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 / erythromycin / tetracycline attending: chief complaint: barrett's esophagus major surgical or invasive procedure: minimally invasive esophagectomy history of present illness: this is a 45-year-old woman with long history of reflux. she has been followed for barrett's esophagus over the last seven to eight years. she has had a recent endoscopy, which showed a high-grade dysplasia. this has been reconfirmed by our pathologists. she has symptoms of regurgitation and emesis in the evening. she presents for surgical resection for treatment of high-grade dysplasia. past medical history: her past medical history is notable for a history of kidney stones. she had a parasellar meningioma as well. past surgeries include retrieval of a kidney stone, a tubal ligation, and eye surgery. social history: lives with husband, smokes ppd, occasional etoh. family history: there is a history of heart disease in her mother and ovarian cancer in a maternal grandmother physical exam: on discharge: 99.3, 96.9, 72, 120/80, 20, 93ra nad, a&ox3 neck is supple - l basicervical incision is intact with staples - no induration. lungs clear r chest wall - former ct site is not draining without erythema rrr no murmurs abdomen - obese, nondistended, multiple small incision sites without erythema or induration. staples are in excellent position. ext- she has grade 1 edema. extremities well perfused l ankle without ecchymosis or pain with active or passive rom, mild pain to palpation of deltoid ligament. pertinent results: 04:51pm blood wbc-14.7*# rbc-5.20 hgb-14.4 hct-43.0 mcv-83 mch-27.7 mchc-33.6 rdw-13.4 plt ct-335 04:23am blood wbc-7.5 rbc-3.66* hgb-10.6* hct-29.7* mcv-81* mch-28.9 mchc-35.6* rdw-13.4 plt ct-282 04:51pm blood neuts-92.6* bands-0 lymphs-5.1* monos-2.0 eos-0.1 baso-0.1 04:51pm blood pt-12.1 ptt-20.5* inr(pt)-1.0 04:51pm blood glucose-151* urean-20 creat-1.1 na-138 k-4.8 cl-105 hco3-22 angap-16 04:23am blood glucose-100 urean-13 creat-0.6 na-138 k-4.3 cl-103 hco3-31 angap-8 10:45am blood ctropnt-<0.01 04:51pm blood calcium-10.0 phos-4.6* mg-1.8 04:23am blood calcium-8.8 phos-4.3 mg-2.2 09:57am blood type-art peep-12 fio2-100 po2-58* pco2-38 ph-7.41 caltco2-25 base xs-0 aado2-619 req o2-100 intubat-intubated vent-controlled 01:58am blood type-art po2-104 pco2-48* ph-7.34* caltco2-27 base xs-0 09:57am blood glucose-119* lactate-1.6 na-137 k-3.8 cxr- s/p rul collapse (necessary for surgical procedure) there has been almost complete resolution of right upper lobe collapse. some atelectasis persists. bibasilar atelectasis, worse in the left side are persistent. there has been mild interval improvement in aeration in the left lower lobe. et tube is 1.5 cm above the carina. lines are tubes are unchanged. cardiomediastinal contours are stable. there is no pneumothorax. ekg sinus rhythm. normal tracing. compared to the previous tracing of intermittent ectopic atrial rhythm is no longer recorded. there is left atrial abnormality and no diagnostic interim change. pathology - diagnosis: esophagogastrectomy (a-ab): 1. extensive high-grade glandular dysplasia arising in association with low-grade glandular dysplasia and intestinal metaplasia (barrett's esophagus); no invasive carcinoma seen. 2. the barrett's segment measures 7 cm in length. 3. proximal esophageal and distal gastric margins free of dysplasia and intestinal metaplasia. 4. seventeen periesophageal and five perigastric lymph nodes, no malignancy identified. 5. mildly active esophagitis. cxr reason for exam: s/p esophagectomy. comparison is made to prior study performed a day earlier. right chest tube remains in place. ng tube has been removed. cardiomediastinal contour is unchanged. haziness of the hilum bilaterally is due to mild interstitial pulmonary edema. this has increased from prior study. there are low lung volumes. there is a stable left lower lobe retrocardiac atelectasis and stable small left pleural effusion. barium swallow barium esophagogram: barium passes freely through the esophagus and anastamosis into the stomach and small bowel. at the site of the anastomosis, there is no definite evidence for leak. surgical staples and a drain are seen at the anastomotic site. another drain is seen projecting over the right chest. scout and post-exam chest x-rays do not demonstrate persistent contrast in the chest. in the chest, there is bibasilar linear atelectasis. impression: no definite evidence for leak. picc line impression: uncomplicated ultrasound and fluoroscopically guided double lumen 5 f picc line placement via the right basilic venous approach. final internal length is 45 cm, with the tip positioned in svc. the line is ready to use. l ankle xray impression: no acute fracture or dislocation. brief hospital course: patient was taken to the or and tolerated the procedure well. she was extubated in the or and transferred to the sicu. pain was controlled with an epidural and she was hemodynamically stable. her ngt was removed as it was coiled in her pharynx. on pod 1 her hematocrit remained stable and ct and cervical jp output were within reasonable limits. on pod 2 she had significant orthostatic hypotension. her epidural was split with bupivicaine continually running in epidural and a opioid pca. toradol was started in addition. her hematocrit remained stable at 35. trophic tube feeds were started via j tube. she was kept in the sicu. on pod 3 chest tube was placed to water seal, epidural was capped and she had adequate pain control on pca. on pod4 she was given iv lasix x 1 and tube feeds were titrated up to a goal of 80cc/hour. her foley was removed and she was able to void. she was transferred to the floor without incident. on pod 5 she had a swallow study that showed no leak and was given lasix to diurese. she was transitioned to jtube medications. on pod 7 she had a picc line placed for access. pod 9 her ct and jp were removed without problem. she had a mechanical fall from standing that resulted in no injuries. an xray of her l ankle showed non fracture. her tube feeds were cycled at night. pod 10 she was oob and walking her pain was better controlled. pod 11 she was discharged to home in care of her husband. she remained afebrile throughout the hospitalization. she was taking in over 1l of liquids per day as well as being supplemented by cycled tube feeds. she was oob independently and walking. picc line was removed prior to discharge. she was urinating without problem and having regular bowel movements. medications on admission: protonix 80 mg qam, 40 mg qpm, advil, tums. discharge medications: 1. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. disp:*30 suppository(s)* refills:*0* 2. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety. disp:*30 tablet(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*250 ml(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 5. colace 50 mg/5 ml liquid sig: two (2) tsp po twice a day. disp:*qs ml* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day: wean according to symptoms - d/w dr. at follow up. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: vna assoc. of discharge diagnosis: barrett's esophagus with high grade dysplasia discharge condition: good discharge instructions: call or come back if you experience fevers, chills, nausea, vomiting, chest pain, shortness of breath, or any other concerns. you should have a regular diet and eat several small meals per day. you will likely need to eat 6 times per day. more importantly it is important that you keep yourself well hydrated. take pain medications only as needed. take a stool softener to prevent constipation. resume your home medications. you should walk several times each day. this will help with the edema with in your legs. followup instructions: please follow up with dr. in two weeks. please call ( to schedule an appointment. you can have your staples removed next week by your pcp's office. they should place steristrips at that time. procedure: venous catheterization, not elsewhere classified other enterostomy enteral infusion of concentrated nutritional substances total esophagectomy intrathoracic esophagogastrostomy other surgical collapse of lung diagnoses: thrombocytopenia, unspecified esophageal reflux tobacco use disorder unspecified anomaly of upper alimentary tract barrett's esophagus orthostatic hypotension 

Answer: The patient is high likely exposed to