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: this is a 53-year-old woman first seen by dr. on as a referral from the clinic for evaluation of a debulking nephrectomy. the diagnosis was originally made by ct scan in . ct scan revealed a 6-cm right renal mass without any evidence of adenopathy. a metastatic workup was subsequently performed revealing a questionable pulmonary nodule. there was no evidence of metastasis to liver or brain. she was referred to the clinic at who recommended a radical nephrectomy. the patient presents today () for a right radical nephrectomy. of note, the patient has had a 10-pound weight loss and has an 80-pack-year smoking history. she also has a positive history of renal cell carcinoma. she complains of some colonic symptoms which were consistent with irritable bowel syndrome. past medical history: past medical history is positive for diabetes, hypothyroidism, fibromyalgia, depression, hiatal hernia, and sleep apnea. past surgical history: past surgical history included rotator cuff surgery, osteotomies of both feet, abdominoplasty with mesh hernia repair in , two repairs for stress incontinence performed in after a partial hysterectomy; and, again, a revision in . medications on admission: medications on admission include synthroid, neurontin, celexa, serzone, glyburide, prevacid, premarin, altace, and percocet. allergies: the patient denies any allergies to drugs. physical examination on presentation: examination on admission revealed the patient was well-appearing but obese. the neck was without any evidence of masses or bruits. chest was clear to auscultation bilaterally. heart had a regular rate and rhythm without murmurs. the abdomen was obese with a low transverse incision from prior abdominoplasty with mesh repair. there was no evidence of umbilical hernia. no obvious masses were appreciated. pertinent laboratory values on presentation: blood urea nitrogen and creatinine of 28 and 0.8, respectively. alkaline phosphatase was 9.3. radiology/imaging: ct scan of the chest revealed three small nodules in the right, one in the left. these nodules were too small to characterize. magnetic resonance imaging revealed a 6.1-cm mass anterior to the right kidney, possible multilocular cystic kidney. the liver and renal vein appeared to be without evidence of malignancy. there was no evidence of lymphadenopathy. there were gallstones visualized in the gallbladder. bone scan and brain scan were without evidence of metastatic disease. hospital course: the patient went to the operating room on the day of admission, . she had a right nephrectomy performed by dr. with dr. assisting. right kidney with multiple cystic masses was resected. paracaval regional nodes were also resected at this time. the patient tolerated the operation well, was extubated in the operating room, and transferred to the postanesthesia care unit in stable condition. in the postanesthesia care unit, the patient had several apneic episodes and arterial blood gas had a ph of 7.24. tidal volumes were noted to be low and there was use of accessory muscles. the patient failed a trial of cpap. at this point her ph had gone from 7.24 to 7.21 with a pco2 rising from 47 to 64. at this point, the patient was reintubated and transferred to the intensive care unit. the patient remained intubated in the intensive care unit until postoperative day two when she was able to be extubated without incident. on postoperative day three, the patient was felt to be stable. her arterial blood gas had improved, and reflected both good gas exchange and oxygenation. it was felt that the patient was stable enough to be returned to the patient care floor. at this point, the patient was being followed by the acute pain service for management of her pain issues. on postoperative day three, the patient passed flatus and was started on sips of clear liquids. once the patient was tolerating oral intake her epidural catheter was removed. after the epidural catheter was removed, the foley catheter came out. both of these were removed on postoperative day four. once the patient's epidural catheter was removed, the patient was started on ms contin 50 mg p.o. twice a day and percocet as needed for pain. the acute pain service continued to follow the patient. on postoperative day seven, the patient was tolerating an oral diet, was ambulating without problems, pain was reasonably well controlled on oral medications, and she was voiding without problems. at this point, it was felt as though she was stable to go home. condition at discharge: condition on discharge was stable. discharge status: discharged to home. discharge diagnoses: status post right nephrectomy for clear cell carcinoma, stage t1 n0 m0. medications on discharge: the patient was discharged on her preoperative medications including synthroid 250 mcg p.o. q.d., neurontin, celexa, serzone, glyburide, prevacid, premarin, altace. in addition, the patient will have ms contin 15 mg p.o. b.i.d., percocet one to two tablets p.o. q.4-6h. p.r.n., and vioxx 50 mg p.o. q.d. discharge followup: the patient should call dr. office to arrange appropriate followup. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours nephroureterectomy division or crushing of other cranial and peripheral nerves regional lymph node excision diagnoses: acidosis esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism depressive disorder, not elsewhere classified malignant neoplasm of kidney, except pelvis unspecified sleep apnea other diseases of lung, not elsewhere classified 

Answer: The patient is high likely exposed to