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: patient recorded as having no known allergies to drugs attending: chief complaint: r renal mass major surgical or invasive procedure: right laparoscopic radical nephrectomy history of present illness: 60yf with cad and esrd on hd with a nearly 4cm left renal mass concerning for malignancy. past medical history: 1. diabetes type 2 c/b retinopathy, neuropathy - pt not currently taking meds due to insurance issue 2. reactive airway disease; ?asthma; 50+py smoking and likely copd. 3. depression 4. history of pulmonary nodules consistent with calcified granuloma 5. menorrhagia 6. hypertension, poorly controlled. h/o hypertensive urgency. 7. hypercholesterolemia. 8. chronic lower back pain. 9. cri, most recent cr values in the 4's. 10. thyroid mass never followed up with biopsy 11. osteoporosis 12. left renal mass concerning for rcc but never followed up for biopsy 13. chronic anemia thought ckd, not on epo 14. mgus 15. chf: , tte demonstrated moderate to severe global left ventricular hypokinesis (lvef = 30 %), moderate mr, and moderate pulmonary artery hypertension social history: lives with roomate in in apt. she grew up with her family as a carnival worker and traveled with them. illiterate. smokes 1ppd, has 50 pack yr history. no etoh/illicits. on ssi currently. only family support seems to be her in ny. family history: multiple family members with dm, mi, cva. uncle and two cousins had kidney disease requiring dialysis. mother with breast cancer. physical exam: avss gen: nad abd: soft, nt, nd incisions: clean/dry/intact brief hospital course: patient was admitted to after undergoing laparoscopic right radical nephrectomy. no concerning intraoperative events occurred; please see dictated operative note for details. the patient received perioperative antibiotic prophylaxis. the patient was transferred to the icu in stable condition for monitoring due to extensive comorbidities and not for any intraoperative complication. on pod0, pain was well controlled on pca, hydrated for urine output >30cc/hour, provided with pneumoboots and incentive spirometry for prophylaxis, and ambulated once. she was seen by the cardiology service and the nephrology service and underwent hd while int he icu. on pod1, the patient was restarted on home medications, basic metabolic panel and complete blood count were checked, pain control was transitioned from pca to oral analgesics, diet was advanced to a clears/toast and crackers diet. on pod2, foley was removed without difficulty and diet was advanced as tolerated. prior to discharge the patient underwent a ct scan with contrast of the chest to evaluate pulmonary nodules seen on cxr. she underwent hd after this. the remainder of the hospital course was relatively unremarkable. the patient was discharged in stable condition, eating well, ambulating independently, voiding without difficulty, and with pain control on oral analgesics. on exam, incision was clean, dry, and intact, with no evidence of hematoma collection or infection. the patient was given explicit instructions to follow-up in clinic with dr. in 3 weeks and to also call for follow-up with nephrology and cardiology. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 8. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 9. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 10. gabapentin 100 mg capsule sig: two (2) capsule po qhd (each hemodialysis). disp:*60 capsule(s)* refills:*2* 11. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 12. lasix 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: r renal mass discharge condition: stable discharge instructions: -you may shower but do not bathe, swim or immerse your incision. -do not lift anything heavier than a phone book (10 pounds) or drive until you are seen by your urologist in follow-up -tylenol should be your first line pain medication, a narcotic pain medication has been prescribed for breakthough pain >4. replace tylenol with narcotic pain medication. max daily tylenol dose is 4gm, note that narcotic pain medication also contains tylenol (acetaminophen) -do not drive or drink alcohol while taking narcotics -colace has been prescribed to avoid post surgical constipation and constipation related to narcotic pain medication, discontinue if loose stool or diarrhea develops. -resume all of your home medications, except hold nsaid (aspirin, and ibuprofen containing products such as advil & motrin,) until you see your urologist in follow-up -call your urologist's office today to schedule/confirm your 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 -do not eat constipating foods for 2-4 weeks, drink plenty of fluids followup instructions: please call dr. office for follow-up. please call your cardiologist for follow-up. procedure: hemodialysis hemodialysis laparoscopy nephroureterectomy diagnoses: anemia in chronic kidney disease end stage renal disease coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder mitral valve disorders congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes malignant neoplasm of kidney, except pelvis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of insulin osteoporosis, unspecified chronic systolic heart failure lumbago diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy unspecified disorder of thyroid family history of diabetes mellitus family history of malignant neoplasm of breast family history of other cardiovascular diseases monoclonal paraproteinemia 

Answer: The patient is high likely exposed to