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 / iodine attending: chief complaint: reflux, increasing abdominal pain major surgical or invasive procedure: 1. esophagectomy 2. buttressing of esophagogastric anastomosis with intercostal muscle 3. laparoscopic jejunostomy 4. esophagoscopy 5. therapeutic bronchoscopy history of present illness: 78yo male with long standing history of intermittent reflux treated with over the counter antacids, was seen by his pcp for increasing abdominal pain. an upper endoscopy which revealed a mass 20 cm from the incisors in the mid-esophagus and iopsy revealed poorly differentiated adenocarcinoma. since , he has lost pounds, has dysphagia for solids more than liquids and feels food getting stuck mid sternum at times. he has not had any recent chest infections, no change in voice, no fever/chills. past medical history: copd, htn, diverticulosis, hiatal hernia (untreated), asthma hld, glaucoma, kidney stones past surgical history s/p cabg s/p left inguinal hernia s/p phlebectomy for varicose veins social history: - married, lives with family - former tobacco user - etoh: 1-2 drinks/day - denies exposure risk family history: father - mi physical exam: vs: 98.8 hr: 72 afib bp: 124/72 sats: 95% ra wt general 78 year-old male who appears well heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: irregular, normal s1,s2. no murmur/gallop or rub resp: decreased breath sounds r>l otherwise clear gi: benign. j-tube site clean no erythema or discharge extr:warm no edema incision: right thoracotomy site clean, intact, margins well approxmicated no erythema neuro: awake, alert, oriented. moves all extremities pertinent results: wbc-9.7 rbc-3.39* hgb-11.3* hct-32.8 plt ct-254 wbc-10.3 rbc-3.48* hgb-12.2* hct-35.1 plt ct-252 wbc-5.7 rbc-4.37* hgb-14.4 hct-43.3 plt ct-191 pt-15.0* ptt-37.2* inr(pt)-1.3* pt-13.4 inr(pt)-1.1 glucose-111* urean-19 creat-0.7 na-139 k-4.2 cl-102 hco3-29 glucose-111* urean-19 creat-0.6 na-138 k-4.1 cl-104 hco3-26 urean-15 creat-0.9 na-140 k-4.0 cl-102 hco3-31 angap-11 calcium-7.9* phos-3.5 mg-2.1 cxr: small bilateral pleural effusions are unchanged following removal of the right pleural tube. tiny right apical pleural air collection is stable. small left pleural effusion unchanged. the postoperative cardiomediastinal silhouette, including the distended neoesophagus and preexisting large hernia, is stable. esophagus : findings: barium flowed freely throughout the esophagus without evidence of stricture, lesion or leak, especially around the anastomotic site. barium was able to pass freely from the esophagus into the stomach, from the stomach into the small intestine, the path of the barium was noted to be narrowed consistent with postoperative inflammation/edema. impression: no evidence of leak; narrowed channel from stomach into small bowel consistent with postoperative inflammation/edema. brief hospital course: mr an esophagectomy, buttressing of esophagogastric anastomosis with intercostal muscle, laparoscopic jejunostomy, esophagoscopy, and therapeutic bronchoscopy on for esophageal adenocarcinoma. he was extubated in the operating room, transferred to the pacu for monitoring and subsequently transferred to the surgical icu for the immediate post-operative period then to the inpatient floor on pod2. respiratory: aggressive incentive spirometry was encouraged and during his admission post-operatively, he was weaned off the oxygen to room air with saturations of xx drains: the drain was placed to water-seal in the sicu. it was removed on pod6. chest x-ray showed (see report) a jp drain was removed on pod6 following esophagus study which was negative for leak cardiac: pod2 he has rate control atrial fibrillation hr 60-80's he was continued on his home dose of beta-blocker. he remained hemodynamically stable. gi: patient remained npo post-operatively and started on j-tube feeds on pod1 that were well tolerated. replete full strength goal 80 ml/hr x 18 hrs. on he was started on clear liquid diet advanced to soft solid which he tolerated. incision: right thoracotomy site clean, no erythema pain: epidural was placed for analgesia and discontinued on pod6 with transition to po pain medication with good analgesic effect. heme: after speaking with his cardiologist dr. he was started on lovenox-warfarin bridge for atrial fibrillation. inr goal 2.0-2.5. he will follow-up with him for further warfarin dosing. given 5 mg coumadin , , . inr on discharge 1.3. disposition: patient progressively increased his activity level during this admission and ambulated in the halls on the inpatient floor while continued to make steady progress and was discharged to holiday inn with his family. he will follow-up with dr. in 1 week then return home. medications on admission: lipitor 20', symbicort 80-4.5', kapidex 60', persantine 75', lopressor 50', carafate 1g/10ml, vit b12, ascorbic acid discharge medications: 1. zofran odt 4 mg tablet, rapid dissolve : one (1) tablet, rapid dissolve po every eight (8) hours as needed for nausea. disp:*6 tablet, rapid dissolve(s)* refills:*0* 2. travoprost 0.004 % drops : one (1) ophthalmic qdaily (). 3. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*450 ml(s)* refills:*0* 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 5. atorvastatin 20 mg tablet : one (1) tablet po daily (daily). 6. replete goal 80 ml/hr x 18 hrs. cycle 1500-0900 7. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. enoxaparin 100 mg/ml syringe : ninety (90) mg subcutaneous (2 times a day): stop when inr 2.0. disp:*7 mg* refills:*2* 9. warfarin 1 mg tablet : as directed tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. miralax 17 gram powder in packet : one (1) packet po once a day. disp:*30 packets* refills:*2* 11. colace 100 mg capsule : one (1) capsule po twice a day: while taking narcotics. 12. warfarin 2.5 mg tablet : as directed tablet po once a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: esophageal adenocarcinoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office or if you experience: -fevers > 101 or chills -increased shortness of breath, cough or sputum production -chest pain -incision develops drainage -chest tube site cover with a bandaid until healed or clean dry dressing if site oozing. change as needed -you may shower. no tub bathing or swimming for 4 weeks -no driving while taking narcotics. -take stool softners with narcotics -walk 4-5 times a day for 10-15 minutes to a goal of 30 minutes daily -lovenox take twice daily until inr 2.0 then stop -warfarin take as directed. inr goal 2.0-2.5 for atrial fibrillation warfarin take 5mg (2 tablets) tonight. inr friday and call for further dosing. followup instructions: follow-up with dr. :00 on the clinical center . chest x-ray 30 minutes before your appointment on the radiology deparatment follow-up with your cardiologist dr. for further warfarin dosing once you are home procedure: other enterostomy other esophagoscopy enteral infusion of concentrated nutritional substances other bronchoscopy laparoscopy insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt partial esophagectomy intrathoracic esophageal anastomosis with other interposition laparoscopic repair of diaphragmatic hernia, with thoracic approach diagnoses: esophageal reflux unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation aortocoronary bypass status asthma, unspecified type, unspecified unspecified glaucoma diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of urinary calculi barrett's esophagus diverticulosis of colon (without mention of hemorrhage) malignant neoplasm of other specified part of esophagus other dysphagia 

Answer: The patient is high likely exposed to