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: morphine attending: chief complaint: esophageal carcinoma major surgical or invasive procedure: bronchoscopy, esophagoscopy, right thoracotomy with transthoracic esophagectomy, laparotomy, and left cervicotomy with cervical esophagogastrostomy. flexible bronchoscopy with therapeutic aspiration flexible bronchoscopy with therapeutic aspiration and bronchoalveolar lavage tracheostomy, bronchoscopy, insertion of left subclavian hemodialysis catheter history of present illness: mrs. is a 62 year old female with stage t3 n1 signet ring adenocarcinoma of the distal esophagus who recently completed induction chemotherapy. since that time she has had a pet scan for repeat staging which showed persistent upper mediastinal adenopathy, and head mri revealing a suprasellar lesion that was biopsied by dr. and found to be consistent with a benign cyst. biopsy of the mediastinal nodes revealed only non-necrotizing granulomas with no evidence for metastasis. therefore she is admitted today for planned esophagogastrectomy. past medical history: -esophageal cancer (signet-ring cell carcinoma t3, n1), dx : j-tube placed -h/o h pylori ' & ' -gerd -hiatal hernia -htn -hyperlipidemia social history: lives with husband. two children. retired warehouse assembly work. tobacco: quit , 5y x1ppwk, occasional etoh, never heavy use, no illicit drugs. family history: mother deceased 79: mi, father deceased 87: mi, siblings (3s, 2b): 1 brother deceased mi age 40, 1 brother deceased s/p kidney transplant age 55 physical exam: postoperatively: tmax 99.9 tcurrent 99.9 hr 106 bp 123/68 po@ 98% on cpap: 0.40/413x32/5/10 gen: nad, intubated, arousable heent: perrla, eomi heart: s1s2 rrr no m/g/r chest: diffuse crackles right lung fields abd: soft, nondistended, appropriately tender, no bowel sounds ex: no edema wound: clean/dry/intact. pertinent results: 05:08pm wbc-10.8 rbc-2.31* hgb-8.4* hct-24.7* mcv-107* mch-36.3* mchc-33.9 rdw-15.5 03:22pm glucose-212* lactate-0.9 na+-134* k+-3.6 cl--101 07:24pm type-art po2-140* pco2-34* ph-7.43 total co2-23 base xs-0 03:22pm freeca-1.14 operative report: preoperative diagnosis: carcinoma of the esophagus. postoperative diagnosis: carcinoma of the esophagus. operative procedure performed: 1. bronchoscopy. 2. esophagoscopy. 3. right thoracotomy with transthoracic esophagectomy, laparotomy, and left cervicotomy with cervical esophagogastrostomy. assistants: , , m.d. anesthesia: general endotracheal with thoracic epidural. indications: ms. is a 62-year-old woman with biopsy- proven t3, n1, stage iii carcinoma of the distal esophagus with lymph nodes that were pet-positive extending well up into the superior thorax. she has been treated with induction chemoradiotherapy with an objective response. residual pet- positive lymph nodes were evaluated thoracoscopically and with mediastinoscopy and were found to be sarcoidal. without evidence of disease progression, i recommended resection and she agreed to proceed. description of procedure: the patient was brought to the operating room after the insertion of a thoracic epidural catheter. she underwent the uneventful induction of general endotracheal anesthesia. a pediatric bronchoscope was used to examine the central airways. the distal trachea was normal. the main carina was sharp, and the segmental branching pattern of the lungs was unremarkable. no endobronchial purulence, tumor, or blood was noted to the subsegmental level. a left-sided double-lumen endotracheal tube was positioned above the left lobar carina, and the bronchoscope was removed. the upper gi endoscope was used to assess for residual endoluminal tumor. there was what appeared to be a healed bland ulcer in the distal esophagus, at the site of the former tumor. this extended to the ge junction. the stomach was entered, and the rugal folds distended normally. there was no visualized tumor along the lesser curvature using a retroflexed view of the ge junction. the gastric antrum was not deformed. the pylorus was widely patent. the duodenum was normal to its second portion. the scope was then removed. the patient was positioned in the left lateral decubitus position, and the right chest was prepped and draped as a single sterile field. a standard serratus-sparing lateral thoracotomy was made, and the chest was entered through the sixth intercostal space. a 0-silk suture was placed in the dome of the diaphragm to retract it inferiorly and improve exposure. circumferential dissection of the esophagus was then carried out beginning in the subcarinal space. the esophagus was looped with a penrose drain and dissected free of its mediastinal attachments down to the crura of the diaphragm inferiorly. subcarinal lymph nodes were sampled, and one was submitted to pathology, which showed only a hyalinized nodule. the balance was submitted as level vii lymph nodes. the subcarinal space was entirely mobilized down to the pericardium and to both main stem bronchi laterally. paraesophageal nodes in the inferior ligament and at level viii were included with the specimen. the esophagus was then carefully separated from the membranous airway as we dissected cephalad. the azygos vein had previously been divided during the lymph node evaluation. above the azygos vein, we dissected directly on the longitudinal muscle of the esophagus to attempt to avoid injury to the recurrent nerves. this was continued up to the thoracic apex and well into the neck. a small penrose drain was knotted around the specimen and passed into the neck for subsequent retrieval. hemostasis was achieved with the cautery. the inferior pulmonary ligament was completely mobilized. palpation of the lung revealed no nodules. the region of the thoracic duct was doubly ligated with 0-silk sutures by mass ligating all the tissues between the periosteum of the spine and the adventitia of the aorta, including the azygos vein. two of these were placed. the chest was then drained with a 28-french chest tube passed posteriorly and apically through a separate stab wound inferiorly. it was secured to the skin with heavy suture and connected to a pleur-evac with an underwater seal. the ribs were then reapproximated with #1-vicryl pericostal sutures. the lung was reinflated. the muscular chest was closed in layers with absorbable suture, and the skin was closed in the subcuticular fashion. steri-strips and dry dressings were applied. the patient was returned to the supine position and reintubated with a single-lumen endotracheal tube. she was positioned supine with a roll between her scapulae and the head turned right. she was prepped from the left ear to the pubis, and 2 fields were created - one over the left neck and one over the abdomen. a midline abdominal incision was made, and the peritoneum was entered through the linea . inspection revealed no ascites. there was no studding of the omentum. there were no nodules palpated in the liver. there was thickening at the ge junction and no gross adenopathy along the left gastric artery. the small bowel was run from the ileocecal valve up approximately to the level of the jejunostomy and there were no lesions. the proximal bowel also was normal to palpation from the jejunostomy to the ligament of treitz. there were no colonic abnormalities palpated, and no pathology was noted in the pelvis. the - retractor and the were placed. the left lateral segment of the liver was mobilized by dividing the triangular ligament and reflecting this portion of the liver rightward. good exposure was gained. we incised the phrenoesophageal ligament and delivered the mobilized distal esophagus into the abdomen. the penrose drain was replaced around it. we then performed a greater curvature dissection, using the ligasure device to take all the short gastric vessels and mobilize the stomach from the gastrocolic ligament and transverse mesocolon down to the pylorus. care was taken to preserve the gastroepiploic arcade on the right during this dissection. we then took inflammatory adhesions of the stomach to the pancreas and dissected on the lesser curvature side, identifying and dissecting the left gastric pedicle and taking the artery and vein separately with silk ties. lymphoid tissue was then swept up towards the stomach, and the balance of this dissection was done with the cautery. we performed a generous maneuver, followed by a heineke-mikulicz pyloroplasty by incising through the pylorus longitudinally and closing it transversely with interrupted 2- 0 silk sutures. this concluded our gastric mobilization. we enlarged the hiatus by ligating the phrenic vein on either side of the hiatus and incising the diaphragm up to the pericardial reflection. hemostasis was ensured with the cautery. we turned our attention to the left neck where we made an oblique incision along the anterior border of the sternocleidomastoid muscle. this was carried through the platysma with the cautery. we divided the omohyoid muscle and dissected medial to the contents of the carotid sheath until we could enter the prevertebral space where we encountered the previously placed penrose around the cervical esophagus. areolar tissue in the wound was separated, allowing adequate mobilization in the neck. the esophagus was elevated and controlled with a linear stapler at the level of the clavicular heads. umbilical tape was secured around the proximal portion of the specimen, and the esophagus was divided after pulling the ng tube back to above the stapler. the specimen was delivered through the abdomen, pulling the umbilical tape through the posterior mediastinum. there was definite foreshortening and induration along the lesser curvature, and we divided 2 branches of the right gastric artery to clean off the lesser curvature of the stomach. this was done between clamps and silk ties. we then prepared a gastric tube along the greater curvature based on the right gastroepiploic blood supply with 4 applications of the stapler. this liberated the specimen. the left gastric nodal packet was dissected away from the specimen and this was submitted to pathology. frozen section of the proximal margin showed normal squamous mucosa. distally, there were a few isolated signet cells in the submucosa with overlying normal mucosa. the significance of these cells was unclear. we then oversewed the new lesser curvature staple line with running 3-0 pds lembert sutures. we secured a 30 ml balloon foley catheter to the umbilical tape and put the balloon inside an arthroscopy drape which was secured around the balloon with a silk tie. there were 30 ml of saline instilled into the balloon. the umbilical tape was then pulled back to the neck, bringing the foley catheter through the posterior mediastinum and to the neck. the gastric conduit was placed in the arthroscopy drape, and the foley catheter was placed on suction, allowing the drape itself to clamp atraumatically down around the conduit, which was then delivered to the neck under no tension. we then performed an end-to-end anastomosis by suturing the esophageal remnant proximally to the posterior aspect of the gastric fundus. the esophageal staple line was amputated. a gastrotomy was made in the posterior wall of the tip of the fundic tube. the back row of 3-0 silk interrupted sutures was placed and left with the knots on the inside. these were placed and tied, and then the nasogastric tube was advanced across the anastomosis. the anterior row of sutures was placed with the knots on the outside. the redundant portion of the fundic tip was then tacked around the anastomosis with 3-0 silk lembert sutures, completing the anastomosis. this was returned to the posterior aspect of the neck and upper mediastinum where it lay under no tension. the neck was irrigated with saline and drained with a 10 mm flat - drain. this was exited through a separate stab wound, secured to the skin with nylon suture, and placed to bulb suction. the neck was then closed, using 3-0 vicryl to close the platysma in a running fashion and monocryl to the skin of the neck. a dry dressing was applied. the abdomen was then irrigated, and hemostasis appeared adequate. the conduit was tacked to the enlarged hiatus with 2-0 silk interrupted sutures in 3 places to prevent herniation of peritoneal contents into the thorax. the midline was then closed with running looped pds suture. subcutaneous tissues were irrigated, and the skin was closed with clips. dry dressings were applied. the patient tolerated the procedure quite well and was transferred intubated to the surgical intensive care unit in satisfactory condition. , m.d. dictated by: ***** postoperative chest xray: indication: status post esophagectomy. pneumothorax and effusion. findings: ap single view of the chest obtained with patient in sitting semi-upright position is analyzed in direct comparison with a preceding similar study of . the patient is now intubated, the ett terminating in the trachea some 5 cm above the carina. ng tube reaches below diaphragm. a right-sided chest tube in place terminating in the right apical area. no pneumothorax identified. area of upper abdomen shows now status post surgery with midline metallic staple line and surgical clips in left hiatal area. similar postoperative findings in left neck area consistent with esophagectomy. ***** chest xray: reason for examination: shortness of breath in a patient second day after esophagectomy. portable ap chest radiograph compared to . interval significant progression of the right lung consolidation currently involving almost entire right lung is consistent with aspiration pneumonia progression. left lung linear atelectasis is unchanged. the small bilateral pleural effusions did not change significantly and there is no pneumothorax ***** bilateral lower extremity venous ultrasound: grayscale and doppler son of the right and left common femoral, superficial femoral, and popliteal veins were performed. normal compressibility, augmentation, flow, and waveforms are demonstrated. there is no evidence of intraluminal thrombus. impression: no evidence of lower extremity dvt bilaterally. ***** ct torso: indication: esophagectomy now with fever. query source. technique: oral contrast was administered through the j-tube, and mdct was used to obtain contiguous axial images through the torso without iv contrast. multiplanar reformats were obtained. the study was compared with ct scan from pet-ct. ct chest without iv contrast: esophagectomy surgical drainage tube to the left of the pull-through. endotracheal tube terminates in the appropriate location. nasogastric tube terminates just below the esophageal hiatus. swan- ganz catheter terminating in the right pulmonary artery trunk. right-sided chest tube terminating in the right lung posterior apex. aorta is normal in caliber. a small pericardial effusion is noted. in the mediastinum, just anterior to the left main stem bronchus, a 17 x 23-mm relatively high density (40 ) round fluid collection may represent a small hematoma. stranding in the mediastinum is likely due to recent esophagectomy. a small right apical pneumothorax and small amount of air in anterior right costophrenic angle. extensive ground- glass opacity and consolidation with air bronchograms in the right lower lobe, in a pattern suggestive of aspiration. similar findings in the left lung, but to a lesser degree. a small-to-moderate left pleural effusion is present. ct abdomen without iv contrast: gallbladder is distended, but without radiopaque stones or ct evidence of cholecystitis. liver, adrenals, pancreas, kidneys, and small-bowel loops are within normal limits. spleen has a tiny calcification within it, representing a granuloma. a jejunostomy tube is seen in the left lower quadrant. there are enlarged retroperitoneal lymph nodes, for example, para-aortic node measuring 10 mm in short axis (series 2 image 70). these lymph nodes are increased since the last examination, probably due to recent esophagectomy. stranding in the root of the mesentery may also be related to recent surgery. no free air or free fluid. ct pelvis with iv contrast: bladder is collapsed with a foley. uterus and bowel loops are normal. several phleboliths are noted in the pelvis. right femoral line terminates in the proximal common iliac arteries. no free air. no lymphadenopathy. small amount of stranding surrounds the rectum. bone windows: no suspicious sclerotic or lytic lesions. degenerative changes of the thoracic spine are noted. there is diffuse edema in the subcutaneous soft tissues, particularly on the right side. multiplanar reformats were essential in delineating the findings above, particularly in the absence of iv contrast. impression: 1. bilateral, right greater than left air space consolidations, which may represent an infectious process. their dependent distribution suggests aspiration as an etiology. 2. small-to-moderate left pleural effusion. 3. small pericardial effusion. 4. inflammatory changes in mesentery and prominent lymph nodes, likely due to recent abdominal surgery. 5. small right pneumothorax. ***** post pacer placement xray medical condition: 62 year old woman with episodes of asystole, need to place temporary pacing wire. reason for this examination: portable c-arm needed for line placement. indication: pacer lead placement. one video image was obtained after chest fluoroscopy. there were no diagnostic films obtained. there is evidence of a pacer wire in the right ventricle. ***** transthoracic echo: the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is a small pericardial effusion. the effusion appears circumferential. there are no echocardiographic signs of tamponade. compared with the prior study (images reviewed) of , the pericardial effusion now appears slightly larger. ct sinus: medical condition: 62 year old woman s/p esophagectomy complicated by pneumonia, afib, arf, sepsis, febrile from unknown cause. reason for this examination: assess for sinusitis, no iv contrast. if iv contrast is needed please page sicu resident prior to scan. contraindications for iv contrast: acute renal failure history: 62-year-old female status post esophagectomy, complicated by pneumonia, atrial fibrillation, acute renal failure and sepsis. please assess for sinusitis. comparison: multiple prior chest radiographs, and head ct from . technique: mdct-acquired axial imaging of the paranasal sinuses was performed without intravenous contrast. multiplanar reformatted images were obtained and reviewed. ct of the sinuses: visualized paranasal sinuses are normally aerated, with the exception of a small amount of fluid and/or mucosal thickening in the sphenoid sinus and its lateral recesses. the ostiomeatal units are patent bilaterally. the cribriform plates are intact, with type 2 configuration bilaterally. the lamina papyracea is intact bilaterally. the nasal septum is midline, with a small leftward deviated spur. surrounding soft tissues are unremarkable. impression: no evidence of sinusitis. ***** ruq ultrasound: right upper quadrant ultrasound: the gallbladder is markedly distended and contains shadowing stones. there is no gallbladder wall thickening. a small amount of pericholecystic fluid is thought more likely related to ascites, which was demonstrated on the recent ct study. there is no fluid within morison's pouch. there is no biliary ductal dilatation. the common duct measures normal maximal caliber of 4 mm. there is no focal or textural hepatic abnormality. there is appropriate forward flow in the main portal vein. impression: cholelithiasis but no definite evidence of acute cholecystitis. distended state of the gallbladder is probably related to n.p.o. status. small amount of pericholecystic fluid. ***** ct torso: indication: 62-year-old status post esophagectomy with prolonged stay in icu, now with ards. assess for interval change. comparisons: ct torso of and ct torso of . technique: axial mdct images through the chest without iv contrast with coronal and sagittal reformatted images. findings: endotracheal tube remains well positioned. left-sided subclavian line terminates in the proximal svc. there remains dense bilateral multifocal consolidation. there has been slight interval improvement in the right lower lobe consolidation which still encompasses a large portion of the right lower lobe. right upper lobe consolidation is not significantly changed. there has been slight interval worsening in consolidation in the lingula as well as confluent ground-glass opacity and alveolar consolidation in the lower lobe. bilateral pleural effusions remain small but are slightly increased in size. small pericardial effusion persists but is slightly decreased in size. patient is status post esophagectomy with post-surgical changes. no focal osseous lesions. limited noncontrast imaging through the upper abdomen demonstrates no gross abnormalities. coronal and sagittal reformatted images confirm the above findings. impression: 1) persistent dense multifocal consolidation, slightly improved in the right lung, but slightly worsened in the left lung. 2) slight increase in small bilateral pleural effusions. 3) slight decrease in small pericardial effusion. 4) status post esophagectomy, not well evaluated without iv or oral contrast. ***** ct head: indication: 62-year-old woman status post esophagectomy, now with dilated left pupil. comparison: . technique: non-contrast head ct. findings: again seen is a hyperdense rounded lesion in the suprasellar region corresponding the prior ct and mr; it appears slightly smaller and more hyperdense than on prior ct, perhaps post-procedural change. there is a burr hole in the right frontal bone from prior biopsy. there is no acute hemorrhage, edema, mass effect, or acute territorial infarction. the ventricular and sulcal size is stable compared to prior study. there has been resolution of the pneumocephalus. there is an air-fluid level within the right sphenoid air cell, and near total opacification of the posterior ethmoids as well as the left sphenoid air cell. an air-fluid level is incompletely visualized in the right maxillary sinus and there is incompletely evaluated mucosal thickening in the left maxillary sinus. since the previous study, there has been opacification of bilateral mastoid air cells. the middle ear cavities appear clear. impression: 1. air-fluid levels in the sphenoid and right maxillary sinus and opacification of several ethmoid air cells, and bilateral mastoid air cells are all suggestive of sinusitis. 2. hyperdense rounded suprasellar lesion, which has been previously biopsied, and whose pathology is most consistent with a benign cyst such as a rathke cleft cyst. ***** ruq ultrasound: indication: 62-year-old female with prolonged icu stay for ards presenting with increasing wbc. comparison: ct torso from , abdominal ultrasound from . right upper quadrant ultrasound: the visualized right hepatic lobe demonstrates normal echotexture without focal mass. the gallbladder is moderately distended and contains small shadowing stones. a small amount of pericholecystic fluid is again identified, likely related to ascites and unchanged from the prior study. the common bile duct is normal in caliber measuring 3 mm. the main hepatic vein is patent with hepatopetal flow. limited views of the right kidney demonstrate no evidence for hydronephrosis. impression: no significant interval change. cholelithiasis with no definite evidence for acute cholecystitis. a small amount of pericholecystic fluid is without change and is likely secondary to perihepatic ascites. brief hospital course: mrs. underwent uncomplicated tri-incision esophagogastrectomy on and was transferred to the sicu postoperatively in stable condition. please see operative report dictated for details of the procedure. she was extubated the next day. pain service was consulted and replaced her epidural. on pod 1 she went into atrial fibrillation with rapid ventricular response, and was started on amiodarone drip with diltiazem for rate control. she also had an episode of hypotension with concurrent st elevations on ekg, so cardiac enzymes were sent and she was started on levophed. on the morning of pod 3 she had an episode of respiratory distress, hypotension, altered mental status, and associated rapid ventricular response after suctioning, so was reintubated. a post-intubation xray showed patchy opacities in the rml and lll, concerning for ards. cardiology service was consulted and recommended switching beta blockade to esmolol. she also became febrile to 102.1, so pancultures were sent and she was started on vancomycin, ciprofloxacin, and zosyn in addition to flagyl. sputum cultures grew out non-resistant pseudomonas, and pansensitive enterobacter. on pod 4 nephrology was consulted for her rising creatinine and acute renal failure. d/c cardioversion was attempted multiple times with little improvement in her afib. as her renal function was worsening she was started on cvvhd on pod 7. her tube feeds were dc'd and tpn was started on pod 8 because she was regurgitating bilious material. she converted spontaneously back to sinus rhythm, and pressors were briefly weaned. however she continued to spike fevers, so all of her lines were changed and cultures were resent. mrs. was improving slowly until , when she went back into rapid afib and was restarted on amiodarone drip. the next day she had a brief episode of asystole for 20 seconds after suctioning, but recovered after chest compressions. she had several further episodes of brief asystole/acute bradycardia over the next few days, so a transvenous temporary pacemaker lead was placed by ep on . ards protocol was started on . she remained relatively stable, requiring constant pressors and ventilation and intermittently in afib, but her chest xrays continued to show increased infiltrates bilaterally. she continued to require heavy sedation to synchronize with the vent. on mrs. went back into atrial fibrillation with rapid response unresponsive to amio and betablockers, and hypotensive to the 60s-70s. esmolol was restarted briefly and she was started on pitressin in addition to neo for additional pressure support. she was rotated into the prone position in an effort to improve her oxygenation. her pupils were noted to be unequal on so a ct head was ordered which showed only sinusitis and the previously visualized suprasellar mass. her wbc count started to rise again on and peaked at 46.5 on . her po2 began to decrease gradually despite continued aggressive ventilation with , she was paralyzed in an attempt to prevent vent dyssynchrony. nonetheless her respiratory status continued to worsen, and her pressure continued to drop despite pressors. a family meeting was called on the morning of and the decision was made to make her cmo. she expired at 10 am on . medications on admission: 1. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. metoprolol tartrate 50 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. atorvastatin 40 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. prevacid 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr once a day. disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 5. enoxaparin 100 mg/ml syringe : one (1) subcutaneous (2 times a day). disp:*10 10 ml* refills:*2* 6. menthol-cetylpyridinium 3 mg lozenge : one (1) lozenge mucous membrane prn (as needed). 7. fentanyl 25 mcg/hr patch 72 hr : one (1) patch 72 hr transdermal q72h (every 72 hours). 8. oxycodone-acetaminophen 5-325 mg tablet : one (1) tablet po every 4-6 hours as needed. disp:*60 tablet(s)* refills:*0* 9. zofran 8 mg tablet : one (1) tablet po every six (6) hours as needed for nausea. disp:*30 tablet(s)* refills:*1* discharge medications: none. discharge disposition: expired discharge diagnosis: esophageal carcinoma discharge condition: expired. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other total gastrectomy diagnostic ultrasound of heart other esophagoscopy insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy venous catheterization for renal dialysis other bronchoscopy insertion of temporary transvenous pacemaker system insertion of other (naso-)gastric tube other intubation of respiratory tract other intubation of respiratory tract other intubation of respiratory tract atrial cardioversion temporary tracheostomy closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt intrathoracic esophagogastrostomy other pyloroplasty diagnoses: esophageal reflux unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified unspecified septicemia cardiac complications, not elsewhere classified atrial fibrillation sepsis other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure unspecified disease of pericardium acute respiratory failure other specified cardiac dysrhythmias pneumonia due to pseudomonas pneumonitis due to inhalation of food or vomitus iatrogenic pneumothorax cardiac arrest alkalosis other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation abscess of lung calculus of gallbladder without mention of cholecystitis, without mention of obstruction accidents occurring in other specified places hypoxemia accidents occurring in residential institution other and unspecified complications of medical care, not elsewhere classified malignant neoplasm of other specified part of esophagus secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes ulcer of esophagus without bleeding status of other artificial opening of gastrointestinal tract neoplasm of uncertain behavior of pituitary gland and craniopharyngeal duct 

Answer: The patient is high likely exposed to