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: aspirin / nsaids attending: chief complaint: "food stuck in throat" major surgical or invasive procedure: egd history of present illness: 66yo woman with h/o esophageal food impactions requiring endoscopies, hypertension, left renal cell cancer s/p left nephrectomy, and asthma p/w esophageal food impaction. pt was eating chicken at a chinese restaurant this evening around 5pm when she felt the chicken get stuck in her throat. since then she has been unable to tolerate any po intake, including water, and is not tolerating most of her own secretions either. she is able to talk in full sentences, and denies any dyspnea, fevers, chills, or abdominal pain. she denies any heartburn or odynophagia, but endorses occasional dysphagia. she denies any h/o esophageal stricture or ring but states prior impactions were related to spasm and anxiety. . in the ed, initial vitals: 97 90 158/101 20 100%ra. ekg: sr, nsst-t changes. gi was consulted and recommended 1mg of glucagon to facilitate passage. glucagon 1mg given without effect and patient admitted to micu for endoscopy. vs prior to transfer: 89 141/83 18 100%ra . on arrival to the floor, she reports ongoing sensation of food bolus and inability to tolerate secretions. denies cp or any other symptoms at this time. . ros: (+) small amount of blood on toilet paper today associated with strained bm. + constipation. also endorses recent intermittent chest pain over the last 4-5 days associated with cough and rhinorrhea. granddaughter and multiple family memebers also with cold symptoms. cp not exertional but worse laying flat. she has nto had any since yesterday evening. denies dysuria, leg swelling, leg pain, palpitations, ha. past medical history: hypertension left renal cell carcinoma s/p nephrectomy osteoarthritis pn narcotics contract asthma ? pud h/o positive ppd treated with inh. 3 episodes of food impaction requiring egd in past . past surgical history: s/p breast biopsy 32 years ago, normal s/p cholecystectomy and appendectomy s/p nephrectomy social history: she smoked until 10 years ago and then quit. rare alcohol use (last drink 3 months ago), no drug use. she is trying to lose weight and has been exercising more and has effectively lost some weight, although she is still 210 and her bmi is 38.4. not employed. raised 6 chldren and 15 grandchildren. family history: father had cancer at 62, cousins also had cancer. aunt had breast cancers, two was at 70 and 74 and father had diabetes, hypertension, end-stage renal disease and died of an mi at 63, also her brother did have the same diseases. her mother had a mole, and there was a cousin that had pancreatic cancer. physical exam: gen: pleasant, comfortable, nad, speaking in full sentences heent: perrl, eomi, anicteric, mm slightly dry, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules. poor dentition with multiple loose teeth resp: cta b/l with good air movement throughout cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly. ccy and nephrectomy scar well healed. ext: no c/c/e skin: no rashes/no jaundice/no splinters neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. pertinent results: 06:04am blood wbc-8.2 rbc-4.62 hgb-12.5 hct-36.4 mcv-79* mch-27.0 mchc-34.3 rdw-13.7 plt ct-209 10:25pm blood wbc-8.8 rbc-4.86 hgb-13.2 hct-38.0 mcv-78* mch-27.1 mchc-34.7 rdw-13.5 plt ct-219 06:04am blood neuts-74.1* lymphs-20.0 monos-3.5 eos-1.9 baso-0.5 10:25pm blood neuts-74.5* lymphs-19.7 monos-3.3 eos-1.9 baso-0.7 06:04am blood pt-13.5* ptt-26.1 inr(pt)-1.2* 10:25pm blood pt-13.3 ptt-24.8 inr(pt)-1.1 06:04am blood glucose-102* urean-12 creat-0.6 na-141 k-3.2* cl-101 hco3-28 angap-15 10:25pm blood glucose-90 urean-10 creat-0.8 na-142 k-3.4 cl-100 hco3-28 angap-17 06:04am blood ck(cpk)-41 06:04am blood ck-mb-2 ctropnt-<0.01 06:04am blood calcium-9.5 phos-4.0 mg-2.0 imaging/studies: cxr: heart size is normal. mediastinum is unremarkable. this study neither confirms nor excludes the possibility of non-radiopaque foreign body in the esophagus and if clinically warranted, further correlation with ct or barium swallowing (upper gi study) should be considered. lungs are clear. there is no pleural effusion or pneumothorax. multiple osteophytes of the thoracic spine are demonstrated on the lateral projection. egd: impression: food in the lower third of the esophagus (foreign body removal) erythema and congestion in the lower third of the esophagus erythema and congestion in the whole examined stomach no esophageal stenosis or stricture diverticulum in the upper third of the esophagus otherwise normal egd to stomach body recommendations: the findings account for the symptoms, and the residual food bolus in the esophagus is known to be non-obstructing. no esophageal stenosis or stricture noted, so symptoms are likely due to an esophageal dysmotility issue. npo for now, trial of clear liquid sips in am. if does not tolerate sips, will need repeat endoscopy in am. brief hospital course: 66f with htn, asthma, recurrent food impactions requiring endoscopy now presenting with likely food impaction. . 1. esophageal food impaction: pt has h/o recurrent food impactions requiring endoscopy although none in our system. given inability to control own secretions, she is being admitted to micu for endoscopy. differential diagnosis of recurrent food impaction includes mechnical obstruction such as stricture or ring or eosinophilic esophagitis. gi was consulted who performed the egd on which showed no stricture or mass, just erythema. after egd, pt's symptoms improved and per their recs, pt's diet was advanced as tolerated. pt was then discharged home with outpt gi f/u appt and a esophageal dysmotility study in 2 weeks. . 2. chest pressure: has had intermittent chest pain last days associated with viral symptoms and worse with laying flat. differential diagnosis includes pericarditis, bronchitis. unlikely secondary to or related to food impaction and/or recent cough/cold symptoms. cxr without acute infiltrate or e/o perforation and ecg wnl. pt was ruled our for mi with neg ces. the chest pressure resolved. . 3. htn: pt was continued on home hctz . 4. asthma: pt was continued on flovent, albuterol prn . 5. brbpr: likely secondary to hemorrhoids given symptoms occurred with strained bm in setting of constipation. hct remained stable requiring no transfusions and pt was hemodynamically stable throughout hospital stay. . 6. chronic pain: pt was continued on home percocet . pt was initially npo, then advanced diet after egd. pt was on heparin sc for dvt ppx. pt was full code. medications on admission: albuterol sulfate 90 mcg hfa aerosol inhaler puffs(s) by mouth every four (4) hours as needed for wheezing -not taking fluticasone 220 mcg aerosol inhaled(s) hydrochlorothiazide 25 mg tablet 1 tablet(s) by mouth daily oxycodone-acetaminophen 5 mg-325 mg tablet 0.5-1 tablet(s) by mouth every 6 hours as needed for pain triamcinolone acetonide 0.1 % cream apply twice a day senna 8.6 mg tablet 2 tablet(s) by mouth at bedtime prn tums or maalox discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 3. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 4. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 5. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q6h (every 6 hours) as needed for pain. discharge disposition: home discharge diagnosis: esophageal dysmotility disorder discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you here at . you were admitted because you had a sensation of fodd being stuck in your throat. you underwent a upper endoscopy that showed no mass or stricture, so your symptoms are likely due to an motility issue. your diet was then advanced which you tolerated well. you were discharged home with follow-up with the gastroenterology doctors in the . no changes were made to your medications. followup instructions: department: div. of gastroenterology when: wednesday at 3:30 pm with: , md building: ra (/ complex) campus: east best parking: main garage you also currently have a esophageal dysmotility study ordered for at 7 am. department: rehabilitation services when: thursday at 2:50 pm with: ding, pt, dpt building: sc clinical ctr campus: east best parking: garage department: when: thursday at 12:00 pm with: , md building: campus: east best parking: garage procedure: other gastroscopy removal of intraluminal foreign body from esophagus without incision diagnoses: other chronic pain unspecified essential hypertension asthma, unspecified type, unspecified personal history of tobacco use constipation, unspecified long-term (current) use of other medications other chest pain personal history of malignant neoplasm of kidney acquired absence of kidney home accidents foreign body accidentally entering other orifice foreign body in esophagus unspecified hemorrhoids with other complication dyskinesia of esophagus other specified anomalies of esophagus 

Answer: The patient is high likely exposed to