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: abdominal aortic aneurysm. major surgical or invasive procedure: 1. total percutaneous endovascular aortic aneurysm repair. 2. zenith main body 32-82, ipsilateral limb on the right 14- 73, left limb 18-73 with 10-71 extender. 3. bilateral ultrasound guidance for femoral access. history of present illness: the patient is a an 82-year-old male with a complex infrarenal aortic aneurysm with marginal anatomy for endovascular repair. he is not an open surgical candidate. he presents for endovascular repair. past medical history: renal cell carcinoma s/p a nephrectomy dural infiltration of a metastatic renal cell carcinoma s/p laminectomy at c2-3 for decompression of metastatic renal cell carcinoma on , also s/p upper cervical spine irradiation that was completed on cad s/p mi per patient chronic renal insufficiency, baseline cr 1.2-1.6 bph social history: patient lives in with wife of 60 years. smokes 1ppd x 60 years, drinks 1-2 drinks of vodka (1 oz) daily, no other drugs. has 4 children, lots of grandchildren, 2 great-grandchildren. family history: non-contributory physical exam: a/o nad grossly intact cta rrr pos bs kyphotic palp distal pulses pertinent results: 05:35am blood wbc-7.1 rbc-2.94* hgb-10.1* hct-30.2* mcv-103* mch-34.5* mchc-33.6 rdw-14.1 plt ct-116* 05:35am blood plt ct-116* 05:35am blood glucose-135* urean-25* creat-1.6* na-134 k-3.9 cl-101 hco3-24 angap-13 04:30am blood calcium-8.6 phos-4.1 mg-2.4 brief hospital course: mr. , a. was admitted on with aaa. he agreed to have an elective surgery. pre-operatively, he was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preperations were made. it was decided that she would undergo a evar he was prepped, and brought down to the operating room for surgery. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. post-operatively, he was extubated and transferred to the pacu for further stabilization and monitoring. she was then transferred to the vicu for further recovery. while in the vicu he recieved monitered care. when stable he was delined. his diet was advanced. a pt consult was obtained. when he was stabalized from the acute setting of post operative care, he was transfered to floor status on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve her strength and mobility. he continues to make steady progress without any incidents. he was discharged home in stable condition. to note pt did have a slight increase in creatine, hydrated. stable on dc. did have low grade temps. thought to be an inflammatory responce to the thromboses aaa post evar. cx, ua, cxr negative. medications on admission: atorvastatin calcium 20mg qd, carbidopa-levodopa 25 mg-100 mg , finesteride ? dose, metoprolol succinate 25 mg ( tab) , tamsulosin 0.4 mg , 81 discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po bid (2 times a day). 5. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). discharge disposition: home discharge diagnosis: aaa (preop) pmh: metastatic renal cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery endovascular abdominal aortic aneurysm (aaa) discharge instructions medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? do not stop aspirin unless your vascular surgeon instructs you to do so. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and cta what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site or incision) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office. if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: scan phone: date/time: 10:30 provider: , md phone: date/time: 11:30 provider: , orthopedic private practice phone: date/time: 9:30 procedure: aortography arteriography of other intra-abdominal arteries endovascular implantation of other graft in abdominal aorta diagnoses: coronary atherosclerosis of native coronary artery atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified old myocardial infarction other postprocedural status abdominal aneurysm without mention of rupture personal history of malignant neoplasm of kidney secondary malignant neoplasm of bone and bone marrow other symptoms involving urinary system 

Answer: The patient is high likely exposed to