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: cc: major surgical or invasive procedure: vp shunt placement history of present illness: hpi: pt unreliable historian secondary to confusion. 62yo male with known hx of clear cell renal cancer with brain metastases. wife reports 5day hx of increased confusion, unstable wide shuffled gait, blurred vision not improved with new glasses. past medical history: pmhx: -clear cell renal cancer/brain metastases - right radical nephrectomy and wedge resection of the right lower lung. -tarceva/avastin trial till when started avastin alone. -increasing lung nodules and screening for il-2 revealed brain met. -received one cycle of il-2. he is s/p: 1. cyberknife srs to 2750 cgy brainstem 2. cyberknife srs to 1800 cgy left cerebellar met 3. wbxrt /07 to 3600 cgy 4. sutent started social history: social hx: lives with his wife family history: nc physical exam: physical exam: t: 97.3 bp: 106/60 hr:63 r: 16 o2sats: 97% ra gen: wd/wn, comfortable, nad. heent: radiation induced alopecia. pupils: , sluggish rxn eoms: intact with ffov neck: supple. lungs: cta bilaterally. cardiac: rrr. nl s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, flat affect able to follow commands. orientation: oriented to person, place, not time. language: speech slow, deliberate. slow to process, able to repeat. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3-2mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements. strength full power throughout. no pronator drift sensation: intact to light touch toes downgoing bilaterally coordination: decreased finger to nose coordination on rt, rapid alternating movements, heel to shin on discharge his orientation, speech, fluency of speech and gait have improved. pertinent results: ct: interval increase in size of the metastatic lesion involving the right tectum which now measures 17 x 18 mm with a hyperdense appearance concerning for hemorrhage. there is interval increase in associated midbrain edema as well as mass effect on the aquaduct of sylvius. there is resultant hydrocephalus, new, with increase in periventricular hypoattenuation compatible with transependymal flow of csf in the setting of hydrocephalus. there is a stable appearance of the small lesion in the eriventricular white matter adjacent to the right occipital . the lesion previously noted in the left cp angle is poorly assessed. there is no evidence of major vascular territorial infarction. there is no extra-axial hemorrhage. surrounding soft tissue and osseous structures appear unremarkable. nodular mucosal thickening noted in the maxillary sinuses bilaterally. right mastoid air cell opacification is noted. 01:15pm wbc-4.8 rbc-3.31* hgb-12.4* hct-38.5* mcv-116*# mch-37.3* mchc-32.2 rdw-15.3 01:15pm glucose-92 urea n-27* creat-1.6* sodium-141 potassium-5.8* chloride-108 total co2-19* anion gap-20 brief hospital course: the patient is a 62 year-old male who presented with tactile tumor and renal cell carcinoma and hydrocephalus. on he underwent a vp shunt successfully, and he was taken back to the recovery room, extubated and was noted to be neurologically improved from his preoperative condition. post-op ct stable. on in am he was lethargic, stat head ct was repeated, which was stable. prior to ct blood glucose was checked, which was decreased, and he received d50 an ampule with elevated blood glucose when rechecked in 30 min. the rest of his hospitalization was uneventful. he advanced in his diet and activity. he was seen by pt and ot and deemed a candidate for rehab. he is voiding freely and moving his bowels. we contact dr. about his sutent and megace in the peri-operative phase. he stated it was best to start him on wednesday (one week post op). his follow up appts are detailed in the discharge instructions. medications on admission: medications prior to admission: atenolol 50 mg pm, lisinopril 20 mg pm, zocor 20 mg pm, provigil 400 mg am, zyprexa 2.5 mg prn, pepcid 10 mg prn, megestrol 2 tsp (400 mg) when on sutent, sutent 25 mg (2 weeks on/1 week off). discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 7. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. modafinil 100 mg tablet sig: four (4) tablet po daily (). 9. olanzapine 2.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 10. megestrol 40 mg/ml suspension sig: one (1) po daily (daily). 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed: please do not exceed more than 4000 mg of tylenol over 24 hour period. 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 13. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 14. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed): please follow sliding scale. 15. dexamethasone 1 mg tablet sig: three (3) tablet po tid () for 3 doses. 16. dexamethasone 1 mg tablet sig: two (2) tablet po tid (3 times a day) for 3 doses. 17. dexamethasone 1 mg tablet sig: one (1) tablet po tid () for 3 doses. 18. dexamethasone 1 mg tablet sig: one (1) tablet po bid () for 2 doses. 19. dexamethasone 1 mg tablet sig: one (1) tablet po qd () for 1 doses. discharge disposition: extended care facility: medical center - discharge diagnosis: obstructive hydrocephalus discharge condition: neurologically stable discharge instructions: discharge instructions for craniotomy/head injury ?????? have your incision checked daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please have your sutures removed on by a rehab health care provider please call to schedule an appointment with dr. to be seen in four weeks. you will need an of the brain with and without gadolidium provider: , md phone: date/time: 3:00 provider: phone: date/time: 12:20 f/u with dr. in weeks, please call procedure: ventricular shunt to abdominal cavity and organs diagnoses: obstructive hydrocephalus secondary malignant neoplasm of brain and spinal cord unspecified sleep apnea other specified visual disturbances personal history of irradiation, presenting hazards to health personal history of malignant neoplasm of renal pelvis 

Answer: The patient is high likely exposed to