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: the patient is a 46 year old man with a history of renal cell carcinoma that is widely metastatic, status post multiple rounds of il-2, who was admitted to the medical intensive care unit on for an upper gastrointestinal bleed. mr. was recently admitted to on until after he had a large upper gastrointestinal requiring 28 units of packed red blood cells and 23 units of fresh frozen plasma. his bleed was due to esophageal and gastric varices secondary to portal vein compression by metastatic tumor. during the hospital stay, the patient had complications including transient intubation, development of an aspiration pneumonia, transient acute renal failure secondary to dye induced nephrotoxicity, and an increased alveolar arterial gradient in the setting of deep vein thrombosis, status post a failed attempted at an inferior vena cava filter placement due to concern for pulmonary embolism. after discharge, the patient was in a compensated state of health until , when he had an episode of bloody emesis times one. the next day, he had a second episode of hematemesis and presented to hospital. he was subsequently transferred to and admitted to the intensive care unit. the patient initially had borderline hemodynamic instability with a heart rate in the 100s and a blood pressure of 98/42. his presenting hematocrit was 18. his initial inr was 1.4. intravenous octreotide was started and emergent esophagogastroduodenoscopy was performed which revealed grade iv esophageal varices that were banded. he received a total of eight units of packed red blood cells and fresh frozen plasma. past medical history: metastatic renal cell carcinoma, diagnosed in , status post right nephrectomy with a round of il-2 in . the patient then underwent a right pulmonary nodule resection with another round of il-2 in . he then had recurrence in and underwent il-2 again. in , he had a fourth course of il-2; after he failed that, he was started on thalidomide in . this was accompanied by progression of disease. at that point, he suffered a number of complications, including biliary obstruction by tumor in , status post a stent in and status post stent revision in . another complication included portal vein compression proximal to the liver, complicated by portal hypertension, portal hypertensive gastropathy with gastric varices and esophageal varices. another complication included deep vein thrombosis and pulmonary embolism. medications on admission: propranolol 50 mg p.o.b.i.d., xanax 0.5 mg p.o.b.i.d., oxycontin 20 mg p.o.q.d., ativan p.r.n., and oxycodone p.r.n. allergies: the patient has no known drug allergies. social history: the patient is a machinist who is married with two children. he does not smoke or drink. family history: family history is negative for renal cell carcinoma. physical examination: on physical examination, the patient was a visibly jaundiced man in no acute distress with scleral icterus. he had flat neck veins. his lungs were clear to auscultation bilaterally. his heart rate was tachycardiac with no murmur, rub or gallop. his abdomen was soft, nontender, with normal bowel sounds, it was distended and had a draining tube in the right side which was clean, dry and intact. extremities were without edema. neurologic examination was nonfocal. laboratory data: on presentation, white blood cell count was 7, hematocrit 18, platelet count 141,000 and inr 1.4. chest x-ray and kub were negative. hospital course: mr. was admitted to the intensive care unit, where he received eight units of packed red blood cells and fresh frozen plasma. he underwent esophagogastroduodenoscopy which revealed grade iv varices in the mid and lower esophagus, status post banding times five. he also had portal hypertensive gastropathy with gastric varices. he also had stigmata of recent bleeding. the patient was started on an octreotide drip and protonix. his hematocrit stabilized at around 31 and he had no further episodes of bleeding, namely, hematemesis or melena. his bilirubin was increased on presentation and peaked at 8.4 during his stay. he had a stent revision with a larger stent placed and the old stent removed on . this resulted in better bile drainage and a drop in his bilirubin to 6.9 at the time of discharge. his hematocrit stabilized at around 31 with a discharge hematocrit of 30.6. the patient was able to ambulate well by the time of discharge, and felt well. condition at discharge: improved. discharge status: the patient was discharged to home to follow up with his oncologist, dr. . discharge diagnoses: metastatic renal carcinoma. gastric and esophageal varices, status post upper gastrointestinal bleed. discharge medications: propranolol 40 mg p.o.b.i.d. xanax 0.5 mg p.o.b.i.d. oxycontin 20 mg p.o.q.d. oxycodone p.r.n. , m.d. dictated by: medquist36 procedure: endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: portal hypertension esophageal varices with bleeding personal history of malignant neoplasm of kidney secondary malignant neoplasm of other digestive organs and spleen 

Answer: The patient is high likely exposed to