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: gammar attending: chief complaint: esophageal carcinoma major surgical or invasive procedure: laparoscopic esophagogastrectomy thoracentesis history of present illness: 65-year-old man with a history of barrett's esophagus, who has been followed by dr. . he had an endoscopy for surveillance and had a very small raised area, which was biopsied and found to be adenocarcinoma in a segment of barrett's esophagus. since then, he has undergone a number of studies such as a pet-ct, which shows an abnormal focus of uptake in the distal esophagus. there was a focus of uptake in the distal rectum, which was probably physiological. dr. has done a colonoscopy, which shows no lesion. endoscopic ultrasound was done here, which showed a very small mass, which was 4x6 mm. this was thought to be a t1 lesion. past medical history: past medical history: -early onset alzheimer's disease -history of prostate cancer status post prostatectomy. allergic to igg with an unknown reaction. past surgical history: -knee surgery -appendectomy - surgery for the eye -radical prostatectomy and repair of a right knee meniscal tear. social history: the patient lives with his wife. drinks occasionally. he is a heavy smoker and has smoked one and a half pack of cigarettes per day for 36 years. he has tried to quit several times but has gone back to smoking and despite multiple requests by his caregivers recently, he is still smoking though less than one pack per day. he is retired. family history: history of breast cancer in his mother. physical exam: gen: wdwn male, pleasant, 6"2, 200lbs heent: wnl neck: supple, without mass, nodes, thyromegaly chest ctab with normal percussion heart: normal sounds, no m/r/g abd: soft, no t/d/r/g ext: no c/c/e; diminished pulses in feet; l heel ulcer on discharge, essentially the same except l neck jp drain with small amounts of sputum draining. ctab and feeding jejunostomy tube in place. pertinent results: 04:44pm blood wbc-12.1* rbc-3.99* hgb-12.6* hct-36.8* mcv-92 mch-31.7 mchc-34.3 rdw-13.2 plt ct-158 03:34am blood wbc-13.1* rbc-4.13* hgb-13.1* hct-38.1* mcv-92 mch-31.7 mchc-34.4 rdw-13.4 plt ct-165 07:25am blood wbc-15.0* rbc-3.84* hgb-11.8* hct-34.9* mcv-91 mch-30.8 mchc-33.9 rdw-13.7 plt ct-468* 06:45am blood wbc-12.7* rbc-4.08* hgb-12.7* hct-37.3* mcv-92 mch-31.1 mchc-34.0 rdw-13.5 plt ct-512* 04:44pm blood pt-14.4* ptt-31.4 inr(pt)-1.3* 04:44pm blood glucose-161* urean-10 creat-0.7 na-135 k-4.6 cl-107 hco3-21* angap-12 03:34am blood glucose-140* urean-11 creat-0.8 na-135 k-4.4 cl-105 hco3-21* angap-13 07:25am blood glucose-129* urean-16 creat-0.6 na-130* k-4.7 cl-97 hco3-22 angap-16 06:45am blood glucose-143* urean-16 creat-0.6 na-130* k-5.0 cl-98 hco3-21* angap-16 09:58pm blood ck(cpk)-495* 10:03am blood type-art po2-154* pco2-43 ph-7.39 caltco2-27 base xs-1 intubat-intubated 12:03pm blood type-art po2-268* pco2-49* ph-7.33* caltco2-27 base xs-0 intubat-intubated 12:03pm blood glucose-118* lactate-2.9* na-137 k-4.0 cl-106 01:19pm blood glucose-152* lactate-2.6* na-137 k-3.9 cl-104 pathology: pathology examination name birthdate age sex pathology # , 65 male report to: dr. gross description by: dr. /mtd specimen submitted: esophagectomy, periazygos tissue. procedure date tissue received report date diagnosed by dr. /ttl previous biopsies: slides referred for consultation. diagnosis: i. esophagus and proximal stomach, esophagectomy (a-x, z-ak): adenocarcinoma, moderately differentiated, arising in a background of barrett's esophagus with dysplasia; see synoptic report. ii. periazygous tissue (y): a. three lymph nodes with no carcinoma identified (0/3). b. mature fibroadipose tissue. esophagus: resection synopsis macroscopic specimen type: esophagectomy. tumor site: gastroesophageal junction. tumor size greatest dimension: 1.4 cm. additional dimensions: 0.5 cm. microscopic histologic type: adenocarcinoma. histologic grade: g2: moderately differentiated. extent of invasion primary tumor: pt1b: tumor invades submucosa (seen best on slide g, recut level 3). regional lymph nodes: pn0: no regional lymph node metastasis. lymph nodes number examined: 15. number involved: 0. 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: approximately 7 mm. specified margin: circumferential. lymphatic (small vessel) invasion: absent. venous (large vessel) invasion: absent. additional pathologic findings: intestinal metaplasia, dysplasia, mild esophagitis; active. chest ct: 1. postoperative changes following esophagectomy and pull-up procedure, with no evidence of mediastinal extraluminal collections. however, assessment for a leak is limited due to request for no oral contrast. if there remains clinical suspicion for this complication, a fluoroscopic study may be helpful if warranted clinically. 2. moderate dependent pleural effusions, left greater than right with adjacent atelectasis. 3. perihilar ground-glass opacities, which may reflect mild hydrostatic edema. final report exam: pa and lateral chest . indication: status post laparoscopic esophagectomy. please re-evaluate small apical pneumothorax. findings: comparison made to multiple priors, most recently . small right apical pneumothorax has decreased. upper mediastinal drain, and overlying surgical staples are unchanged. cardiomediastinal contours, and neoesophagus are not significantly changed. left lung remains clear. there is new ill-defined opacity at the right lung base, which may represent areas of subsegmental atelectasis, though aspiration cannot be excluded. minimal pleural effusion is unchanged. impression: 1. decreased small right apical pneumothorax. 2. new right basilar airspace opacity could represent areas of subsegmental atelectasis, but aspiration cannot be excluded. brief hospital course: the patient went to the operating room for his minimally invasive esophagectomy and jejunostomy-tube placement by drs and . intraoperatively there was trouble placing a foley catheter and urology was called for cystoscopy, foley placement, and urethral stricture dilation at bladder neck. he subsequently underwent the above mentioned the procedure and was admitted to the sicu for observation. on he self-discontinued his nasogastric tube and was noted to be in atrial fibrillation which required a diltiazem drip. on dr. replaced his nasogastric tube without significant event. he was placed on a lasix drip for fluid overload, and an echo was performed without significant result. he was started on trophic tube feeds at that point. on he converted back to sinus rhythm and his pca was d/c'ed. his lasix drip continued and he was noted to have som mild amount of erythema around the chest tube site. on his lasix drip was weaned off, and a ct chest was performed to assess for leak. none was immediately seen though a significant left pleural effusion was noted and ultimately tapped by dr. on . on he was d/c'ed off his diltiazem drip and was switched to po. his chest tube was placed to waterseal. on he was moved to full strength tube feeds. on he was noted with rue swelling and tenderness, ueni was negative. on he was transferred from the icu. on his chest tube and foley were both discontinued with minimal apical pneumothorax (stable). the remainder of his hospital stay was uneventful and he worked with pt in a sufficient manner to be able to be discharged home with services and family supervision. he was npo the entire time with tube feeds and he will remain that way at least until follow up. he was essentially pain free and excited to leave the hospital. discharge medications: 1. memantine 5 mg tablet sig: two (2) tablet po bid (2 times a day). 2. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 3. chlorhexidine gluconate 0.12 % mouthwash sig: five (5) ml mucous membrane (2 times a day): swish and spit. disp:*300 ml(s)* refills:*2* 4. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day): please crush and give through j tube. disp:*120 tablet(s)* refills:*2* 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): please crush and give through j-tube. disp:*60 tablet(s)* refills:*2* 6. outpatient physical therapy home physical therapy per inpatient recommendations discharge disposition: home with service facility: discharge diagnosis: status post laparoscopic esophagogastrectomy for esophageal adenocarcinoma atrial fibrillation controlled anastomotic leak discharge condition: stable discharge instructions: all medications must be given to j tube only. nothing by mouth. diet is tube feeds only. followup instructions: call dr. office to follow up in days. procedure: other enterostomy enteral infusion of concentrated nutritional substances thoracentesis percutaneous abdominal drainage other cystoscopy dilation of urethra insertion of indwelling urinary catheter partial esophagectomy partial gastrectomy with anastomosis to esophagus application of pressure dressing diagnoses: tobacco use disorder unspecified pleural effusion gout, unspecified atrial fibrillation personal history of malignant neoplasm of prostate atrial flutter iatrogenic pneumothorax other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance accidents occurring in residential institution barrett's esophagus ulcer of heel and midfoot malignant neoplasm of cardia postoperative urethral stricture 

Answer: The patient is high likely exposed to