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 71-year-old white male with a history of double vision and stinging of the eyes times approximately one month and a past medical history significant for renal cell carcinoma approximately 20 years ago (for which he underwent an nephrectomy on the left side in ). he had been free of any obvious disease since that time, and he further denied any change in constitutional signs or symptoms and reportedly had been well throughout the past 20 years. past medical history: he denies any chest pain, pressure, or palpitations, shortness of breath, headache, nausea, vomiting, or seizure activity. the remainder of the previous medical history is essentially unremarkable. he is a nonsmoker with a negative alcohol history, who also is status post cholecystectomy in . medications on admission: he was on no medications. physical examination on presentation: physical examination at the time of admission revealed blood pressure was 129/86, heart rate was 56, and sinus bradycardia. respiratory rate was within normal limits, and he was afebrile. on physical examination, he was awake, alert, and oriented times three. he was pleasant and cooperative with fluent speech, and he was in no acute distress. the entire general physical examination including the head, eyes, ears, nose, throat, heart, lungs, and abdomen was essentially unremarkable. cranial nerves ii through xii were intact. strength was normal and equal at 5/5 bilaterally. deep tendon reflexes were within normal limits bilaterally with the exception of bilaterally absent ankle jerks, and the plantar response was downgoing. hospital course: due to the clinical findings the patient was admitted to the hospital on the morning of ; at which time he was taken to the operating room where he underwent a transcallosal craniotomy for excision of a third ventricle tumor which was found on preoperative studies. the frozen section final pathology reports showed the third ventricle tumor to be consistent with metastatic tumor (renal cell primary). the patient was admitted to the surgical intensive care unit for postoperative management. he was noted to be aphasic and essentially moot for the first several days; also with a mild hemiparesis. he remained in this neurologic condition for several days, but his cardiopulmonary status gradually improved to the point where he was subsequently discharged from the intensive care unit to the hospital floor. however, on , he was readmitted to the intensive care unit due to desaturations, and aspiration, and a recent change in mental status while out on the hospital floor. therefore, he spent the next several days in the intensive care unit for management of aspiration and related complications. long discussions were taken with the wife due to the gravity of the metastatic disease. eventually, the decision was made to consider do not resuscitate/do not intubate orders due to the patient's lack of clinical progress after several more days in the intensive care unit, and the gradual realization that his neurologic condition would not improve subsequently and he would not return to normal function or to his preoperative status, and that it would be against his wishes to continue to maintain intubation and further aggressive care in light of the prognosis and diagnosis. therefore, the patient was extubated on and transferred to the medical surgical floor. he remained on comfort measures and supportive care throughout the remainder of his hospitalization, and the patient subsequently was found to be deceased at 2:05 a.m. on with no evidence of pupillary reaction. the pupils were fixed and dilated. there was no response to stimulation, no spontaneous respirations, no spontaneous pulse or heart sounds, and the patient was declared deceased at 2:05 a.m. on . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain insertion of endotracheal tube ventricular shunt to abdominal cavity and organs intravascular imaging of intrathoracic vessels arterial catheterization other immobilization, pressure, and attention to wound diagnoses: obstructive hydrocephalus congestive heart failure, unspecified pulmonary collapse acute respiratory failure pneumonitis due to inhalation of food or vomitus secondary malignant neoplasm of brain and spinal cord encounter for palliative care central nervous system complication 

Answer: The patient is high likely exposed to