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: codeine attending: chief complaint: esophageal cancer major surgical or invasive procedure: esophagectomy history of present illness: the patient is a 57-year-old gentleman who was previously diagnosed with t3, n1 esophageal cancer of the distal esophagus. the patient had had a feeding jejunostomy placed through a left lower quadrant incision and had undergone preoperative chemoradiation therapy. the patient had tolerated this well and, after review of post- therapy images, it was decided to proceed with a tri- incisional esophagectomy. past medical history: esophageal ca diabetes mellitus type 2 pulmonary emboli social history: lives w/ wife no etoh former smoker- quit 10 yrs ago. was 3 ppd for many years family history: non-contributory physical exam: general: well appearing, in nad heent: left neck incision healing well w/ small area of irritation d/t staples which are now removed. chest: decreased at the bases other wise clear. poc site clean- de-accessed. cor: rrr s1, s2 abd: round, soft, nt, nd. distal portion of midline incision opened and packed w/ ns-wet to dry - wound bed clean beefy red w/ minimal serosang draiange. j-tube site clean and dry. extrem: no c/c - minimal pedal edema neuro: alert and oriented x3. no deficits pertinent results: cxr comparison: and . history: 52-year-old man with recent chest tube, status post esophagectomy, evaluate for pneumothorax. findings: in the interim, the right chest tube has been removed. no residual pneumothorax is noted. otherwise, no significant interval change since the prior examination. there are persistent left basilar streaky opacities noted likely secondary to underlying atelectasis. there is peripheral opacity seen in the right hemithorax, unchanged from the previous examination. surgical neck staples are seen along the left side of the neck. minimal blunting of the right costophrenic angle that could be secondary to effusion and atelectasis. impression: status post removal of a right chest tube drainage catheter with no evidence of residual pneumothorax. cta impression: 1. small loculated right hydropneumothorax. small layering left pleural effusion. 2. bilateral atelectases. 3. no evidence for pulmonary embolism. 4. free intraperitoneal air and fluid, all likely post-operative, though evaluation for a perforated viscus is thus suboptimal. if there is clinical concern for perforation, gastrografin contrast can be orally administered and the patient can be rescanned to evaluate brief hospital course: pt was admitted the day prior to surgery for heparin gtt for history of pe. taken to the or on for flexible bronchoscopy, tri-incisional esophagectomy with esophagogastric anastomosis. ngt, anastomotic jp drain to bulb sxn. j-tube to gravity. bilat chest tubes to sxn w/ serosang drainage. an epidural was placed for pain control w/ good effect. post op pt was admitted to the sicu intubated. pod#1 pt was extubated w/o incident. pod#2 pt transferred from ici to floor for ongoing post-op care. trophic tube feeds started. chest tubes to water seal w/ resultant ptx- back to sxn w/ lung re-expansion. pod#4 chest tubes to water seal w/ stable cxr. left chest tube d/c'd. ngt d/c'd. pod#5 return of bowel function - tube feed advanced slowly to goal over subsequent days. pod#6 grape juice test- negative. started on clears liquid. right chest tube d/c'd w/ stable cxr. pod#7 epidural d/c'd lovenox restarted at 120 mg . did not roxicet. started on po dilaudid w/ good effect. progressing well w/ pt- cleared for home. pod#8 c/o shortness of breath and general not feeling well. cxr, labs and clinical exam stable. abd midline incision slightly red at distal aspect- opened - wound bed clean, no drainage. pod#9 subjective c/o sob persists despite stable clinical exam. cta done to r/o pe given recent pe history. cta neg. symptoms resolved. diet progressed to full liquids. pod#10 d/c'd to home w/ vna services and tube feed. will return to see dr. on w/ barium swallow at the time of that visit. medications on admission: asa 81', metformin 1000', glucotrol 10', mvi lovenox was held prior to surgery discharge medications: 1. enoxaparin 120 mg/0.8 ml syringe : one (1) subcutaneous (2 times a day). disp:*60 doses* refills:*2* 2. glipizide 5 mg tablet : three (3) tablet po bid (2 times a day). 3. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. metformin 500 mg tablet : two (2) tablet po bid: crush this medication and take by mouth w/ apple sauce or pudding. 6. hydromorphone 2 mg tablet : 1-2 tablets po q3h (every 3 hours) as needed. disp:*80 tablet(s)* refills:*0* 7. tube feed replete w/ fiber at 95cc/hr continuous flush w/ 50cc water every 6hrs and before and after hook up or discontinue feeds tube feed pump and supplies discharge disposition: home with service facility: vna discharge diagnosis: esophageal ca s/p vad/open j (), dm2, s/p ccy (), h/o pe esophagectomy discharge condition: good discharge instructions: call dr. office if you experience chest pain, shortness of breath, fever, chills, nausea, vomiting, diarrhea, abdominal pain, difficulty swallowing or if you develop foul smelling drainage from your abd incision. if your feeding tube sutures become loose or break, please tape tube securely and call the office . if your feeding tube falls out, save the tube, call the office immediately . the tube needs to be replaced in a timely manner because the tract will close within a few hours. do not put any medication down the tube unless they are in liquid form. flush your feeding tube with 50cc every 8 hours. continue full liquid diet until seen by dr. . lovenox 120mg twice daily. will require coumadin for 6 months follow. will call his pcp . for referral to clinic. continue fingerstick blood sugars and keep log. followup instructions: follow-up with dr. : at 11am on the clinical center. before your appointment report to the radiology department for a chest x-ray and barium swallow on at 9:30am. procedure: fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances total esophagectomy other pyloroplasty diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use iatrogenic pneumothorax surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of venous thrombosis and embolism accidents occurring in residential institution secondary and unspecified malignant neoplasm of intrathoracic lymph nodes malignant neoplasm of cardia acute post-thoracotomy pain body mass index 32.0-32.9, adult 

Answer: The patient is high likely exposed to