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 51-year-old male with history of diabetes and gastroesophageal reflux disease and metastatic renal cell cancer who underwent a thoracotomy with biopsy in . he was treated with a vaccine for renal cell carcinoma at that time. the patient now presents with a large left hilar mass. past medical history: significant for right nephrectomy in for renal cell cancer, he is diabetic, gastroesophageal reflux disease as well as depression. social history: tonsillectomy, right knee surgery in , right nephrectomy in and a right flank mass excision in . medications on admission: 1. paxil 20 mg p.o. q day. 2. prilosec 20 mg p.o. q day. 3. amaril 2 mg half tab p.o. q am. 4. ambien 5 mg p.o. q h.s. allergies: contrast dye. physical examination: on presentation was noted for neck supple, there was no lymphadenopathy. his lungs were clear to auscultation bilaterally. his heart was regular rate and rhythm. abdomen soft, nontender, nondistended. he had an old right nephrectomy incision subcostal margin that was well healed. extremities showed no evidence of edema. he had admission labs with white count 7,000, hematocrit of 25.8, platelet count 619, coagulation profile 12. pt/inr 1.1, ptt 28, albumin 3.4. chemistries within normal limits with a normal bun and creatinine. he was therefore, taken to the operating room on where he underwent a radical pneumonectomy with an inter-pericardial approach. after that time the patient was sent to the intensive care unit for postoperative care. on postoperative day 0 the patient was doing well, his cardiovascular profile was being supported with neo-synephrine drip. his urine output was noted to be somewhat decreased, he was started on digoxin for atrial fibrillation prophylaxis. his postop hematocrit was 25 and he was therefore transfused a unit of blood with low urine output although his preoperative crit was also 25. post transfusion crit subsequently came back at 32 and he did have inappropriate response to urine output. preoperative heart rate was noted to be 104 and sinus tach with no ischemic changes. no strain pattern. postoperatively he was persistently tachy between 104 to 117. all of the parameters for pain, anxiety, hypoxia, hypercarbia were all optimized to eliminate the possible underlying . the patient was maintained on epidural as well as had a foley catheter to gravity. by postop day one he was doing well, neo-synephrine was weaned, digoxin was maintained for prophylaxis for atrial fibrillation. he was given chest physical therapy, incentive spirometry and his chest tube was to suction. he was transferred to the floor subsequent to that and put on protonics for gastrointestinal prophylaxis. he was started on a sliding scale, amaril as started on postoperative day two, his creatinine was noted to rise to about 1.4 from a baseline of 1. urine output was marginal however, given an intermittent bolus of normal saline he responded appropriately. by postoperative day two the patient had a chest tube removed, he had no pneumothorax by postop chest x-ray. there was no air fluid level on the left chest. the right chest was well expanded with no pneumo as previously stated, there was some basilar atelectasis noted however, no effusion. the patient continued aggressive pulmonary toilet including incentive spirometry, coughing and deep breathing and nebulizer treatments p.r.n. with the respiratory therapy service and early mobilization with good pain control. by postop day three the patient had his epidural removed, foley catheter taken out, he was started on oral analgesics with percocet as needed. he was ambulatory and afebrile. on postop day four the patient's post transfusion crit was recorded as 28 and stable, therefore, he was deemed appropriate for discharge at this time. he will be sent home on the following discharge medications: he will resume all of his preop meds as well as addition of percocet 5/325 mg one to two tabs p.o. q 4 hours as needed. lopressor 12.5 mg q b.i.d., he will also be on a stool softener, colace 100 mg b.i.d. as well as percocet. he will continue his amaril, ambien an paxil as well as prilosec as previously stated. condition on discharge: stable. afebrile. sating at 96% his exam is noted for a well approximated incision with no staples, no erythema or exudate across the left hemithorax. the right chest was clear to auscultation with occasional crackles at the base. heart was regular and his extremities had no edema, warm and well perfused. discharge status: to go to home. discharge diagnosis: 1. history of metastatic renal cell carcinoma. 2. status post radical left pneumonectomy with inter-pericardial approach for a large left hilar mass. final pathology is pending at time of discharge. the patient will see dr. in the clinic one week from discharge. , m.d. dictated by: medquist36 procedure: other bronchoscopy diagnoses: esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified depressive disorder, not elsewhere classified other specified cardiac dysrhythmias secondary malignant neoplasm of lung personal history of malignant neoplasm of kidney secondary and unspecified malignant neoplasm of intrathoracic lymph nodes 

Answer: The patient is high likely exposed to