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: iodine; iodine containing / ambien attending: chief complaint: nausea, vomiting, shortness of breath, right lower quadrant abdominal pain major surgical or invasive procedure: none history of present illness: 76 year old man with mnultifactorial end stage renal disease was feeling well until one day prior to admission when he experienced acute onset of nausea, vomiting, lightheadedness, and shortness of breath followed by r sided abdominal pain. presented to hospital where noncontrast ct showed possible leaky abdominal aneurysm. of note, pt recently started hd, and earlier in summer pt had been noted to have right renal mass on ct and tried multiple times to undergo an mri but was unable to tolerate it. he was transferred to ed here for further workup, and contrast ct showed large perirenal/rp bleed on r as well as kidneys with multiple cysts, stable 4cm nonruptured nondissected aaa. during this time, his hct dropped from 38 to 35. work-up also significant for wbc of 14 with left shift, new onset afib, hyperglycemia, and slightly elevated troponin. he was admitted to micu for observation. past medical history: hypercholesterolemia, glucose intolerance, hx cri post-renal (bph) and ?renal (multiple cysts) causes, htn, hx bradycardia social history: lives alone, 200 pack year tobacco hx family history: not obtained physical exam: t97.6 bp 121/74 p65 r18 99%2lnc 2/10 abdominal pain gen: in pain but nad, anxious heent: perrl, mm dry cv: irreg irreg, no murmur/gallop/rubs no jvd pulm: ctab, no wheezes/rales/rhonchi abd: soft, mod distended, severe ttp rlq, mild discomfort other quadrants, no ecchymoses, no rebound, no guarding ext: no edema/cyanosis neuro: a+ox3, cn 2-12 intact, strength 5/5 ue, le pertinent results: 02:30am blood wbc-14.2*# rbc-3.92* hgb-11.5* hct-35.7* mcv-91 mch-29.4 mchc-32.3 rdw-16.7* plt ct-209 09:23am blood hct-27.1* 05:45pm blood hct-31.8* 07:00am blood wbc-13.4* rbc-3.52* hgb-10.7* hct-30.9* mcv-88 mch-30.3 mchc-34.5 rdw-15.6* plt ct-233 02:30am glucose-189* urea n-44* creat-6.9* sodium-141 potassium-4.1 chloride-105 total co2-21* anion gap-19 02:30am ck(cpk)-48 02:30am ck-mb-notdone ctropnt-0.08* ct abd/pelvis without contrast 1. large right perirenal hemorrhage with extension into the retroperitoneal space as described. no definite cause is found, but suspicion is that the findings may relate to rupture of a renal lesion, perhaps that mentioned on a previous renal ultrasound examination of . there is no active extravasation of contrast or demonstration of a vascular pseudoaneurym. 2. marked atherosclerotic disease of the abdominal aorta; a suprarenal aortic aneurysm measuring 4.3 cm in diameter is noted. no evidence of aortic leak or rupture, or acute dissection. 3. calcified right hilar lymph nodes and calcified granulomas in the spleen likely relate to prior granulomatous disease. 4. sigmoid diverticulosis without diverticulitis. 5. 1.3 cm cystic focus in uncinate process of pancreas. diagnostic possibilities include ipmt or choledochal cyst. this can be further assessed with mri examination, at which time the kidneys could be evaluated as well. mri kidney impression: right perinephric hematoma, with an approximately 3.5 cm mass within the anterior aspect of the right kidney, probably representing a renal cell carcinoma. small lymph nodes are noted within the area of the right renal vein measuring up to 5 mm. the renal vein and inferior vena cava are widely patent. brief hospital course: 1) retroperitoneal bleed: pt admitted to micu for observation of perirenal/ retroperitoneal bleed. hct stable and patient was hemodynamically stable throughout hd 1, however pt with increasing abdominal pain and distension despite attempted pain control. pt sent for repeat ct scan which demonstrated a stable retroperitoneal and perirenal bleed. urology and renal were consulted. hd 2 and 3, pt required 3 units total of prbcs for continued drop in hct although pt with subjective improvement of symptoms; pt recieved hemodialysis on hd 3 but rij tunnel cath is poorly functioning. ir evaluated pt for possible intervention but decided to observe unless brisk (ie hct drop >5) active bleed or hemodynamically stable. by hd 3, pt with much improved symptoms, stabilizing hct, tolerating pos well. pt transferred to floor for continued observation. over the next week he had received a total of 10 units of blood to stabilize his hematocrit at around 31. hemolysis labs were checked and negative. part of the total transfusion may have covered blood loss from the patient cutting his own vascath while confused the evening of hd#6. the patient repeatedly became confused after taking ambien/benzos so these medications were discontinued. urology's final recomendation was to f/u as outpt with dr in clinic to discuss elective partial nephrectomy vs total nephrectomy 6 weeks after bleeding stops. interventional radiology was reconsulted in light of the continuing bleed, and offered the option of a total embolization of the right renal artery to stop the bleeding, but the patient decided to take a watchful waiting approach for now. 2. pt had new onset atrial fibrillation at presentation. he was noted to be intermittently in and out of atrial fibrillation throughout hospitalization. m he was continued on metoprolol for rate control and was not anticoagulated given the risk of worsening the bleeding. 3. htn: he was periodically hypertensive during hospitalization but was managed with metoporolol and captopril, then changed to enalapril for qd dosing at discharge. 4. esrd: the patient had recently been diagnosed with renal failure. nephrology was consulted and he was dialyzed in the hospital 3 days a week through a right internal jugular tunneled catheter which had to be replaced multiple times. he was continued on dialysis medications and supplements. 6. ppx: the patient was maintained on a ppi, pneumoboots were used to prevent dvt, and colace and senna were used to prevent constipation. 7. code: the patient was dnr/dni during hospitalization and discussed this with dr. , but is still interested in pursuing medical treatment. medications on admission: 1. ambien 5mg po one by mouth at bedtime as needed 2. atenolol 25mg po one a day 3. atorvastatin 10mg po one daily 4. clonazepam 0.5mg po to one tablet by mouth at bedt 5. lab testing: bun, creatinine,... chloride, total co2, calcium, phos 6. nifedical xl 30mg po one by mouth every 12 hours 7. pentoxifylline 400mg po one three times a day 8. prevacid 30mg po one daily 10. triamterene/hct... 75-50mg po take one daily lasix quinine enalapril nephrovite renagel b-50 complex asa melatonin discharge medications: 1. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). 2. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po qd (once a day). 3. allopurinol 100 mg tablet sig: one (1) tablet po qd (once a day). 4. quinine sulfate 325 mg capsule sig: one (1) capsule po hs (at bedtime). 5. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po qd (once a day). 6. b-complex with vitamin c tablet sig: one (1) tablet po qd (once a day). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. sevelamer hcl 800 mg tablet sig: three (3) tablet po tid (3 times a day). 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 11. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 13. enalapril maleate 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: - discharge diagnosis: retroperitoneal bleed, likely from right renal mass right renal mass, cannot rule out renal cell carcinoma renal failure, on dialysis discharge condition: pt had no pain and hematocrit was stable above 30 for two days. he was motivated for discharge. discharge instructions: please take all discharge medications. resume your usual dialysis diet, and go to dialysis 3 times per week. activites as recommended by physical and occupational therapy. call your doctor or return to the ed if you have increased abdominal pain, bruising on your flank or stomach, dizziness, chest pain, shortness of breath or other concerns. followup instructions: follow up with dr. ( (internal medicine) when discharged from rehabilitation to coordinate care. follow up with dr. ( (urology) in clinic if you wish to discuss partial/total nephrectomy in 6 weeks. md, procedure: hemodialysis venous catheterization for renal dialysis transfusion of packed cells diagnoses: pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation unspecified disorder of kidney and ureter abdominal aneurysm without mention of rupture vascular disorders of kidney hemorrhage, unspecified 

Answer: The patient is high likely exposed to