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: propofol analogues / lactose / caffeine / iodine / glucocorticoids,systemic classifier / amoxicillin / msg / iv dye, iodine containing / broth attending: chief complaint: metastatic clear cell carcinoma to the anterior floor of mouth major surgical or invasive procedure: anterior floor of mouth resection, reconstruction with split thickness skin graft history of present illness: 49-year-old male who has a history of metastatic renal cell carcinoma. recently, he was noted to have a firmness in the anterior floor of mouth and was seen by an oral surgeon who apparently partially resected it. the specimen was not oriented and the margins were not commented on. however, the diagnosis from the center for oral pathology in was that of metastatic malignant clear cell neoplasm consistent with renal cell carcinoma. he presents today for recommendations concerning further management of this lesion. at this time, he is not having any odynophagia or dysphagia. he is able to move his tongue normally. he has had no submandibular swelling. apparently, he did have a stone in the left submandibular duct some time ago and underwent some form of surgery for this. he has had no oral cavity bleeding. past medical history: past oncologic history: - : p/w abd discomfort found to have 6 cm mass in the left kidney, and 3 low attenuation cystic lesions of the liver. ct chest with lung nodule felt likely to be a nerve sheath tumor. - left nephrectomy by dr. . pathology revealed clear cell histology with tumor size 6.5 cm and tumor limited to the kidney, firm and grade 2. regional lymph nodes were not submitted. margins were uninvolved by invasive carcinoma. - vats resection of left extrapleural nodule. pathology revealed metastatic renal cell carcinoma. followup ct scan showed no evidence of disease - ct torso, revealed several intramuscular enhancing lesions bx with metastatic renal cell carcinoma - cycle 1, high-dose il-2 - : 3-month torso ct on , revealed stability of 3 lesions and resolution of 2 intermuscular nodules, felt consistent with delayed response to il-2 - : cycle 2 il2 - ct : stable lung nodules and no further disease progression other past medical history: ibs gastritis lactose intoelrance generalized anxiety disorder ckd baseline cr 1.3 social history: from . composer and teaches piano. former smoker. rare etoh. married no children. family history: cad s/p cabg, htn in father. physical exam: avss nad braething comfortably no stridor mild tongue edema, greatly improved since admission skin graft healing well skin graft donor site with xeroform on it brief hospital course: the patient was admitted to the otolaryngology service on after undergoing a anterior floor of mouth resection with split thickness skin graft recon with attending dr. . the patient tolerated the procedure without intra-operative complications. please refer to the operative note for full operative detail. due to noted tongue edema, the patient was kept intubated over the night of pod0. he was monitored in the icu for airway protection and stabilization. the morning following his procedure, he passed his risb and was extubated successfully. he endorsed anxiety and some throat pain, however he maintained his oxygenation and cleared his secretions well. he bloody secretions that began to resolved over the course of the next 24 hours, and his pain was well controlled. his oxygenation was 95-99% on ra. he was stable for the floor and transferred to the ent service on the floor. while on the floor, he was kept on antibiotics until the intraoral bolster was removed on pod6. his diet was advanced to clears on pod6 and ground consistency solids on pod7 per speech and swallow recommendations. until that point, his nutrition had been maintained with tube feeds. the remainder of the hospital course was relatively unremarkable and the patient was discharged in stable condition, ambulating, and voiding independently and with adequate pain control on oral analgesics. the patient was given explicit instructions to follow-up in clinic with dr. next week. medications on admission: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 3. clonazepam 0.5 mg tablet sig: two (2) tablet po bid (2 times a day). discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 3. clonazepam 0.5 mg tablet sig: two (2) tablet po bid (2 times a day). 4. acetaminophen 650 mg/20.3 ml solution sig: six y (650) mg po q6h (every 6 hours) as needed for pain, fever. 5. morphine 15 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: metastatic clear cell carcinoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: -please call or go to emergency room if fever greater than 101.5, if increased redness or discharge from wound or around drain site, if numbness/weakness, if short of breath, if you notice leg swelling, if increased pain uncontrolled by pain medications, or for any other concerning symptoms. - shower; do not get the skin graft donor site dressing (xeroform) wet. -please do not drive or consume alcohol while taking narcotics. -please follow up with your primary care provider concerning hospitalization. -please resume all home medications unless instructed otherwise. -xeroform on the skin graft donor site will peel off on own. can trim it as needed followup instructions: f/u with dr. in 1 week procedure: enteral infusion of concentrated nutritional substances other skin graft to other sites other excision of mouth other operations on salivary gland or duct diagnoses: esophageal reflux secondary malignant neoplasm of other specified sites hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified swelling, mass, or lump in head and neck secondary malignant neoplasm of lung personal history of malignant neoplasm of kidney irritable bowel syndrome generalized anxiety disorder 

Answer: The patient is high likely exposed to