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 adenocarcinoma major surgical or invasive procedure: 1. esophagectomy. 2. laparoscopic jejunostomy. 3. buttressing of intrathoracic anastomosis with thymic fat. 4. egd 5. bronchoscopy history of present illness: the patient is a 65-year-old gentleman with a t2, n0 cancer of the gastroesophageal junction. he is being admitted for esophageal resection. past medical history: hypertension cva without residual social history: he quit smoking 15 years ago. he was also a heavy alcohol user, but quit 25 years ago. he lives at home with his wife. states that he does some yard work, but is not that physically active. family history: significant for mother with heart problems, father with a stroke. brother with cancer, which she believes is a melanoma. physical exam: vs: t 98.0 hr: 72 sr bp: 112/66 sats: 97% ra general: 65 year-old male in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr normal s1,s2 no murmur/gallop or rub resp: crackles right 1/3 up, left crackles lll gi: benign. j-tube site clean incision: right minimal invasive site clean well approximation neuro: non-focal pertinent results: wbc-9.4 rbc-3.85* hgb-12.0* hct-34.8 plt ct-182 wbc-9.4 rbc-3.69* hgb-11.3* hct-33.3 plt ct-132 wbc-15.1 rbc-4.23* hgb-13.1* hct-38.7 plt ct-154 glucose-132* urean-19 creat-0.8 na-142 k-4.1 cl-105 hco3-30 glucose-136* urean-17 creat-0.8 na-142 k-4.5 cl-104 hco3-32 glucose-159* urean-18 creat-1.1 na-140 k-4.2 cl-103 hco3-28 calcium-8.5 phos-2.8 mg-2.1 esophagus study: 1. no evidence of leak. 2. free flow of barium through to the third part of duodenum. : cxr: sm right basilar hydropneumothorax, small bilateral effusions. brief hospital course: mr. was underwent successful, esophagectomy, laparoscopic jejunostomy, buttressing of intrathoracic anastomosis with thymic fat, egd bronchoscopy. he transferred to the sicu intubated and subsequently extubated. respiratory: aggressive pulmonary toilet, nebs and is were continued. over the course of his hospitalization the nasal cannula o2 was titrated off. his room oxygen saturations were in the high 90's. chest-tube: the right chest tube was removed on following the esophagus study. the chest tube site required suturing. cardiac: he remained in sinus rhythm 70's. prophylactic beta-blocker were continued. immediately postoperative he required a fluid challenged for hypovolemia. once stabilized his blood pressure remained stable in the 112-130's. gi: the ngt continued intermittent irrigation to maintain patency. he had a moderate amount of bilious output. it remained in place until . j-tube in place. esophagus study was done on which showed passage of contrast into the small bowel without anastomotic leak. nutrition: he was seen by nutrition. the j-tube feeds were started on replete titrated to goal 110 ml x 18 hrs was well tolerated. pain: well controlled by bupivacaine/dilaudid epidural was managed by the acute pain service. he was converted to po roxicet once the chest tube was removed. incision: right minimal invasive incisions were clean margins well approximated. the anastomotic jp drain was removed on . neuro: he had no neurological events during this hospitalization. disposition: he was followed by physical therapy who deemed him safe for home. he continue to make steady progress and was discharged home with vna and tube feeds on medications on admission: lipitor 80 mg daily, asa 325 mg daily, hctz 25 mg daily, lisinopril 5 mg daily, ascorbic acid 500 mg daily, mvi daily, omega-3 1,000mg daily, vitamin e 400 unit daily discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*400 ml(s)* refills:*0* 2. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 3. docusate sodium 50 mg/5 ml liquid : ten (10) ml po bid (2 times a day): while taking narcotics. 4. osmolite osmolite full strength; goal rate:110 ml/hr cycle: start:3pm cycle end:9am 5. aspirin 325 mg tablet : one (1) tablet po once a day. 6. plavix 75 mg tablet : one (1) tablet po once a day. 7. lipitor 80 mg tablet : one (1) tablet po once a day: crush and take with apple sauce. 8. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. lisinopril 5 mg tablet : one (1) tablet po once a day. 10. hydrochlorothiazide 25 mg tablet : one (1) tablet po once a day. discharge disposition: home with service facility: home health care 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 if your feeding tube sutures become loose or break: please tape tube securely. if your feeding tube falls out, save the tube, call the office immediately. the tube needs to be replaced in a timely manner because the tract will close within a few hours. do not put any medication down the tube unless they are in liquid form. daily weights: keep a log and bring it to your appointment with dr. followup instructions: follow-up with dr. 9:30am on the clinical center . chest tube suture remvoval at time of visit report to the radiology department for a chest x-ray 45 minutes before your appointment procedure: other total gastrectomy other enterostomy enteral infusion of concentrated nutritional substances diagnoses: other iatrogenic hypotension unspecified essential hypertension personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits hypovolemia barrett's esophagus malignant neoplasm of cardia 

Answer: The patient is high likely exposed to