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: left renal mass major surgical or invasive procedure: robotic left partial nephrectomy- dr. history of present illness: mr. is a 72 year old male with htn, copd, chf, hl, cad s/p mi with stent placement in , here with post-operative hypoxia. he underwent right partial nephrectomy for a 6 cm renal mass concerning for renal cell carcinoma. intraoperatively, he received 6 l of ivfs. post-operatively, he was noted to desat to 80s on 4lnc. . upon arrival to the , his vitals were rr 20, hr 91, bp 96/55, 95% on 4lnc. the patient reports his breathing is comfortable, though patient is tachypneic. he denies cough, pleuritic chest pain, chest pressure. he reports increased abdominal pain with deep inspiration. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. past medical history: htn hyperlipidemia chf, most recent echo with , of 60% in by report copd with moderate obstructive disease on pfts cad, s/p mi years ago type 2 diabetes, insulin dependent scoliosis social history: patient has a 1.5 ppd for 15 years smoking history, but quit 25 years ago. denies current alcohol use. patient lives with his daughter who is his health care proxy. is a retired upholsterer. family history: patient denies family history of cardiac or pulmonary disease. physical exam: vitals: hr 81, bp 100/60, 96% on 4lnc, general: alert, oriented, tachypneic heent: sclera anicteric, oropharynx clear neck: supple, jvp difficult to assess lungs: coarse breath sounds at right base, but lung exam limited due to patients diffuculty sitting upright cv: distant heart sounds, regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, multiple surgical scars with come tenderness diffusely, bowel sounds present, no rebound tenderness or guarding gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 137 | 105 | 16 / --------------- 121 5.2 | 24 | 1.1 \ . \ 11.0 / 14.6 ----- 203 / 33.8 \ brief hospital course: patient was admitted to urology after undergoing robotic left partial 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 floor from the pacu in stable condition. on pod0, pain was well controlled on pca, hydrated for urine output >30cc/hour, and provided with pneumoboots and incentive spirometry for prophylaxis. however, the patient was noted to have increasing post-operative hypoxia. intraoperatively, he received 6 l of ivfs and was noted to desat to 80s on 4lnc post-operatively, prompting transfer to the for interval managment. . the patient's exam and presentation were most consistent with respiratory compromise that was multifactorial and secondary to his known copd, scoliosis, and splinting from surgery-associated pain. his oxygen saturation and breathing improved with bronchodilator therapy and he was transferred back to the surgical service on pod2. . on pod 3, the patient ambulated, 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 as tolerated. on pod5, jp and urethral catheter (foley) were removed without difficulty. the patient passed a void trial with voided volumes greater that post void residuals. 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. medications on admission: atenolol 25 mg daily lipitor 20 mg daily lasix 20 mg daily lisinipril 5 mg daily aspirin 325 mg daily multivitamin daily albuterol atrovent discharge medications: 1. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for break through pain only (score >4) . disp:*50 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h (every 4 hours) as needed for wheeze, sob. 5. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 6. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). capsule(s) 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 8. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: vna discharge diagnosis: right renal mass 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 -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 -call dr. to set up follow-up appointment and if you have any urological questions. followup instructions: please contact dr. office to arrange/ confirm follow up. procedure: partial nephrectomy laparoscopic robotic assisted procedure diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified personal history of tobacco use percutaneous transluminal coronary angioplasty status malignant neoplasm of kidney, except pelvis pulmonary collapse other and unspecified hyperlipidemia long-term (current) use of insulin old myocardial infarction paralytic ileus hypoxemia thoracogenic scoliosis 

Answer: The patient is high likely exposed to