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: compazine / sulfa(sulfonamide antibiotics) / percocet / morphine / tannins / pollen /hay attending: chief complaint: esophageal spasm. major surgical or invasive procedure: upper gi endosacopy and esophagogastrectomy. history of present illness: the patient is a 54-year-old professor of nursing who has distal esophageal adenocarcinoma. the patient initially developed what she described as esophageal spasms in . these gradually became worse and she underwent an upper gi endoscopy, which showed a 2 cm adenocarcinoma at approximately 35cm from the incisors. she underwent a ct scan, which showed no evidence of regional lymphadenopathy. she has been seen and followed by a medical oncologist, dr. who guided her course of radiation therapy. the patient is now referred here for repeat discussion regarding surgery. fortunately, the patient has had no weight loss, and she is in an otherwise relatively good state of health. past medical history: -anaphylaxis at 17 with tracheostomy -meningitis at 25 -mild hypertension -obesity, -cholecystitis w/ lap ccy -pancreatitis in -hemorrhoid repair -resection of a malignant salivary gland tumor & xrt in -tonsillectomy at 5 -two cesarean sections -hemifacial spasm . social history: she is a non-smoker. she drinks wine occasionally. her family history is unremarkable. family history: non contributory. physical exam: on examination, the patient is a healthy appearing woman who breaths comfortably at rest, her vital signs are normal. her examination is notable for a right parotidectomy scar with some soft tissue induration most likely secondary to radiation. she has no papillary, cervical, or supraclavicular lymphadenopathy. rrr on cv. ctab on resp. abd soft, nt/nd, no masses or bruits. the remainder of her examination is essentially unremarkable. . vs 147/63, 76, 97.1, 18, 100% ra height 66'5'' and weight 235 lbs gen: nad, a&o x 3 neck: no masses, no jvd chest: ctab, no increased wob abd: soft, nt/nd, normoactive bs, no masses, no bruits, obese extrem: moves all to gravity, no c/c/e, w/w/p, pulses wnl pertinent results: 04:20pm wbc-12.0*# rbc-3.65* hgb-11.8* hct-35.7* mcv-98 mch-32.3* mchc-33.0 rdw-16.5* 04:20pm plt count-277 04:20pm glucose-138* urea n-10 creat-0.7 sodium-142 potassium-4.0 chloride-106 total co2-25 anion gap-15 04:20pm calcium-8.7 phosphate-4.7* magnesium-1.6 cxr : enteric tube has been removed from the neo esophagus which is now moderately distended with air and fluid, and a larger caliber than it was when a drainage tube was in place. there is no right pleural effusion or pneumothorax, basal pleural tube still in position. a small left pleural effusion is stable. lungs are clear aside from persistent moderately severe left lower lobe atelectasis, in one of the lung bases, probably the right. moderately severe right lower lobe atelectasis is new. left lung is grossly clear. brief hospital course: ms. was admitted to the hospital and taken to the operating room where she underwent an esophagogastrectomy. she tolerated the procedure well and returned to the sicu in stable condition. she had an epidural catheter placed for pain control which was effective and she maintained stable hemodynamics. she was using her incentive spirometer effectively and remained free of any pulmonary issues. following transfer to the surgical floor she continued to make good progress and was discharged to home eating a soft diet, walking safely on her own, urinating and having bowel movements comfortably, and having stable vital signs and physical examination findings. she will follow-up in clinic with dr. in a few weeks with imaging at that time. medications on admission: atenolol 25 mg po qdaily carbamazepine - 200 mg tablet extended release 12 hr - tablet(s) by mouth at bedtime as needed for for facial spasm slo-mag 71mg po twice daily famotidine - 20 mg tablet - tablet(s) by mouth twice a day omeprazole - 40 mg capsule, delayed - capsule twice a day acetaminophen - 325 mg tablet - tablet(s) by mouth every six (6) hours as needed for pain mv-fa-ca-fe-min-lycopen-lutein - (prescribed by other provider) - 400 mcg-162 mg-18 mg-300 mcg-250 mcg tablet - tablet(s) by mouth once a day discharge medications: 1. carbamazepine 200 mg/10 ml suspension sig: two hundred (200) mg po qhs prn () as needed for facial spasms. 2. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). disp:*500 mg* refills:*2* 3. acetaminophen 650 mg/20.3 ml solution sig: twenty (20) mls po q6h (every 6 hours). disp:*1000 mls* refills:*2* 4. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po bid (2 times a day). 7. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): place over right chest, on for 12 hours, off for 12 hours. disp:*14 adhesive patch, medicated(s)* refills:*2* 8. fentanyl 25 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). disp:*10 patch 72 hr(s)* refills:*2* 9. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 10. lorazepam 1 mg tablet sig: one (1) tablet po every 4-6 hours as needed for anxiety. disp:*60 tablet(s)* refills:*0* 11. ondansetron hcl 4 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for nausea. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: carcinoma of the esophagus. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers greater than 101 or chills -increased shortness of breath, cough or chest pain -nausea, vomiting -increased abdominal pain -incision develops drainage -remove chest tube and j-tube site bandages thursday and replace with a bandaid, changing daily until healed. pain -tylenol as needed -take stool softners or a gentle laxative to help keep you regular activity -shower daily. wash incision with mild soap & water, rinse, pat dry -no tub bathing, swimming or hot tub until incision healed -no driving while taking narcotics -no lifting greater than 10 pounds until seen -walk 4-5 times a day for 10-15 minutes increase to a goal of 30 minutes daily diet: soft solids. eat small frequent meals. sit up in chair for all meals and remain sitting for 30-45 minutes after meals flush j-tube every 8 hours with 30 mls of water 3 x/day daily weights: keep a log bring with you to your appointment no carbonated drinks danger signs fevers > 101 or chills increased shortness of breath, cough or chest pain incision develops drainage nausea, vomiting (take anti-nausea medication) increased abdominal pain followup instructions: department: hematology/oncology when: thursday at 10:00 am with: , md building: sc clinical ctr campus: east best parking: garage please report 30 minutes prior to your appointment to the radiology department on the of the clinical center for a chest xray. procedure: esophagogastroduodenoscopy [egd] with closed biopsy division or crushing of other cranial and peripheral nerves regional lymph node excision percutaneous (endoscopic) jejunostomy [pej] partial esophagectomy intrathoracic esophagogastrostomy central venous catheter placement with guidance diagnoses: unspecified pleural effusion unspecified essential hypertension pulmonary collapse obesity, unspecified malignant neoplasm of lower third of esophagus 

Answer: The patient is high likely exposed to