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: past medical history: 1. renal cell carcinoma, diagnosed in . the patient had no metastases to the lung and skull. he received interleukin-2 therapy in with improvement in his lung metastases. he underwent a left radical nephrectomy in . in , he underwent surgical removal of a skull metastasis. in , he underwent x-ray therapy of his brain. 2. non-insulin-dependent diabetes. 3. atrial fibrillation. 4. hypertension. 5. coronary artery disease, status post non-q-wave myocardial infarction in . subsequent cardiac catheterization demonstrated three-vessel coronary artery disease. 6. chronic renal insufficiency with baseline creatinine of 2.0 to 2.5. medications on admission: 1. lipitor 10 q.d. 2. prilosec 20 q.d. 3. nitroglycerin p.r.n. 4. lopressor 75 b.i.d. 5. plavix 75 q.d. 6. aspirin 325 q.d. 7. demadex 25 q.d. 8. colace p.r.n. 9. isordil 30 t.i.d. 10. hydralazine 25 q.i.d. 11. tylenol p.r.n. 12. amiodarone 200 mg b.i.d. to be decreased to 200 mg q.d. 13. decadron 4.0 q.i.d. 14. dilantin 300 q.d. allergies: no known drug allergies. social history: married. no history of tobacco use. rare alcohol use. family history: no history of coronary artery disease or malignancy. physical exam: vital signs were normal. the patient's general exam was significant for decreased breath sounds at the apices bilaterally. a ii/vi systolic ejection murmur was noted. on initial neurologic examination he was described as having full power in the extremities bilaterally with intact cranial nerve exam on the medicine neurologic examination laboratory results on admission: head mri demonstrated a mass along the superior sagittal sinus and left parietal convexity without herniation or mass affect. initial lumbar puncture demonstrated 908 rbcs which cleared to 395 rbcs on tube four. no organisms were noted on gram's stain. glucose was 76 and protein was 146. ekg demonstrated t-wave inversions in the inferior leads as well as v3. the qt interval was prolonged at 511. summary of hospital course: a neurology consult was obtained with dr. and it was felt that the patient's right hemiparesis was likely secondary to paralysis. on , the patient underwent an mri of the head, subsequently found to have evidence of a complete right internal carotid artery occlusion and underwent angiography for possible revascularization. he was subsequently transferred to the neurology service in the neurosurgical intensive care unit. the mri scan was performed in the setting of incoherent speech, evidence of left-sided neglect and right gaze deviation. during angiography, the patient was found to have 100 percent occlusion of the internal carotid artery on the right and this lesion was not amenable to stenting. ........... venogram showed decreased flow in the superior sagittal sinus. the patient was started on heparin on . repeat mri scan did not show evidence of dii abnormalities despite complete right internal carotid artery occlusion. on he was noted to be less responsive. a stat. head ct and his heparin was discontinued. on exam, he could follow simple commands in the extremities, particularly on the right. head ct did not show evidence of bleed but there were hypodense regions along the right centrum semiovale. the patient subsequently developed a fever and he was started on aspirin and plavix. on , the patient had an episode of tachycardia with a drop in his blood pressure to a systolic of approximately 130. he was felt to be in rapid atrial fibrillation and was restarted on amiodarone. the patient also received diltiazem iv and he subsequently underwent electrical cardioversion to normal sinus rhythm. on , the patient was noted to be less responsive and had pupillary asymmetry with a dilated pupil on the right. he underwent stat. head ct to rule out herniation and there was evidence of significant mass affect with right hemisphere edema. neurosurgical consultation was obtained, who felt that craniotomy was not warranted, given the patient's comorbid medical issues. the patient's code status was changed to dnr/dni. on , the patient subsequently had a systolic arrest and was pronounced dead at 3:40 a.m. , m.d. dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances arteriography of cerebral arteries atrial cardioversion diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other convulsions secondary malignant neoplasm of brain and spinal cord secondary malignant neoplasm of lung personal history of malignant neoplasm of kidney cerebral artery occlusion, unspecified with cerebral infarction secondary malignant neoplasm of bone and bone marrow occlusion and stenosis of carotid artery with cerebral infarction 

Answer: The patient is high likely exposed to