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: no known allergies / adverse drug reactions attending: chief complaint: esophageal cancer major surgical or invasive procedure: minimally invasive esophagectomy balloon angioplasty of left subclavian artery. history of present illness: the patient is a 62-year-old man with a history of significant peripheral vascular disease who has esophageal cancer in the distal esophagus from 38-42 cm, he initially presented with dysphagia. biopsy of the distal esophagus showed poorly differentiated invasive adenocarcinoma with focal glandular differentiation and signet ring features. pet-ct on , , showed fdg avidity with an suv of 9.8 at the distal esophagus, corresponding to the known esophageal carcinoma; there was a 1-cm rounded opacity at the left lung base with mild fdg avidity with an suv of 2.9, which was not clearly seen on a prior ct from , and was felt to represent a focus of infectious or inflammatory change or atelectasis; a lymph node immediately superior to the celiac axis measured 1.6 cm with an suv of 3. in summary, he has no evidence of metastatic disease. he is also a significant vascular patient with bad aorto-iliac disease. he is status post axillary -fem bypass. in this admission his subclavian site was found to be narrowed, requiring a subclavian angioplasty. he has an echo from which showed good ejection fraction and no significant wall motion abnormalities. thoracic surgery was consulted to assist with minimally invasive esophagectomy. past medical history: -esophageal ca - dx - recieved 28 cycles of xrt and chemo - with last cycle 7 days prior to admission. primary oncologist - dr. with - pt reporting done with treatment currently -htn, -hypercholesterolemia -pad social history: retired special education teacher. lives with girlfriend, (is rn). current non-smoker, having quit 1 year ago. prior to that had a 30 pack-year history. denies alcohol use for the past 6-7 years; records indicate history of abuse. denies illicit drug use (remote past +mj and lsd). family history: mother and sister with lung ca (both with +tob history) physical exam: 976 97.6 70 102/58 16 95ra aox3, nad rrr fine crackles bilaterally abdomen soft, appropriately tender, wound c/d/i, no drainage or erythema pertinent results: admission labs 05:35am blood wbc-7.3 rbc-3.42* hgb-10.8* hct-31.2* mcv-91 mch-31.5 mchc-34.5 rdw-18.6* plt ct-114*# 12:15pm blood pt-19.0* ptt-30.8 inr(pt)-1.7* 06:30am blood glucose-100 urean-18 creat-0.5 na-137 k-3.9 cl-103 hco3-28 angap-10 06:30am blood albumin-3.2* calcium-8.3* phos-3.1 mg-1.8 iron-58 discharge labs: 04:42am blood wbc-8.0 rbc-2.64* hgb-8.5* hct-24.9* mcv-94 mch-32.3* mchc-34.3 rdw-18.2* plt ct-140* 04:42am blood glucose-124* urean-15 creat-0.4* na-135 k-3.6 cl-104 hco3-28 angap-7* 04:42am blood calcium-7.6* phos-3.2 mg-1.7 brief hospital course: mr. was admitted to the vascular service prior to his esophagectomy for an: 1. ultrasound-guided puncture of the left brachial artery. 2. catheter placement into the aortic arch. 3. left subclavian arteriogram. 4. balloon angioplasty of the left subclavian artery. for left subclavian artery stenosis. after his procedure he was started on his home medications. he was started on lovanox on . on , his diet was advanced and tube feeds adjusted. on he was made npo for his esophagectomy. he tolerated his procedure (see operative notes for full details, transferred to the pacu for recovery. he was then transferred to the icu for further stabilization. he had a foley, jp drains, and bilateral chest tubes to dry suction. his j tube was clamped. he was on heparin sq and ppi for prophylaxis. he was placed on a dilaudid pca for pain control. he received boluses to maintain urine output and manage tachycardia and his electryolytes were repleted, and put on an insulin sliding scale. on , he received 2uprbc for a hct of 23.9, his post transfusion hct was 26.4. he also received another lr 500cc bolus. on , his chest tubes were put to water seal and his tube feedings started and advanced per protocol. a urinalysis was sent which was wnl. he was seen by ent for laryngoscopy which showed no vocal cord paralysis after it was noted that his cough reflex was less than optimal. on , his foley was d/ced and he voided. he was started on aspirin per rectum. his insulin sliding scale was adjusted to optimize blood sugar control. on , he received two 250cc lr boluses before being tranferred to the floor. he continued his heparin sq and ppi for prophylaxis. he stayed npo, on tube feeds with an ngt. his chest tubes were removed by the thoracic team on and . his ngt was discontinued and his upper gi study did not show an anastomotic leak.however, he hasd a signifant aspiration of barium into his trachea. bronchoscopy was negative for fistula. a physical therapy consult was placed and he was seen by physical therapy on . hi tube feeds were held in anticipate for a bronchoscopy. free water j tube flushes were initiated on . his bronch showed mucous. he also received a 1 uprbc transfusion for a hct of 21.1. his post transfusion hct was 24.6. on his tube feeds and insulin sliding scale were adjusted. on he was switched pain medications by tube, and his home medications were started including coumadin. he was discharged to a rehabilitation facility in stable conditioning on tube feeds. he remains strict npo pending swallow reevaluation in 2 weeks. medications on admission: asa 325', atenolol 50', ativan 1 qhs prn ,warfarin 5' discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) syringe injection tid (3 times a day). to be discontinued when inr in range. 2. aspirin 300 mg suppository sig: one (1) suppository rectal daily (daily). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 4. insulin lispro 100 unit/ml solution sig: one (1) dose subcutaneous asdir (as directed): as directed in sliding scale. 5. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 6. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. dose to be adjusted according to inr, which should be checked daily until in range. 7. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* discharge disposition: extended care facility: @ discharge diagnosis: esophageal cancer peripheral artery disease with subclavian artery narrowing. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: wound care: your staples should be removed fourteen days postoperatively at rehab. tube feeds: to tubefeeding: isosource 1.5 cal - 2/3 strength full strength; goal rate: 105 ml/hr residual check: q4h hold feeding for residual >= : 200 ml flush w/ 30 ml water q6h other instructions: flush with water medications: restart all your home medications. you need daily inr checks for your coumadin. continue taking your home dose of coumadin 5 mg by mouth daily. your goal inr is . nutrition: please do not eat or drink anything by mouth. you had an episode of aspiration in the hospital. you will be scheduled for a video swallow evaluation per dr. as an outpatient. labs: you experienced some tingling in your fingers. b12 and folate labs test were sent off. your rehab facility or primary care physician should follow up on these lab results in case you need vitamin supplementation. followup instructions: please follow up with dr. in weeks. please call his office to make this appointment. procedure: fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) laryngoscopy and other tracheoscopy arteriography of other specified sites partial esophagectomy procedure on single vessel diagnoses: pure hypercholesterolemia unspecified essential hypertension personal history of tobacco use iatrogenic pneumothorax personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health leukocytosis, unspecified malignant neoplasm of other specified part of esophagus status of other artificial opening of gastrointestinal tract atherosclerosis of other specified arteries body mass index between 19-24, adult malnutrition of mild degree 

Answer: The patient is high likely exposed to