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: contrast: 150 cc of optiray secondary to allergies. ct of the abdomen with iv contrast: there is a patchy infiltrate at both lung bases as well as a left-sided effusion with adjacent compressive atelectasis. the esophagus is quite dilated with an air-fluid level and there is irregular wall thickening towards the ge junction compatible with known history of esophageal carcinoma. the stomach is greatly dilated, as is the first, second and third portions of the duodenum. though unclear, it appears that the earliest portion of the jejunum at its duodenal junction has been pulled forward for the j-tube insertion. it is in this approximate region that the transition point resides. large lymph nodes are present in the gastrohepatic ligament and it is difficult to say whether these are compressing the distal duodenum or not given the lack of passage of oral contrast. the remainder of the small bowel is decompressed. there is residual contrast, gas and stool in the colon. free gas is noted along the musculature of the chest wall as well as within the peritoneal cavity. the liver, spleen, pancreas, adrenal glands, and kidneys appear normal. there are several enlarged para-aortic and aortocaval lymph nodes in the retroperitoneum as well as celiac and sma axis nodes. ct of the pelvis with iv contrast: there is ascites distributed throughout the abdomen and diffuse increase in attenuation of the subcutaneous fat compatible with edema. free air is noted above. the distal ureters and urinary bladder appear within normal limits. there are no suspicious osseous lesions. impression: 1. obstruction in the distal duodenum, possibly related to the j-tube insertion site or less likely to numerous enlarged lymph nodes in the region (over) 1:03 pm ct abdomen w/contrast; ct pelvis w/contrast clip # ct 150cc nonionic contrast; ct reconstruction reason: please eval obstruction at level of jejunum field of view: 36 contrast: optiray amt: 150 ______________________________________________________________________________ final report (revised) (cont) given that the ostruction is a new finding. 2. bibasilar patchy lung infiltrates with left-sided effusion. 3. diffuse intraperitoneal and subcutaneous air. 4. ascites and subcutaneous edema. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other intubation of respiratory tract revision of stoma of small intestine reopening of recent laparotomy site diagnoses: other pulmonary insufficiency, not elsewhere classified pneumonia due to pseudomonas pneumonitis due to inhalation of food or vomitus other complications due to other vascular device, implant, and graft paralytic ileus malignant neoplasm of esophagus, unspecified site attention to other artificial opening of digestive tract other and unspecified general anesthetics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to