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: esophageal carcinoma. major surgical or invasive procedure: esophagogastroduodenoscopy, trans hiatal esophagectomy j-tube placement. history of present illness: mr. is a 59-year-old gentleman with past medical history significant only for basal cell carcinoma of the skin which presented with worsening dysphagia for the past 6 months. workup indicated that he had a 3-cm t2 lesion located in the distal esophagus. the lesion did not appear to invade the stomach. biopsy of the lesion revealed that it was invasive, moderately-to- poorly differentiated adenocarcinoma. the patient presented for an egd and trans hiatal esophagectomy. past medical history: basal cell ca of the skin (s/p excision) social history: married. lives with wife. truck driver tobacco: 15 pack. family history: non-contributory physical exam: vs: t: 99.1 hr: 82 sr bp: 124/70 sats: 95% 1l general: 59 year-old male with in no apparent distress heent: normocephalic, mucus membranes moist neck: no lymphadenopathy card: rrr resp: decreased breath sounds with faint crackles 1/3 up on right, left clear. gi: bowel sounds positive extr: warm no edema incision: neck site well margin well approximated no erythema, no discharge abdmonial mid-line with staples no erythema. j-tube in place neuro: non-focal pertinent results: wbc-9.0 rbc-3.04* hgb-9.4* hct-28.2* plt ct-343# wbc-9.2 rbc-3.87* hgb-12.4* hct-34.5* plt ct-184 wbc-6.8 rbc-3.66* hgb-11.5*# hct-32.2* plt ct-174 glucose-195* urean-16 creat-0.7 na-138 k-3.9 cl-102 hco3-29 glucose-721* urean-16 creat-0.8 na-131* k-6.6* cl-101 hco3-26 calcium-8.4 phos-2.9 mg-1.8 hba1c-6.6* chest ct no pe, dissection, pneumothorax or consolidation. sp esophagectomy with gastric pullthrough. right greater than left effusions with compression atelectasis. mediastinal nodes are prominent in number, some demonstrate fatty hila, and could bereactive or metastatic. cxr: the appearance of the mediastinum is stable with less air currently seen in the neoesophagus. bilateral pleural effusions and bibasilar atelectasis are unchanged left-sided chest tube has been removed. there are bilateral pleural effusions, right greater than left, that is increased compared to earlier the same day. there is bilateral lower lobe volume loss/infiltrate. no pneumothorax. path: tissue t3 no brief hospital course: mr. was admitted on for esophagogastroduodenoscopy, trans hiatal esophagectomy j-tube placement. he transferred to the pacu intubated. left chest-tube to suction, neck jp to bulb suction, j-tube to gravity and epidural catheter for pain. respiratory: he was successfully extubated on . his oxygen saturations remained 93-95% on 4l nc. aggressive pulmonary toilet and nebs continued. he was followed by serial chest films which showed a small right pleural effusion and atelectasis. interventional pulmonary saw him for right pleural ultra sound x 2 which showed minimal effusion. he still required oxygen with complaint of shortness of breath. the chest tube was removed on . on he ruled out for pe. continued aggressive pulmonary toilet and ambulation his oxygenation improved and his ra oxygen saturation was xxx. cardiac: he remained in sinus rhythm and hemodynamically stable throughout his hospital course. gi: trophic tube feeds were started on and were advanced to goal of 90 ml/hr on . on he was given methylene blue with no neck incision anatomic leak. he was started on a clear liquid diet advanced to fulls on . the neck jp was removed. his tube feeds were cycled overnight goal rate 120 ml/18 hrs. he developed diarrhea and the tube feeds were decreased to 90 ml/x18hrs. a c.diff specimen was negative. endocrine: his blood sugars were consistently elevated. he was started on glargine with humalog insulin sliding scale. he was seen by . they recommended continuing insulin in the immediate post-operative course for tight glucose control then weaned to an oral regime. he was started on metformin which was held for 48 hrs after chest ct. he was started on glipizide 5 mg . his a1c was 6.6. incision: neck incision staple were removed. the abdominal incision every other staple was removed. both incision margins were well approximated with no erythema or discharge. pain: epidural was managed by acute pain service. it was removed on . he converted to po pain medication with good pain control. gu: the foley was removed and he voided without difficulty. disposition: he was followed by physical therapy. he was discharged to home on xxx he will follow-up with dr. in 2 weeks for esophagus study. discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: esophageal carcinoma. discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills. -increased shortness of breath, cough or sputum production -chest pain -incision: neck incision develops drainage or swelling. abdominal incision: staples in place. call if develops redness or drainage. -j-tube: tube feeds. should tube fall out call immediately to have replaced. flush frequently with water to maintain patency. -you may shower. no tub bathing or swimming for 6 weeks. -no driving while taking narcotics. take stool softners with narcotics. -call if develops painful or difficulty swallowing. nausea or vomiting followup instructions: follow-up with dr. date/time: 4:00pm on the clinical center . provider: upper gi (hospital) radiology phone: date/time: 10:00 on the radiology department for swallow study. nothing to eat or drink after midnight for swallow study. stop tube feeds at midnight. procedure: other enterostomy other endoscopy of small intestine division or crushing of other cranial and peripheral nerves regional lymph node excision insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt partial esophagectomy partial gastrectomy with anastomosis to esophagus diagnoses: unspecified pleural effusion pulmonary collapse personal history of other malignant neoplasm of skin foreign body accidentally left during a procedure diarrhea diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled malignant neoplasm of cardia neoplasm related pain (acute) (chronic) foreign object left in body during surgical operation 

Answer: The patient is high likely exposed to