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 63-year-old male with a history of right flank pain and gross hematuria who was found to have a large right renal tumor with associated ivc tumor thrombus extending up to the hepatic vein. he was counseled to have a right radical nephrectomy along with ivc thrombectomy. past medical history: includes diabetes and hypertension. social history: he also consumes tobacco. medications: include amlodipine 5 mg p.o. daily, lantus 22 units subcu daily, humalog sliding scale. hospital course: the patient was admitted to the urology service on , after undergoing a right nephrectomy along with ivc thrombectomy. please see the operative note for full details. the patient was taken back to the operating room on , for a retained foreign body found on x-ray after the procedure. please see the operative note for full details. the patient tolerated these procedures well. he initially was transferred to the post anesthesia care unit in stable condition and subsequently transferred up to the urology when he was stable. his pain was well controlled initially with pca. upon return of bowel function he was transitioned to oral pain medications. his foley was removed prior to discharge and he was voiding independently at discharge. the patient was also ambulating independently at discharge. of note, a cardiology consultation was obtained due to the patient's hypertension and coronary artery disease risk factors. it was recommended that the patient be followed up as an outpatient. discharge medications: include colace 100 mg p.o. b.i.d. p.r.n. for constipation, senna 8.6 mg p.o. b.i.d. p.r.n. for constipation, simvastatin 80 mg p.o. daily, tylenol 1 gram p.o. every 6 hours, oxycodone 5 mg p.o. q.3 h. p.r.n. for pain, metoprolol 25 mg sustained release tablet 1 tablet p.o. daily, lisinopril 5 mg p.o. daily, lantus 24 units subcu daily, and insulin lispro sliding scale. discharge instructions: the patient was discharged home in stable condition with specific instructions to follow up with dr. dr. of cardiology. discharge diet is regular diabetic diet. pca upon return of bowel function. his diet was advanced and he was at transitioned to oral pain medication. his foley was removed and he was voiding independently at discharge. he was also ambulating independently at discharge. of note, cardiology was consulted regarding his coronary artery disease and his hypertension and it was recommended that he follow up as an outpatient with his cardiologist. he will also follow up with the renal cell medical oncology group as he is for high risk for metastatic disease. dr. procedure: diagnostic ultrasound of heart nephroureterectomy reopening of recent laparotomy site division or crushing of other cranial and peripheral nerves regional lymph node excision removal of foreign body from peritoneal cavity incision of vessel, abdominal veins diagnoses: tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled secondary malignant neoplasm of other specified sites malignant neoplasm of kidney, except pelvis foreign body accidentally left during a procedure abdominal aneurysm without mention of rupture accidents occurring in residential institution aneurysm of iliac artery foreign object left in body during surgical operation 

Answer: The patient is high likely exposed to