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 ca major surgical or invasive procedure: 1. bronchoscopy. 2. left thoracoscopy with pleural drainage and talc poudrage 3. flexible bronchoscopy () history of present illness: 66-year-old gentleman with metastatic esophageal cancer who recently returned to the hospital with shortness of breath and was found to have a left pleural effusion. this was tapped and unfortunately found to be cytologically malignant. he was seen yesterday in the outpatient department with worsening dyspnea and an x-ray showed reaccumulation of the fluid. past medical history: esophageal ca s/p bronchoscopy, right exploratory thoracotomy and mediastinal ln sampling on htn dm ii gerd crohn's colitis dysphagia social history: the patient did not smoke cigarettes, however, he did smoke pipes since age 18 but he has not smoked pipes lately. he drinks wine occasionally. he is self employed and runs his own business. he has not had any toxic chemical exposures. family history: mother had breast cancer at age 65, father with multiple myeloma, sister also had breast cancer at age 58, brother with acid reflux who receives yearly egd but has had no evidence of cancer. no other cancers in the family. the patient is here at his appointment with his wife and two children, a son and a daughter. his daughter lives nearby. his son lives in . the patient lives in with his wife. pertinent results: . path: pleural fluid suspicious. scattered highly epitheloid cells, present singly and in small groups, suspicious for adenocarcinoma, in a background of blood and mesothelial cells. cxr : impression: mild improvement in the previously identified pulmonary vascular redistribution. focal hazy opacities at the lung bases appear stable with improvement in the left perihilar opacity. pleural thickening versus loculated effusion again noted on the right. renal & glucose glucose urean creat na k cl hco3 angap 06:15am 50* 33* 1.2 140 4.3 100 35* 9 chemistry totprot albumin 3.0* complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 06:15am 8.1 3.00* 9.6* 29.1* 97 32.0 33.0 15.0 392 brief hospital course: pt was admitted for increased dyspnea at home and was taken to the or for bronchoscopy, left thoracoscopy with pleural drainage and talc poudrage. and chest tube to sxn. on the post op noc pt developed increased shortness of breath and desaturation to 75% w/increased oxygen requirement. pt was emergently transferred to the crsu for acute pulmonary managemnt. cxr showed left lung collapse. pt was bronched for copious purulent secretions. post bronch sats improved but still w/ high o2 requirement. started on emperic zosyn, vanco. pt w/ resp decompensation on niv. pt w/ oliguria on iv levo w/ map ~mid 60's w/ worsening resp acidosis requiring intubation. pt underwent serial bronchoscopies and aggressive diuresis once his hemodynamics stabilized. intermittant rapid afib requiring iv amiodarone w/re-bolus in addition to iv lopressor and diltiazem drip after cardiology consult. and chest tube remained to sxn w/ minimal drainage and ct was d/c'd on pod# 5. was d/c'd on pod#10. multiple family discussions were had w/ family and decision regarding code status made -dnr. once cardiolpulmonary status was optimized, pt was extubated on pod#7 and remained in the icu for continued pul tiolet. pt transferred out of icu on pod#10. pt noted to be in an asyptomatic brady escape rhythm w/ rate in the 30's on amiodarone, lopressor and dilt po. cardiology was reconsulted and dilt was d/c'd and amiodarone and lopressor were decreased w/ approp increased rate response. pt was maintained on supplemental tube feed via j-tube and po's as tolerated. able to ambulate w/ walker, supervision and supplemental oxygen. pt's oral hypoglycemic agents were resumed but pt was consistently hypoglycemic therefore his metformin was d/c'd and his glyburide dose was cut in and avandia was unchanged. pt was d/c'd to home w/ , home pt, o2. he will follow up with his pcp : glucose control. medications on admission: asa 81 qday zyban 150 amlodipine 5 qday asacol 400 tid hctz 25 qday metformin 850 celebrex 100 qday metoprolol 50 avandia 8 qday glyburide 10 lipitor 80 qday senna ativan pantopraozole 40', amiodarone 200' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. rosiglitazone 8 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). 7. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 8. fingersticks check finger sticks before meals and at bedtime. 9. tube feeds nutren 1.5 w/ fiber 6 cans per day via pump 10. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. disp:*300 ml(s)* refills:*0* 11. amiodarone 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 12. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: recurrent malignant left pleural effusion esophageal ca htn dm 2 gerd crohns discharge condition: deconditioned. requires , pt, home oxygen and supplemental tube feeding. discharge instructions: call dr. office if you have any chest pain, shortness of breath, fever, chills, nausea, vomiting, inability to take food or tolerate tube feed. check you finger sticks before meals and at bedtime and call your pcp if they are >200- your blood sugar was too low to restart your metformin in the hospital. followup instructions: follow up with dr. and dr. . , m.d. phone: date/time: 11:00 please follow up with dr. in one month. call his office, (, to arrange an appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy other intubation of respiratory tract closed [endoscopic] biopsy of bronchus transpleural thoracoscopy injection into thoracic cavity diagnoses: pneumonia, organism unspecified esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation secondary malignant neoplasm of pleura regional enteritis of unspecified site acute respiratory failure malignant neoplasm of other specified part of esophagus 

Answer: The patient is high likely exposed to