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: niacin attending: chief complaint: left renal mass major surgical or invasive procedure: left debulking nephrectomy history of present illness: 62m w/ metastatic l renal neoplasm and l renal vein and ivc thrombus to lower edge of liver, now s/p l debulking nephrectomy and ivc thrombectomy by dr. (with dr. assistance for ivc mobilization and thrombectomy). no complications. ivf 4000cc, ebl 2500cc; 4u prbc. past medical history: dyslipidemia; mild asthma; metastatic renal cell carcinoma social history: 3 drinks/week; denies tob/ivda; retired air force pertinent results: 07:40am blood wbc-5.3 rbc-3.01* hgb-8.3* hct-25.1* mcv-83 mch-27.4 mchc-33.0 rdw-16.2* plt ct-384 07:40am blood glucose-99 urean-12 creat-1.7* na-137 k-3.9 cl-105 hco3-24 angap-12 brief hospital course: pt was admitted to the icu after undergoing debulking left radical nephrectomy. he was extubated in the early am of pod 1 and his pain was well-controlled with an epidural. he was transferred to the floor, where his post-operative course was uncomplicated. his heart rate was controlled with metoprolol, which was discontinued upon discharge. his creatinine reached a peak of 2.5, after which it decreased to baseline. with passage of flatus, his diet was advanced and he was transitioned to po pain meds without incident. he ambulated without difficulty and was discharged on pod 5 tolerating a regular diet, ambulating, and with his pain controlled on po pain meds. medications on admission: 1. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). discharge medications: 1. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 4. colace 100 mg capsule sig: one (1) capsule po twice a day: take to prevent constipation while taking dilaudid. disp:*60 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: kidney cancer discharge condition: stable discharge instructions: -you may shower but do not bathe, swim or immerse your incision. -do not eat constipating foods for 2-4 weeks, drink plenty of fluids. -do not lift anything heavier than a phone book (10 pounds) or drive until you are seen by your urologist in follow-up. -do not drive or drink alcohol while taking narcotics. -resume all of your home medications, except hold nsaid (aspirin, advil, motrin, ibuprofin) until you see your urologist in follow-up. -call your urologist's office today to schedule a follow-up appointment in 3 weeks and if you have any questions. -if you have fevers > 101.5 f, vomiting, or increased redness, swelling, or discharge from your incision, call your doctor or go to the nearest er. call dr. to set up follow-up appointment and if you have any urological questions. followup instructions: call dr. to set up follow-up appointment and if you have any urological questions. procedure: nephroureterectomy other excision of vessels, abdominal veins insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt incision of vessel, abdominal veins diagnoses: unspecified essential hypertension acute kidney failure, unspecified asthma, unspecified type, unspecified secondary malignant neoplasm of other specified sites personal history of tobacco use malignant neoplasm of kidney, except pelvis other and unspecified hyperlipidemia secondary malignant neoplasm of lung secondary malignant neoplasm of other urinary organs 

Answer: The patient is high likely exposed to