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: acid reflux, anemia major surgical or invasive procedure: s/p transhiatal esophagectomy for adenocarcinoma of distal esophagus . history of present illness: 66-year-old gentleman with longstanding gastroesophageal reflux disease, barrett's esophagus who recently presented with anemia and was found to have a lesion in the esophagus which was biopsy proven to be adenocarcinoma. endoscopic ultrasound suggested a t2, n0 lesion supported by a pet scan and a ct scan. i recommended transhiatal esophagectomy for definitive therapy and to establish pathologic staging. we reserved the decision regarding adjuvant chemoradiotherapy to pathologic examination of the resected specimen. past medical history: cornary artery disease, hypertension, hypercholesterolemia, superficial bladder cancer, gout, adenocarcinoma of distal esophogas, esophogeal reflux, barrett's esophogas social history: lives w/ girlfriend in . + smoker- 4 pack years 's, occassional etoh family history: ovarian cancer in mother brother w/ prostate cancer physical exam: general heent resp cor abd ext pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:30am 10.0 4.31* 12.8* 36.8* 85 29.8 34.9 13.9 230 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 05:30am 230 chemistry renal & glucose glucose urean creat na k cl hco3 angap 06:15am 128* 24* 1.2 146* 4.5 107 30 14 chemistry totprot albumin globuln calcium phos mg uricacd iron 06:15am 8.9 3.1 2.2 radiology final report chest (portable ap) 11:38 am reason: r/u ptx medical condition: 66 year old man s/p transhiatal esophagectomy and left chest tube placement, chest tube to water seal, now desatting and fever to 101 reason for this examination: r/u ptx history: fever. a single portable chest radiograph again demonstrates a right internal jugular central venous catheter. catheter tip is likely in the distal svc and unchanged. a nasogastric tube is again noted with tip in the stomach. surgical skin staples project over the soft tissues of the left neck. no pneumothorax. bibasilar atelectasis and small bilateral pleural effusions are unchanged. trachea remains midline. radiology final report chest (pa & lat) 3:35 pm reason: please eval interval change, ptx, s/p ct d/c medical condition: 66 year old man with s/p esophagectomy, s/p left ct d/c reason for this examination: please eval interval change, ptx, s/p ct d/c indication: esophagectomy, status post chest tube removal, question pneumothorax. comparison is made to . there is interval removal of the left chest tube. again seen is a small left apical pneumothorax which appears unchanged in size (approximately 5%). a right ij line is in unchanged position. an ng tube is seen with the tip in the stomach. a retrocardiac air- fluid level is attributed to fluid within the gastric pull-up. there is atelectasis at both lung bases and likely small pleural effusions. radiology final report foot 2 views left 8:20 am reason: fx? medical condition: 66 year old man s/p esophagectomy with l foot trauma reason for this examination: fx? history: foot trauma. two radiographs of the left foot demonstrate mild, diffuse, demineralization. joint spaces are maintained without periarticular erosion. no fracture. assessment is limited by overlying dressing material. dense vascular calcifications are noted. impression: no fracture. ******************** pathology examination name birthdate age sex pathology # , 66 male report to: dr. . gross description by: dr. /dif specimen submitted: esophagus + proximal stomach,lt gastric ln. procedure date tissue received report date diagnosed by dr. . /nbh diagnosis: i. esophagogastrectomy (a-aa, ag-ah): adenocarcinoma of the distal esophagus, see synoptic report. barrett's esophagus with high grade glandular dysplasia. segment of stomach, within normal limits. esophageal squamous epithelium at proximal margin and gastric corpus mucosa at distal margin. ii. lymph nodes, left gastric (ab-af): eight lymph nodes, with metastatic adenocarcinoma in one. esophagus: resection synopsis macroscopic specimen type: esophagogastrectomy. tumor site: distal esophagus. tumor size greatest dimension: 3.0 cm. additional dimensions: 1.9 cm. microscopic histologic type: adenocarcinoma. histologic grade: g2: moderately differentiated. extent of invasion primary tumor: pt1b: tumor invades superficial submucosa. regional lymph nodes: pn1a: (1 to 3 nodes involved). lymph nodes number examined: 15 (includes left gastric). number involved: 1. distant metastasis: pmx: cannot be assessed. margins proximal margin: uninvolved by invasive carcinoma. distal margin: uninvolved by invasive carcinoma. circumferential (adventitial) margin: uninvolved by invasive carcinoma. distance of invasive carcinoma from closest margin: 4 mm. specified margin: adventitial. lymphatic (small vessel) invasion: absent. venous (large vessel) invasion: absent. clinical: esophageal carcinoma. gross: the specimen is received fresh in two parts, both labeled with ", " and the medical record number. part 1 is additionally labeled "esophagus and proximal stomach" and consists of an esophagogastrectomy specimen. the esophagus measures 7.0 cm in length x 3.0 cm in diameter. the stomach measures 14.0 cm x 7.0 and has an 11 cm stapled distal margin. the specimen is opened to reveal tan-pink glandular mucosa extending above the ge junction approximately 4 cm. there is a 3.0 x 1.9 cm ulcerated lesion within this area of glandular extension into the esophagus, that abuts the ge junction and is located approximately 2.9 cm from the esophageal margin and 7.0 cm from the stomach margin. the gastric mucosa is tan, pink and grossly unremarkable with normal rugal folding. the external surface of the esophagus is inked in blue and the proximal esophageal resection margin is submitted for frozen section. frozen section diagnosis by dr. is "esophageal margin; no malignancy identified. the attached yellow fibrofatty soft tissue is stripped and searched for lymph nodes. the specimen is represented as follows: a-m = completely submitted ulcerated lesion extending distally, n = representative sections of unremarkable esophageal squamous mucosa, o-p = ge junction, q = esophagus with glandular mucosa, r-s = grossly unremarkable gastric mucosa, t-x = gastric resection margin, y-aa = possible lymph nodes. ag-ah = frozen section remnant of esophageal resection margin. part 2 is additionally labeled "left gastric lymph nodes" and consists of a fragment of yellow fibrofatty tissue measuring 6.9 x 4.4 x 2.8 cm. the specimen is searched for lymph nodes. representative sections of possible lymph nodes are submitted in ab-af. brief hospital course: patient admitted sda for transhiatal esophagectomy for adenocarcinoma of distal esophogas . patient tolerated procedure well, pain control w/ dil/bup epidural, transfer to icu extubated on cool aerosol mist .40. ct to water seal cxr okay; npo; afebrile 97sr, 123/63; is/ pul toilet. to floor, wt 118 kg, cr 1.6, wbc 16, tf at 30cc/hr, maintenance ivf, epidural split, cxr no ptx ? lll atelectasis, fever to 101, u/a neg wbc 15, abx off, epidural dc'd, ct dc'd, dc abx, cxr stable l atelectasis, small apical ptx awaiting bowel function. cxr no ptx. inc tf. l foot trauma () while transfer, ankle x-ray no fx, ortho consulted, foot x-ray requested. stable, oob, awaiting flatus ngt dc passed grape juice swallow- clear liqs tolerated well. jp, neck staples, abd staples d/c'd; full liquids tolerated well remainder of stables removed w/o complication. pt discharged to home instable condition in company of family member to western mass. discharge instructions given and reviewed by np and rn. services provided by --, hospital-fax . medications on admission: lopressor 25", colchicine 0.6', lipitor 20', protonix 40', allopurinol 300', mvts discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. allopurinol 100 mg tablet sig: 1.5 tablets po daily (daily). disp:*60 tablet(s)* refills:*1* 5. acetaminophen 160 mg/5 ml solution sig: po q4-6h (every 4 to 6 hours) as needed for fever. 6. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 7. tube feeding probalance 75cc/hr x24 hours cycle as per tolerance: 90cc/hr x20hr; 110cc/hr x16hr; 130cc/hrx14hr; 150cc/hr x12hr flushe w/ 120cc h2o every 6hours if no intake 8. tube feeding supplies kangaroo pump, iv pole, feeding bags, 60 cc catheter tip syringes, j- tube discharge disposition: home with service facility: fax discharge diagnosis: cornary artery disease, hypertension, hypercholesterolemia, superficial bladder cancer, gout, adenocarcinoma of distal esophogas discharge condition: good discharge instructions: call dr./ thoracic surgery office for: fever, shortness of breath, chest pain, nausea/ vommiting, difficulty swallowing. intake- full liquids only by mouth. crush pills in full liquids. tube feeding as below. for tube feeding issues- or - probalance tube feeding; 75cc/hr x24 hours. cycle as per tolerance: 90cc/hr x20hr; 110cc/hr x16hr; 130cc/hrx14hr; 150cc/hr x12hr flushes w/ 120cc h2o every 6hours if no intake; needs 700 additional fluid, then flush h2o 120cc q6h vna services w/ hospital-- . followup instructions: call dr./ thoracic surgery office for an appointment in days. . procedure: insertion of intercostal catheter for drainage other total gastrectomy other enterostomy enteral infusion of concentrated nutritional substances diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension gout, unspecified unspecified sleep apnea old myocardial infarction personal history of malignant neoplasm of bladder barrett's esophagus malignant neoplasm of lower third of esophagus secondary and unspecified malignant neoplasm of lymph nodes of head, face, and neck 

Answer: The patient is high likely exposed to