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: penicillins attending: chief complaint: esophageal cancer major surgical or invasive procedure: : 1. esophagectomy. 2. buttressing of intrathoracic anastomosis with pericardial fat. 3. thoracic lymphadenectomy. 4. surgical jejunostomy. 5. therapeutic bronchoscopy. 6. esophagogastroduodenoscopy. : right chest ultrasound history of present illness: mrs is a 67-year-old woman with a t1 adenocarcinoma of the ge junction. she underwent endoscopic mucosal resection with a positive deep margin and is being admitted for esophagectomy. past medical history: esophageal cancer atypical chest pain, status post cardiac catheterization; carotid stenosis hypertension diabetes chronic low back pain, status post a significant fall in , down a flight of stairs, treated with steroid injections without improvement glaucoma anxiety past surgical history: hysterectomy; foot surgery; tonsils and adenoidectomy. social history: married, has two children and two grandchildren. she formally taught latin and french in high school but is currently retired. she started smoking at the age of 18 and continues to smoke approximately one pack to slightly less per day. the patient does not drink alcohol with any regularity. family history: mother with aaa and no other cardiovascular disease in the family. physical exam: vs: t: 98.8 hr: 97 sr bp: 134/80 sats: 96% ra general: sitting in chair no apparent distress heent: normocephalic, mucus membranes moist neck: supple. no lymphadenopathy card: rrr normal s1,s2 no murmur/gallop or rub resp: faint crackles right 1/4 up, left clear gi: bowel sounds positive abdomen soft. j-tube site clean, no erythema or discharge incision: right chest sites clean, margins well approximated no discharge extre: right trace edema. bilateral lower extremities cool to mid chin skin: multiple ecchymosis left side stable neuro: awake, alert pertinent results: wbc-7.2 rbc-3.43* hgb-10.0* hct-31.0 plt ct-250 wbc-10.4 rbc-3.46* hgb-10.4* hct-30.9 plt ct-200 wbc-8.9 rbc-3.76*# hgb-11.4*# hct-34.0 plt ct-157 glucose-145* urean-16 creat-0.5 na-141 k-3.7 cl-105 hco3-26 glucose-144* urean-14 creat-0.5 na-135 k-4.1 cl-103 hco3-22 glucose-133* urean-22* creat-0.6 na-138 k-3.8 cl-104 hco3-25 calcium-8.0* phos-4.1 mg-2.1 cxr: : pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding ap single chest view obtained seven hours earlier during the same day. during the interval, the right-sided chest tube has been removed. no pneumothorax is identified in the apical area on either side. rounded vascular appearance on the right lung base with some plate atelectasis is still present, similar to the preceding findings. the lateral view discloses small amounts of pleural effusion in both posterior pleural sinuses. : bibasilar opacification is consistent with atelectasis and effusion. again, more patchy area of opacification at the right base could represent a superimposed consolidation. right chest tube remains in place and there is no evidence of pneumothorax. again there is mild indistinctness of pulmonary vessels that would be consistent with some elevated pulmonary venous pressure esophagus: : thin barium was administered. the patient drank thin barium contrast without difficulty. contrast passes freely through the esophagus and esophageal anastomosis through the stomach, without hold up or obstruction. the esophagogastric anastomosis is widely patent with no evidence of leak. there is no definite evidence of ectopic gas, but note is made of limitation of gas evaluation in this study. contrast is noted in loops of small bowel. mediastinal drains are noted. : chest and abdomen ct impression: 1. status post minimally invasive esophagectomy and surgical changes in the area. suboptimal evaluation for leak at the primary anastomosis due to lack of oral contrast. no obvious fluid collection adjacent to the primary anastomosis is seen. 2. bilateral pleural effusions and adjacent opacities at the lung bases could be atelectasis; however, hypodensities seen at the right lung base within the area of consolidation could suggest superinfection. ground-glass opacities in the upper lobes, could be due to infectious or inflammatory etiology. 3. focal nodular opacity in the right upper lobe about a centimeter, could be infectious and attention should be paid on the next followup. six month follow-up ct is recommended for surveillance. 4. non-specific foci of air in the mediastinum could be post-surgical. 5. no evidence of pulmonary emboli. 6. fatty liver, with large focal area of fatty sparing in the left liver lobe. subcentimeter hypodensity in the liver, not completely characterized on the current scan, could be small cyst. 7. prominent left adrenal gland, similar compared to prior. 8. partial loss of vertebral body height of t12, of indeterminate age. 9. no evidence of reflux of oral contrast from j-tube into the esophagus. if continuous clinical concern for leak, barium swallow study can be done when felt as clinically appropriate to evaluate further. brief hospital course: mrs. was admitted following her successful laparoscopic minimally invasive esophagectomy with laparoscopic feeding jejunostomy placement. following the procedure she was transferred to the icu intubated overnight on cpap, ps12 peep 5, fio2 50% with oxygen saturations of 100%. on pod 1 she was extubated with oxygen saturations of 92-94% on nasal cannula. she was transferred to the floor on but was readmitted on for shortness of breath and increased work of breathing. her chest film showed small effusion, atlectasis. chest ct showed no anastomic leak, possible pulmonary infection versus inflammation. interventional pulmonary was consulted for possible pleural effusion drainage but on ultrasound fluid collection was to small to drain. with aggressive pulmonary toilet, nebs, anxiolytics, her respiratory status improved and she transferred back to the floor on . respiratory: aggressive pulmonary toilet, mucolytic nebs, incentive spiratometer and ambulation she titrated off supplemental oxygen on pod6 with oxygen saturations of 95-97% on room air. drains and tubes: ngt tube was flushed to maintain patency and removed on pod3 anastomose jp drain and right chest tube were removed on once esophagus study was negative for leak. gi: bowel function slowly returned. nutrition: nutrition was consulted recommended replete full strength started at 20 ml/hr pod and titrated to her goal of 80 ml over 18 hrs. esophagus study was done on which showed no leak. she was started on a full liquid diet and can increased to soft solid as tolerates. renal: excellent urine output with normal renal function. the foley was removed and she voided. electrolytes were replete as needed. id: on her wbc increased to 15 and was started on cipro and vancomycin for possible anastomic leak or rul infection. her wbc normalized and she was discharged on cipro to complete 10 day course. skin: multiple ecchymotic sites stable. pain: epidural bupivacaine/dilaudid was titrate to good pain control by the acute pain service. on this was removed and she was converted to roxicet via j-tube with good pain control. neuro: long standing history of anxiety/depression. while in the sicu she became very anxious and her ativan was slowly restarted. over the course of her hospitalization her mental status improved, although has short-term memory loss, anxiety lessened and she return to her baseline. disposition: she was followd by physical therapy. she continued to make steady progress and was discharged to villla crest, , nh on . medications on admission: metoprolol tartrate 25 mg , lorazepam 1 mg tid, alphagan eye drops, dorzolamide 2% twice a day, pantoprazole 40 mg , lisinopril 40 mg daily discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 3. lorazepam 0.5 mg tablet sig: one (1) tablet po every hours as needed for anxiety. 4. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 6. acetaminophen 650 mg/20.3 ml solution sig: twenty (20) ml po q6h (every 6 hours). 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation every six (6) hours as needed for shortness of breath or wheezing. 8. alphagan p 0.1 % drops sig: one (1) drop ophthalmic twice a day: both eyes. 9. dorzolamide 2 % drops sig: one (1) drop ophthalmic twice a day. 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 11. lisinopril 20 mg tablet sig: one (1) tablet po bid (2 times a day): hold sbp < 110. discharge disposition: extended care facility: crest discharge diagnosis: esophageal cancer atypical chest pain, status post cardiac catheterization; carotid stenosis hypertension diabetes chronic low back pain, status post a significant fall in , down a flight of stairs, treated with steroid injections without improvement glaucoma anxiety past surgical history: hysterectomy; foot surgery; tonsils and adenoidectomy. discharge condition: awake, alert, ambulates with assistance discharge instructions: call dr. office if you experience: -if your feeding tube falls out or clogs -nothing down j-tube unless it is in liquid form followup instructions: follow-up with dr. date/time: 9:30 on the clinical center . chest x-ray radiology 30 minutes before your appointment procedure: other enterostomy enteral infusion of concentrated nutritional substances total esophagectomy intrathoracic esophagogastrostomy diagnoses: pneumonia, organism unspecified tobacco use disorder unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified other and unspecified hyperlipidemia unspecified hereditary and idiopathic peripheral neuropathy barrett's esophagus pain in joint, shoulder region malignant neoplasm of cardia acute post-thoracotomy pain 

Answer: The patient is high likely exposed to