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: gi bleeding major surgical or invasive procedure: esophogastroduodenoscopy history of present illness: 60 yo cad s/p cabg x6, s/p mi x 2 (imi, also nqwmi ), s/p recent svg ->rca des (), chf (ef 30%), avr, afib, dm2, copd recently admitted nqwmi () was cath 3vd (lmca 30%, mid lad 50%, rcx 80%) so he was stented svg-pda. during that admission egd performed: gastric mass w/ non diagnostic bx, gastric ulcer, gastritis/duodenitis, while pt taking heparin/integrelin for avr. pt was dc home () only to return () c/o melena, lh hct 25 so pt admitted micu where pt given 4u prbc, ffp, and k. given stable hct, pt was tx to floor. past medical history: cardiac: cva x 1 afib s/p cardioversion (last doc episode ) as s/p mechanical avr ( av ) cad s/p cabg x 6 (svgx4, rima, lima) w/ svg to rca stent() chf (ef=30%) w/diffuse hypokinesis pvd s/p b/l metatarsal amputation hyperlipidemia htn nqwmi . pulm: copd pulm htn (last echo ) . other: dm2 iron deficiency anemia social history: smokes 1-3 packs per day; no alcohol family history: cad copd sister- cad, dm physical exam: vs: 98.2 95/50 89 rr=20 o2 sat 96% ra gen: lying comfortable in bed, ambulatory, nad, aao x 3 heent: no icterus, mmm, perrla, no lad palpable neck: jvp=7cm lungs: right basilar mild crackles and decreased air entry cv: rrr, nl s1/s2, 3/6 sem apex rad to axilla>carotids, no s3, s4, rubs abd: soft, nt/nd, +bs, no rebound or guarding ext: trace pedal edema, weak b/l dp/pt/radial pulses, no clubbing/cyanosis neuro: grossly intact and no focal deficit. motor strength b/l pertinent results: ekg: sinus rhythm with slowing of the rate as compared to the previous tracing of . intraventricular conduction delay. diffuse st-t wave abnormalities as previously recorded on without diagnostic interim change. pan ct (): several enlarged pretracheal, paratracheal lad + small lesser curvature stomach lad, small pleural effusion r>l endoscopic us (): ge jxn mass 2 x 1.5cm in size w/ invasion through muscularis propria, paraesophageal nodes 1-1.7cm size; both mass and lad bx egd (): 2cm gastric mass extending into esophagus @ ge jxn. 05:15am blood wbc-4.4 rbc-3.80* hgb-10.9* hct-31.7* mcv-83 mch-28.6 mchc-34.3 rdw-15.7* plt ct-196 05:15am blood plt ct-196 05:15am blood glucose-124* urean-7 creat-0.7 na-140 k-4.1 cl-107 hco3-27 angap-10 05:15am blood calcium-8.4 phos-3.2 mg-2.1 brief hospital course: a/p: 60m h/o chf/cad/cabg/mi s/p recent stenting/plavix w/ gib and gastric mass awaiting gi imaging and interventions. 1) gi/heme: egd repeated, which showed injected mass in distal esophagus/cardia. ct scan next performed showed pre and paratracheal enlarged lad + smaller lad along lesser curvature of stomach. endoscopic u/s next performed which showed non resectable t3 lesion invading into muscularis propria w/ nodal involvement, so lad and mass biopsied for likely stage iii esophageal carcinoma. pt has minimum of t3n1 (stage iii) esophageal mass highly suggestive of carcinoma at ge jxn and path pending. endoscopic resection not possible given fungating mass w/ lad spread; surgery not actively pursued given increased operative mortality given cardiac risk factors. trend hct tid reveals hemodynamically stable and no clinical signs of bleeding x 3 days while pt had 2 large bore ivs, protonix 40mg , and dc coumadin/heparin per cardiology to minimize potential risk of gi bleeding. we have arranged pt to f/u w/ med onc on , rad onc to be determined and onc on . we have resumed pt's outpt meds including anti-hypertensives. note path results will be back on so please call . pt to resume regular diet as tolerated, preferably soft diet. 2) cvs: pt has extensive cardiac hx w/ negative cardiac enzymes and ekg. pt exhibited mildly increased daily weight so lasix was temporarily held for risk of hypotension. furthermore, given the predicament of avr anticoagulation vs. bleeding gi mass, cardiology was consulted who recommended dc coumadin/heparin but maintain on plavix for total 4 weeks given the lower mortality for stroke vs. bleed. please continue plavix for two more weeks, lipitor, lisinopril, metoprolol, daily weights. we are currently holding heparin, coumadin, and asa despite avr per cardiology because the risk of mortality from cva approx 5-10%, but the mortality from gi bleed is higher(please see above). so please hold heparin, coumadin, and asa. plavix for two more weeks only (total of 4 weeks). 3) dmii: today advanced pt's diet to regular diet as tolerated and resume pt's outpt insulin 50u qam + qhs while riss. 4) pulmonary: clinical right basilar crackles likely secondary to esophageal mass. pt oxygenating well during hospitalization. resume lasix. 5) rheum: steroid dependent ra maintained on acetaminophen. 6) ppx: ambulate & ppi. 7) code: dnr/dni 8) comm: talked w/ wife and daughter concerning new diagnosis for pt. medications on admission: nkda lipitor 40 asa 325 metoprolol 100 plavix 75 lisinopril 2.5 nph insulin, 50 qam, qpm coumadin discharge disposition: home discharge diagnosis: primary diagnoses: 1. gi bleed 2. esophageal mass secondary diagnoses: 1. cad 3vd s/p cabg 2. hypercholesterolemia 3. copd 4. dm2, on insulin 5. htn 6. s/p mi x2, cva x1 7. chf ef=30% 8. avr 9. pvd s/p b/l metatarsal amputations 10. iron deficiency anemia discharge condition: tolerating pos, hct stable followup instructions: please follow up with your pcp dr () on thursday, 10:30pm at health care center at family center please follow up with dr. () at thoracic oncology center on at 9:30am. there, you will have f/u appt w/ radiation oncologist. please follow up w/ dr. () at on at noon. procedure: other endoscopy of small intestine endoscopic excision or destruction of lesion or tissue of esophagus esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells transfusion of other serum diagnoses: congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation aortocoronary bypass status other and unspecified hyperlipidemia heart valve replaced by other means old myocardial infarction long-term (current) use of anticoagulants iron deficiency anemia, unspecified rheumatoid arthritis hemorrhage of gastrointestinal tract, unspecified subendocardial infarction, subsequent episode of care secondary and unspecified malignant neoplasm of intrathoracic lymph nodes barrett's esophagus malignant neoplasm of cardia 

Answer: The patient is high likely exposed to