x 30 years (quit this month). she used to drink alcoholic beverages per night but currently drinks about two glasses of wine per night. she uses no illicit drugs. family history: mgm had breast cancer in her 80s. father died at age of chf and prostate cancer. mother is alive at age with h/o hypertension. she has two sisters, one age 61 and the other aged 63, and a brother age 58 all without cancer. physical exam: nad rrr cta b/l soft, nontender incision clean dry intact, j-tube intact pertinent results: time taken not noted log-in date/time: 3:29 pm pleural fluid pleural fluid. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (final ): no growth. anaerobic culture (preliminary): no growth. 03:29pm pleural wbc-96* rbc-* polys-53* lymphs-7* monos-17* baso-2* meso-5* macro-16* 03:29pm pleural totprot-2.0 glucose-113 ld(ldh)-98 amylase-8 triglyc-20 0 06:33am blood wbc-8.4 rbc-2.96* hgb-9.3* hct-28.2* mcv-95 mch-31.5 mchc-33.1 rdw-16.9* plt ct-406 06:08am blood wbc-7.4 rbc-2.94* hgb-9.2* hct-28.3* mcv-96 mch-31.2 mchc-32.5 rdw-17.2* plt ct-331 06:16pm blood wbc-6.7 rbc-3.18* hgb-10.1* hct-29.3* mcv-92 mch-31.7 mchc-34.4 rdw-16.8* plt ct-217 06:33am blood plt ct-406 06:08am blood plt ct-331 06:16pm blood pt-13.9* ptt-51.1* inr(pt)-1.2* 06:33am blood glucose-114* urean-9 creat-0.5 na-137 k-4.4 cl-100 hco3-29 angap-12 06:08am blood glucose-111* urean-8 creat-0.4 na-140 k-4.4 cl-104 hco3-27 angap-13 08:45am blood urean-21* creat-0.6 06:08am blood totprot-4.7* 03:39am blood calcium-8.1* phos-3.3 mg-1.8 06:16pm blood calcium-7.2* phos-2.9# brief hospital course: pateint ws admitted for elective esophagectomy by dr. . she tolerated procedure well. she remained intubated overnoght in icu where she was extubeted the following day and transfered to floor for further care. her postoperative course was uncomplicated as she acheived anticipated goals of oral intake, ambulation, baseline bowel/bladder function and adequate pain control at expected time intervals. she was cleared for discharge on pod 10 with visiting nurse service for j-tube feeding and care. discharge medications: 1. tubefeeding supplies pet pump and g-tube/j-tube supplies 2. tube feeding probalance--5 cans per day 3. acetaminophen 650 mg suppository sig: suppositorys rectal q4-6h (every 4 to 6 hours) as needed. 4. fentanyl 50 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). disp:*10 patch 72hr(s)* refills:*0* 5. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* 8. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). tablet(s) 9. docusate sodium 150 mg/15 ml liquid sig: fifteen (15) cc po bid (2 times a day). 10. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 11. xanax 0.25 mg tablet sig: one (1) tablet po every eight (8) hours as needed for anxiety. 12. 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:*2* 13. ambien 5 mg tablet sig: one (1) tablet po at bedtime. 14. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 15. potassium chloride 20 meq packet sig: two (2) packets po once a day for 7 days: 40 meq dissolve in water and administer via j- tube. disp:*14 14* refills:*0* 16. lorazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day) as needed. 17. hydromorphone 2 mg tablet sig: 1-2 tablets po every hours as needed. disp:*84 tablet(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: osteoporosis, collagenous colitis, anemia, glaucoma, pna, s/p j-tube and ir change ; s/p t&a, s/p hemorrhoidectomy, s/p hand surgery; esophogeal cancer discharge condition: good discharge instructions: call dr./thoracic surgery office for: fever, shortness of breath, chest pain, vomitting. take medications as listed in discharge instructions. take pain medication as needed and as directed. tube feeding @ 50/hr or as instructions state. you may take only full or clear liquids by mouth. followup instructions: call dr./thoracic surgery office for an appointment in 2 weeks. procedure: enteral infusion of concentrated nutritional substances thoracentesis division or crushing of other cranial and peripheral nerves regional lymph node excision partial esophagectomy diagnoses: anemia, unspecified unspecified pleural effusion unspecified acquired hypothyroidism osteoporosis, unspecified malignant neoplasm of upper third of esophagus 

Answer: The patient is high likely exposed to