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: esophageal cancer major surgical or invasive procedure: 3-hole esophagectomy history of present illness: the patient is a 58 year-old male with a history of locally advanced esophageal adenocarcinoma s/p chemoradiotherapy. he completed radiotherapy on and had his last dose of chemotherapy administered on . this would place in right at the end of that cycle of chemotherapy. he had significant amount of weight loss since the time of his diagnosis related to therapy. in he weighed 195 pounds. his lowest weight was 162 pounds, but he has gained nine pounds -as of today he weighs 171. just in the last several days, he has noted that the esophagitis related to his radiation is improving. past medical history: arthroscopy of the right knee in of this year, hypertension, increased serum cholesterol, and gastroesophageal reflux disease. social history: tobacco exposure approximately 10 pack years, though he quit 30 years ago. he drinks 3-4 beers per week. he works as a mechanic, he is married, and has a daughter, age 16. family history: noncontributory physical exam: discharge pe: vss heent: neck incision healing well w/ intact steri-strips. jp drain site clean. lungs: cta bilat. chest tube sites healed. poc de-accessed. cor: rrr s1, s2 abd: incision healing-staples removed and -strips placed. no erythema or drainage noted. j-tube site benign. abd soft nt, +bs. diarrhea abated at time of discharge. extrem: no c/c/e. neuro: alert and oriented x3. pertinent results: cxr impression: no definite evidence of pneumothorax. there is a persistent pneumomediastinum, not significantly changed. there is continued evidence of pneumoperitoneum. gas is again demonstrated in subcutaneous soft tissue, most pronounced in the neck. subsegmental atelectasis. small right effusion. prominent interstitial markings which may represent edema unchanged. complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:45am 5.6 2.84* 9.6* 27.6* 97 34.0* 35.0 14.6 199 brief hospital course: the patient is a 58 year-old male with a history of locally advanced esophageal adenocarcinoma s/p chemoradiotherapy admitted to dr. surgery at the on for a esophagectomy. for details of the operation, please refer to the operative report. . on pod 0, he remained intubated in the csru with plans to extubate in the am. . on pod 1, he was extubated without complications and his pain was well-controlled with an epidural and pca managed by the acute pain service. he had bilateral chest tubes that were continued on suction. he required fluid boluses overnight due to low urine output, with adequate response each time. yhe remained in the csru. . on pod 2, his pain continued to be well-controlled and his chest tubes were placed to waterseal. chest x-ray post-waterseal demonstrated small bilateral pneumothoacices and the chest tubes were maintained on waterseal. he again required fluid boluses overnight to maintain his urine output, with adequate response each time. tf (replete with fiber) was started at a rate of 20cc/hr utilizing his previous j-tube. he was stable for transfer to the floor. . on pod 3, his pain continued to be well-controlled and he was transitioned to po pain medication. his ngt was discontinued with minimal output and his tf were continued at a rate of 30cc/hr. his chest tubes were continued to waterseal. . on pod 4, his pain remained well-controlled. both his left and right chest tubes were dicsontinued and follow-up chest x-rays no pneumothorax bilaterally. his heart rate was noticed to be increasing and his metoprolol was increased appropriately. his foley catheter was also removed without difficulty voiding afterward. . on pod 5, he reported having and a bowel movement and his tf were subsequently advanced. his pain continued to be well-controlled and his mediastinal jp was continued on bulb suction. . on pod 6 passed grape juice study. clears. experinecing diarrhea. c-diff sent -pending at time of discharge. diarrhea resolved. full liq diet. sent home on tube feed. medications on admission: atenolol lipitor nexium discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. disp:*420 ml(s)* refills:*0* 2. esomeprazole magnesium 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day): do not take atenolol while taking lopressor. disp:*90 tablet(s)* refills:*2* 4. tube feed nutren 1.5 w/ fiber 135ml/hr x 12 hrs. 7cans/day discharge disposition: home with service facility: vna discharge diagnosis: locally advanced esophageal adenocarcinoma discharge condition: stable discharge instructions: call dr. / thoracic surgery office at for: fever, shortness of breath, chest pain, exscessive foul smelling drainage from incision sites, nausea, difficulty swallowing or diarrhea. take new medications as directed- do not resume your atenolol or lipitor until instructed by dr . please take pain medications, and please do not drive while on prescription pain medication. small white strips on incisions will fall off in time. you may shower and gently pat your incisions. no tub baths or swimming for 3-4 weeks. followup instructions: you have a follow up appointment with dr. / thoracic surgery on 4pm. prior to your appointment, please report to radiology for a barium swallow no later than 11am. procedure: enteral infusion of concentrated nutritional substances total esophagectomy intrathoracic esophagogastrostomy diagnoses: esophageal reflux unspecified essential hypertension malignant neoplasm of other specified part of esophagus secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes 

Answer: The patient is high likely exposed to