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: esophogeal cancer dysphagia, decreased food intake and weight loss major surgical or invasive procedure: s/p laparoscopic and thorascopic esophagogastrectomy endoscopy history of present illness: pt was in usual state of excellent health until when she noticed increasing dysphagia and odynophagia that led to decreased food intake and weight loss past medical history: esophageal cancer, gastric esophogeal reflux disease, leep w/neg pap smears since then. social history: 14-pack-year smoking history. she smoked for 28 years and quit in after her diagnosis. she has prior heavy drinking; in her 30s, she was a social binge drinker, now she does not drink much. she is married. she has four children, a girl aged 20, a girl aged 18, a boy aged 5, and another girl aged 4. she works as a doughnut finisher at honeydew doughnuts. she works the morning shift, 3 to 6 a.m. family history: maternal grandmother with "liver cancer." her father had coronary artery disease, but is alive at age 66. her mother has no health problems. diabetes in the family. physical exam: general - middle age female in nad heent- perrla, sclera aniceteric, no cervical or supraclavicular adenopathy resp- lungs clear cor rrr sinus tackycardica by telemetry abd- + bs, soft, nt, nd. gtube in place ext- no edema, clubbing. good tone. pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 07:50am 9.7 3.19* 9.0* 27.8* 87 28.3 32.5 15.3 320# differential neuts bands lymphs monos eos baso atyps metas myelos 09:08am 79* 8* 5* 8 0 0 0 0 0 red cell morphology hypochr anisocy poiklo macrocy microcy polychr 09:08am normal normal normal normal normal normal basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 07:50am 320# chemistry renal & glucose glucose urean creat na k cl hco3 angap 01:10pm 111* 18 0.5 138 4.5 98 28 17 chemistry totprot albumin globuln calcium phos mg uricacd iron 01:10pm 9.1 4.6* 2.3 radiology final report bas/ugi w/kub 11:13 am reason: w/ gastrograffin not barium check for esophgeal anastomotic medical condition: 42 year old woman s/p esophagogastrectomy reason for this examination: w/ gastrograffin not barium check for esophgeal anastomotic leak. no need for sbft indication: history of esophageal cancer. per dr. , the patient is status post esophagectomy with gastric pull-up. evaluate for anastomotic leak with water-soluble contrast. single contrast modified upper gi: the scout view of the chest shows bilateral chest tubes and surgical staples overlying the superior chest. the study was performed with conray contrast. due to patient debility, the patient was examined at 45 degrees and 70 degrees of table elevation, in the and lao positions. contrast flowed freely through the pharynx and gastric pull-up. there is no evidence of leakage of contrast from the gut lumen, though the study is slightly limited due to the use of water-soluble contrast and the small volume consumed by the patient. in the lower chest, the contrast collects within gastric pull-up, and does not pass into the small bowel. after approximately 10 minutes, the patient was re-examined, and contrast did not progress below the diaphragm. impression: slightly limited exam, but no evidence of leak status post esophagectomy. contrast does not pass beneath the level of the left hemidiaphragm after approximately 10 minutes. cardiology report ecg study date of 7:03:26 pm sinus tachycardia. diffuse inferolateral st-t wave changes which are mild. compared to the previous tracing of inferolateral st-t wave changes are slightly improved. clinical correlation is suggested. read by: , intervals axes rate pr qrs qt/qtc p qrs t 120 108 80 284/355.42 59 59 28 brief hospital course: patient admitted sda for above procedure- total esophogogastrectomy. pt tolerated procedure well, transferred to pacu in stable condition, extubated, ct bilat to sx, ng tube in placeto lcs, and jp drain @ neck. stable pacu course. pt transferred to sicu overnight for observation. pod#1-pain control w/ pca- mso4, and toradol iv, npo, tf started via jejunostomy tube, ngt> lcs. pod#2- pt transferred to floor; pca mso4 increased due to inc'd pain, toradol. tubes and lines unchanged; 85nsr;npo, + bs, tf 1/2 strength promote w/ fiber @10/hr increased to 50/hr over 24hr period; lytes repleated; oob/pt/is done; hemotology/ oncology consult done and following. pod#3- ct to sx, jp in place to sx, ngt to lcs; tf via j tube remain unchanged. increase hr 120-140 from dehydration treated w/lr x2l w/ d51/2 ns @125/hr, pt w/ minor c/o fatigue, urine amber; mg/k repleated and wnl, hct wnl; remains npo and tf changed to full strength; pca w/ mso$ for pain cont. pod#4- hr 130-140st treated w/ lr x2l again w/ ivf 125/hr and minor c/o of fatigue but improved, urine amber and clearing; tf ^70/hr, no n/v/abd cramping, ngt> lcs; no peripheral edema; pt consulted, pt ambulating and oob> chair. pod#5- hr cont 120st, given 500cclr, d5.45ns increased 250/hr; ct to sx, jp to sx, ngt> lcs, +bs, no flatus pod#6- tf changed to probalance fs @ 70/hr, +bs, -flatus; ivf 250/hr, urine clear. plan to bolus iv for even i/o. w/ hr 120-130st and asymptomatic- 1l bolus given w/ improvement 100-110 as baseline pta. oob, amb, is/ db done. ct and jp d/c late in day, ngt clamped, j-tube checking residuals q6h; neck dressing/ lap inc c/d/i. pca cont. mom and enema given. lytes repleated; nursing observed and heard conversation of husband directed to patient with moderate anger and demands to get home and quit faking disease. social service consult made and pt seen for issues of r/o domestic violence. pod#7- pca> mso4 cont; + bs, + flatus, no bm, tf @ 70/hr w/ cycled feedings tolerated well, ngt> lcs, foley d/c. cont oob/ cdb/ is, ambulation. 7 lap incision sites and incision d&i. pod#8- pca coont; tf 95/hr and cycled overnight, mom repeated w/ good bm result, ngt d/c w/o n/v but w/ some cramping and fullness. tf stopped during night, no residual. husband heard to be abusive over phone to patient. pod#9-po clears taken via sips, pca cont with transition to roxicet liquid in pm. social service visit to patient to ensure patient feels safe, other family sisters and mother involved, available and supportive. pod#10- patient cont to do well, lopressor 50 for hr 100-110st; incision c/d/i. social worker documenting issue w/ husband, reinforcing supports are present. pod#11- pt assures staff she feels safe,has plan and will call sisters/mother other family if issues occur w/ husband. repeated, tf return to cycled w/ good tolerance, no pain, looks well, oob/is. patient stable for discharge to home with home therapies, vna. pt discharge instructions given and reviewed and pt discharged to home accompanied by husband, no verbal inappropriateness observed. patient instructed to call office for any clinical/social issues. medications on admission: none discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. tube feeding gevity 1.2- 6 cans qd feeding pump discharge disposition: home with service facility: vna discharge diagnosis: t3n1 distal esophageal cancer, s/p chemotherapy, radiation therapy, gastic esophogeal reflux disease, leep, s/p jejunostomy tube, port discharge condition: good discharge instructions: call dr. office for: fever, shortness of breath, chest pain, difficulty swallowing, redness or drainage at incision site. home therapies will manage tube feeding-contact triage rn- 1-. gevity 1.2 tube feedings to be cycled at night 7pm- 7am so that days are free from feeding pump. you may eat clear liquids for 1 week, then advance to soft solids. no meat or bread. nursing issues- vna- . followup instructions: call for appointment with dr. in 2 weeks- procedure: other total gastrectomy enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified esophageal reflux other specified cardiac dysrhythmias malignant neoplasm of lower third of esophagus status of other artificial opening of gastrointestinal tract 

Answer: The patient is high likely exposed to