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: penicillins / shellfish derived attending: chief complaint: esophageal cancer. major surgical or invasive procedure: : minimally-invasive esophagectomy surgery(thoracoscopic laparoscopic ivor-), laparoscopic jejunostomy tube, pericardial fat pad buttress (adjusted adjacent tissue transfer). history of present illness: the patient is a 62-year-old gentleman who was found to have biopsy-proven intramucosal adenocarcinoma arising in high-grade dysplasia barrett's. he presents for resection. past medical history: gerd x 15 years barrett's esophagus with high-grade dysplasia. colon polyps four years ago. social history: married. lives with family. tobacco: none etoh: none occupation: owns oil company family history: his mother died at the age of 52 from breast cancer. father died at age of 56 from coronary artery disease. he has no brothers or sisters. physical exam: discharge vs: t 96.3, bp 112/66, hr 86, rr 20, o2 sats 97%ra general: 62 year-old male in no apparent distress heent: normocephalic, mucus membranes moist card: rrr normal s1,s2 hsm murmer resp: clear b/l gi: soft, nt, nt j-tube site clean , dry, intact. incision c/d/i ext: warm no edema incisions: r chest incision site clean dry intact, margins well approximated neuro: aa&o x3, no focal deficits pertinent results: 06:40am blood wbc-15.6* rbc-4.56* hgb-13.4* hct-39.2* mcv-86 mch-29.4 mchc-34.2 rdw-14.2 plt ct-414 06:40am blood wbc-13.0* rbc-4.33* hgb-13.0* hct-37.1* mcv-86 mch-30.0 mchc-35.1* rdw-13.7 plt ct-347 06:50am blood wbc-13.0* rbc-4.22* hgb-12.8* hct-36.2* mcv-86 mch-30.3 mchc-35.3* rdw-13.7 plt ct-311 06:40am blood plt ct-414 06:40am blood plt ct-347 06:50am blood plt ct-311 06:40am blood glucose-128* urean-18 creat-0.8 na-138 k-4.3 cl-105 hco3-23 angap-14 06:40am blood glucose-80 urean-22* creat-0.7 na-136 k-3.6 cl-103 hco3-23 angap-14 06:50am blood glucose-78 urean-20 creat-0.7 na-141 k-4.2 cl-106 hco3-26 angap-13 06:40am blood mg-1.9 06:40am blood calcium-8.0* phos-3.3 mg-2.0 06:50am blood calcium-7.7* phos-2.7 mg-1.8 pa and lat cxr: impression: pa and lateral chest compared to through 18: there is no pneumothorax, appreciable pleural effusion, or mediastinal widening relative to following removal of midline and pleural drains. large cardiomediastinal silhouette and right basal atelectasis are stable as is the caliber of the distended neoesophagus, with small flecks of residual contrast from the swallow performed earlier today and reported separately. barium swallow: findings: contrast passes freely through the neoesophagus into the remainder of the stomach and small bowel. there is slight holdup within the stomach, which may be postoperative. there is no evidence for leak or stricture. impression: no evidence for leak or stricture. brief hospital course: mr. was admitted following minimally-invasive esophagectomy surgery (thoracoscopic laparoscopic ivor-), laparoscopic jejunostomy tube, pericardial fat pad buttress (adjusted adjacent tissue transfer) by dr. . he was extubated in the operating room, and transferred to the icu with right chest tube, jp, ngt, foley and epidural for pain. he transfered to the floor pod 2. below is a systems review of mr. hospital course: respiratory: postoperative day 1 he had respiratory acidosis secondary to hypoventilation. with aggressive pulmonary toilet, incentive spirometer and good pain control he titrated off oxygen with saturations of 97% on ra. chest-tube: right with minimal drainage was removed without ptx on postpull films. card: sinus tachycardia 110's- iv lopressor titrated to hr < 90 converted to po once diet initiated. bp stable 110-130's. on discharge his heart rate was sinus rhythm 70's and his lopressor was discontinued. gi: ppi, bowel regime continued. pt had bowel movements following surgery. nutrition: jevity was started pod 1 titrated to goal 105 ml x 18 hours as recommended by the dietician. on he was started on a full liquid following a negative barium swallow which he tolerated. ngt was dc'd on pod 4 chest tube and jp were removed following barium swallow that showed no leak, pod 6. renal: he had normal renal function. electrolytes were replete as needed. daily weights were stable. the foley was removed with good urine output thereafter pain: epidural was split on pod2 with pca dilaudid and removed . he transitioned to po roxicet via j-tube with good control. disposition: he was seen by physical therapy and deemed safe for home. he was discharged on with his family and vna. he will follow-up with dr. as an outpatient. medications on admission: protonix 40 mg discharge medications: 1. jevity full strength goal 105 ml x 18 hrs flush j-tube with 50 ml of water before, after starting tube feeds and at noon refills: 11 feeding pump and supplies 2. prevacid solutab 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr twice a day. disp:*60 tablet,rapid dissolve, dr(s)* refills:*6* 3. roxicet 5-325 mg/5 ml solution : ml po every hours as needed for pain. disp:*500 ml* refills:*0* 4. docusate sodium 50 mg/5 ml liquid : ten (10) ml po twice a day: take while on narcotics for pain, hold for loose stool. discharge disposition: home with service facility: vna assoc. of discharge diagnosis: gerd barrett's esophagus w high-grade dysplasia colon polyps 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 (take anti-nausea medication) -increased abdominal pain -incision develops drainage -chest tube site remove dressing and cover site with a bandaid pain -roxicet via j-tube as needed for pain -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 -remove chest tube and j-tube site bandages saturday and replace with a bandaid, changing daily until healed. j-tube site: if your j-tube falls out call dr. office immediately. you may keep this covered changing dressing daily to protect site while wearing pants. if not drainage around j-tube you may keep site open to air. followup instructions: follow-up with dr. date/time: 2:30pm on the clinical center, chest x-ray radiology 30 minutes before your appointment procedure: other enterostomy enteral infusion of concentrated nutritional substances total esophagectomy diagnoses: acidosis esophageal reflux barrett's esophagus malignant neoplasm of lower third of esophagus 

Answer: The patient is high likely exposed to