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: history of present illness: ms. is a 65-year-old female who was first seen by dr. on for evaluation of a filling defect in her left renal pelvis on ct scan. the ct scan was performed on . the scan was performed in response to a complaint of right lower quadrant pain. other than the left renal pelvis filling defect, the remainder was basically within normal limits. she has no history of gross hematuria or urinary tract infection. the patient had a retrograde pyelogram on and the pass persisted. the patient has a 25-pack-year smoking history, and no family history of genitourinary cancer or colon symptoms. past medical history: 1. chronic obstructive pulmonary disease; a 25-pack-year smoking history. pulmonary function tests on showed moderate obstructive ventilatory disease with an fev1 of 55%. 2. hypertension. 3. osteoporosis. 4. cluster headaches. past surgical history: 1. three cesarean sections. 2. teeth extractions. medications on admission: 1. verapamil 80 mg p.o. t.i.d. 2. cafergot one tablet p.o. q.d. alternating with two tablets p.o. q.d. 3. lithium 300 mg p.o. b.i.d. 4. provera 2.5 mg p.o. q.d. 5. premarin 0.625 mg p.o. q.d. allergies: no known drug allergies. physical examination on presentation: in general, she was an anxious but otherwise well-appearing 66-year-old female. her head, eyes, ears, nose, and throat was within normal limits. her chest had decreased breath sounds throughout but clear. her heart had a normal sinus rhythm. her abdomen was soft, flat, nontender. she had a well-healed lower midline abdominal scar for her cesarean sections. pertinent laboratory data on presentation: pertinent laboratories revealed blood urea nitrogen was 24, creatinine was 1.2. alkaline phosphatase was 120. hemoglobin was 14.2. radiology/imaging: a ct scan from showed a 1.3-cm mass in the left renal pelvis. the right kidney was okay. there a 1-cm left adrenal lesion which showed no change from the ct of . she had a 2.5-cm lipoma in the right ascending colon. her chest x-ray showed no acute process, chronic obstructive pulmonary disease changes. hospital course: on , the patient was taken to the operating room where she underwent a left nephroureterectomy and tolerated the procedure well. there were no immediate complications. please refer to the official operative note for all the details. an intraoperative surgery consultation was also obtained to look for evidence of a lipoma causing her right lower quadrant pain. the patient received 5850 cc of intravenous fluids i the operating room and had 500 cc of estimated blood loss. immediately postoperatively, the patient was admitted to the medical intensive care unit for precautionary measures because of the patient's significant history of chronic obstructive pulmonary disease. the patient was receiving solu-medrol intravenously with albuterol nebulizers starting in the postanesthesia care unit which were continued again in the medical intensive care unit. her chest x-ray showed a flattened diaphragms and hyperinflated, but no acute process. the patient was extubated in the postanesthesia care unit. the patient was kept n.p.o. immediately postoperatively. a foley catheter was in place. a morphine patient-controlled analgesia was given with toradol intravenously. the patient did well in the medical intensive care unit. she had minimal respiratory complaints with the albuterol and solu-medrol. the intravenous solu-medrol was tapered off and was discontinued after her postoperative day one. she had good oxygen saturations throughout with no distress. her nasogastric tube was removed on postoperative day one by the medical intensive care unit team. she was kept n.p.o. after this. the patient did have increased blood pressures from 140 to 160/70 to 80 and heart rates of 100 to 115. the patient was started on diltiazem in the medical intensive care unit which she tolerated well. she was transferred to the floor on postoperative day one. her creatinine, which started at a baseline of 1.2 preoperatively, was 1.8 immediately postoperatively, so the toradol was discontinued. this increased to about 2.2 prior to discharge and was stable at 2.2. on the floor, the patient did well. she received albuterol nebulizers and was followed by the respiratory therapy, and the patient had no more respiratory problems except for one panic attack. the patient's blood pressure was fairly well controlled on the diltiazem. she was ambulating well and having minimal pain complaints on the floor. the patient was kept n.p.o. until postoperative day six, at which time she had still not passed flatus. she was started on a clear diet at that time, and on postoperative day seven she did pass flatus and was ready for discharge; tolerating oral pain medications and doing well. condition at discharge: the patient was stable. she was afebrile. her vital signs were stable. her blood pressure was around 140/90, and her heart rate was 96. her breathing was without discomfort. her incision still had staples, and her foley catheter was still in place. discharge status: discharge status was to home with a foley catheter in place. discharge diagnoses: . status post left nephroureterectomy; pathology pending upon discharge. medications on discharge: medications on discharge included percocet p.o. as needed. the patient was instructed to restart all of her outpatient medications including, verapamil, lithium, premarin, hydroxyprogesterone, avapro, cafergot, and aspirin. follow-up plans. 1. the patient was instructed to call dr. office for a follow-up appointment in about one week. the patient would have her staples removed and her foley discontinued at that time. the patient was given foley care teaching. 2. the patient was instructed to make an appointment with her primary care physician (dr. to straighten out her cluster headache and hypertension medications. , m.d. dictated by: medquist36 procedure: nephroureterectomy diagnoses: unspecified essential hypertension chronic airway obstruction, not elsewhere classified osteoporosis, unspecified malignant neoplasm of renal pelvis 

Answer: The patient is high likely exposed to