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: 10 cm right kidney tumor with ivc thrombus severe anemia major surgical or invasive procedure: right radical nephrectomy with ivc tumor thrombectomy. history of present illness: she is a very pleasant 49-year-old woman, who formerly worked in the returns department at ll bean, who noted the onset of dizziness in early . this led to an anemia workup revealing the large right kidney tumor, which appears to have a tumor thrombus into the inferior vena cava. she has since had several blood transfusions. she was evaluated by dr. in who referred her to for a consultation. she has noted decreased appetite, nausea, vomiting, and has only been able to continue to eat very soft foods and ice cream since then. she has noted a 30-pound weight loss over about six months. she continues to have very low activity threshold and is able to walk short distances before getting very fatigued. past medical history: hypertension, no surgeries social history: worked at the return department at ll bean. she is married to . they live in . they have two sons aged 19 and 26. she is a nonsmoker. very occasional alcohol, no drug use. family history: colon and lung cancer in uncles physical exam: the temperature 96.8, blood pressure 102/64, heart rate 72, respirations 16, and weight is 65.4 kilograms. pupils are equal, round, and reactive to light directly and consensually. there is no scleral icterus. extraocular motions are intact. face moves symmetrically. oropharynx is benign. trachea is midline. lungs are clear bilaterally. heart is regular, without murmur or gallop. abdomen is soft, nontender, nondistended. pulses are 2+ throughout. there is no cva tenderness. strength and sensation are normal throughout. neurologic exam is grossly normal. pertinent results: progression of hgb/hct values after numerous transfusions: 01:20pm blood wbc-7.9 rbc-2.67* hgb-6.5* hct-20.8* 11:04pm blood wbc-7.1 rbc-3.24* hgb-9.8*# hct-26.8 03:06am blood wbc-7.3 rbc-3.63* hgb-11.0* hct-29.7* 06:20am blood wbc-5.8 rbc-3.26* hgb-9.6* hct-28.2* progression of inr/ coagulation status after numerous transfusions of ffp: 01:20pm blood pt-17.1* ptt-51.5* inr(pt)-1.5* 08:30pm blood pt-24.0* ptt-73.6* inr(pt)-2.3* 03:06am blood pt-16.2* ptt-30.7 inr(pt)-1.4* 06:35am blood pt-12.8 ptt-30.5 inr(pt)-1.1 maintenance of renal function throughout hospital stay: urean-19 creat-0.8 na-141 k-4.4 urean-11 creat-0.8 na-140 k-4.0 initial very high direct bilirubin content which gradually normalized: alt-74* ast-185* alkphos-44 totbili-12.4* totbili-14.0* dirbili-12.0* indbili-2.0 totbili-4.0* totbili-2.5* totbili-1.9* totbili-1.6* brief hospital course: pt underwent surgery on by dr. of urology and dr. of hepatobiliary. urology undertook the nephrectomy portion of the case while drs. and did the liver mobilization and ivc graft. this case was considered exceptionally difficult due to the large tumor size and the involvement of the tumor thrombus up ivc to the level of the hepatic veins, which was just below the diaphragm. the case took over 7 hours which 2-3 times as long as a typical radical nephrectomy. the estimated blood loss was 3000 cc. she received multiple transfusions of blood, ffp, platelets, and cryoprecipitate. an intra-operative chest tube was placed. an intra-operative tee revealed an ef of 50-55%. the patient was transferred to the icu and left intubated overnight. she was transfused an additional unit of blood. a abdominal u/s the next morning revealed no intrahepatic or extrahepatic biliary dilatation, patent arterial and venous vasculature of the liver and ivc with normal waveforms, and a postoperative fluid collections within the right nephrectomy bed and gallbladder fossa area. following this she was extubated uneventfully. drain output, urine output and lab values remained within normal limits. her chest tube was taken out of pod #2 and she was transferred to the floor later that day. her pain was controlled with a pca pump. her diet was gradually advanced. her hematocrit stabilized and her total bilirubin returned to as documented above. pathology results as follows: -gallbladder, cholecystectomy chronic cholecystitis; cholelithiasis. -hilar lymph nodes metastatic renal cell carcinoma to hilar lymph nodes (). -kidney, right, with caval thrombosis, nephrectomy -renal carcinoma (conventional type), predominantly clear, grade ; no sarcomatoid component. -tumor thrombus infiltrating large vein wall (inferior vena cava). she will have outpatient follow-up with both dr and dr . medications on admission: aspirin, hydrochlorothiazide. discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: 10 cm right kidney tumor with ivc thrombus. severe anemia renal ca discharge condition: stable. discharge instructions: -you may shower, but do not bathe, swim or otherwise immerse your incision. pat incision dry. -do not lift anything heavier than a phone book. -do not drive or drink alcohol while taking narcotic pain medication. -resume all of your home medications. -if you have fevers > 101.5 f, vomiting, or increased redness, swelling, or discharge from your incision, call your doctor or go to the nearest emergency room. eat foods high in potassium such as bananas, oj, potatoes, tomatoes, adrk green veggies. ask about restarting iron supplement as an outpaient followup instructions: please call dr. at for follow up appointment please call dr at for follow-up appointment procedure: diagnostic ultrasound of heart cholecystectomy nephroureterectomy transfusion of packed cells transfusion of other serum transfusion of platelets transfusion of other substance resection of vessel with replacement, abdominal veins diagnoses: anemia, unspecified unspecified essential hypertension secondary malignant neoplasm of other specified sites malignant neoplasm of kidney, except pelvis calculus of gallbladder with other cholecystitis, without mention of obstruction secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes family history of malignant neoplasm of gastrointestinal tract other venous embolism and thrombosis of inferior vena cava family history of malignant neoplasm of trachea, bronchus, and lung chronic passive congestion of liver 

Answer: The patient is high likely exposed to