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: history of present illness: the patient is a 57-year-old female with a history of high-grade dysplasia within her esophagus consistent with barrett's esophagus. she has a long history of esophageal problems, history of vigorous achalasia, and esophageal spasms status post long myotomy which she did well for a period of time. she then developed achalasia and dr. performed a laparoscopic myotomy after which she has done well. at this time she has had some biopsies which showed adenomatous mucosa without any evidence of dysplasia. since her myotomy, she has actually done quite well and has been quite happy, and eating, and had no regurgitation, or other problems. she had a recent biopsy of her distal esophagus which showed high-grade dysplasia. hence, the decision was made to do a ivor- esophagogastrectomy. past medical history: good general health. she denies heart disease, lung disease, or diabetes. she has had an open cholecystectomy, a bilateral tah/bso, as well as a laparoscopic myotomy. she is status post knee replacement one year ago and walks with a cane. medications: 1. amitriptyline 300 mg po q day. 2. prilosec 20 mg po q day. 3. trazodone 100 mg po q day. physical examination: on physical exam by dr. , she was a well-developed overweight woman who walks with a cane. she had a normal head and neck examination. neck was supple without mass, nodes, or thyromegaly. chest was clear to auscultation and percussion. she has well-healed scar on the left. her abdomen is soft without hernias or masses. extremities were well perfused. hospital course: she is admitted on as mentioned previously, an ivor- esophagogastrectomy. postoperatively, she went to the surgical intensive care unit. she had some issues with low blood pressure which was in the 80s/40s and requiring very small amount of levophed. she was extubated on postoperative day one, and her vital signs remained stable. she did well and her pain was controlled with her epidural. she remained in the unit on postoperative day two, however, was transferred to the floor on postoperative day two in stable condition. however, over the course of the evening of postoperative day two, she developed some confusion and pulled out her chest tube and her foley. decision was made to remove dilaudid from her epidural, and the patient did better. the chest tube was completely removed given that the chest x-ray confirmed it was improperly positioned and out of the pleural cavity. given that there was drainage into her pleural cavity and noted that the chest tube was no longer in place to drain the fluid, the patient did have some difficulty with her oxygen saturation. however, she maintained her o2 sats in the mid 90s on 50% facemask. on the evening of postoperative day three, the patient had been doing well all day. on the evening of postoperative day three, the patient became confused again despite the dilaudid no longer being in her epidural, and she pulled out her nasogastric tube as well as her foley once again. decision was made to put her in soft restraints, and to replace the nasogastric tube under fluoroscopic guidance on the following day, which was done on postoperative day number four. on the evening of postoperative day number four, the patient had shortness of breath and her o2 saturation decreased to the low 90s and she is having labored breathing, and was slightly tachycardic. a chest x-ray was done which showed a right pleural effusion which is consistent with fluid left from her surgery. decision was made to try to fluoroscopically place a chest tube as well as fluoroscopically replace her nasogastric tube. on the following day, postoperative day number five, her vital signs continued to remain stable. it was felt that there was no enough fluid in her lungs to warrant putting a chest tube in, however, a nasogastric tube was placed fluoroscopically and the patient did well. at this point the patient continued to improve clinically. her tube feeds were increased. she was tolerating them well with aggressive pulmonary toilet. patient's o2 sats continued to improve. her nasogastric tube was kept in place and continued to drain fluid. assumptions was made that the patient had a partial delay of gastric emptying. on postoperative day number eight, the patient's nasogastric tubes were clamped and residuals were minimal. hence, on postoperative day number nine, the decision was made to start the patient on sips. patient remained afebrile. vital signs remained stable, and the patient was discharged home on tube feeds in stable condition. discharge diagnosis: status post ivor- esophagogastrectomy. discharge medications: 1. amitriptyline 300 mg po q day. 2. trazodone 100 mg po q day. 3. nexium 40 mg tid. 4. levaquin 100 mg po q day x2 days. 5. albuterol inhaler two puffs qid prn. 6. tylenol elixir 650 mg po q six prn. 7. isocal tube feeds 70 cc/hour through the j tube. discharge instructions: the patient will follow up with dr. . the patient will get vna services for help with her j tube and wound care. condition on discharge: is discharged home in stable condition. , m.d. dictated by: medquist36 procedure: other enterostomy enteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions partial esophagectomy partial gastrectomy with anastomosis to esophagus intrathoracic esophagogastrostomy diagnoses: unspecified pleural effusion 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 esophagitis, unspecified other specified disorders of stomach and duodenum other specified disorders of esophagus other esophagitis atrophic gastritis, without mention of hemorrhage pelvic peritoneal adhesions, female (postoperative) (postinfection) 

Answer: The patient is high likely exposed to