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: addendum: mr. had radiologic evidence of pneumonia on studies done just prior to admission. treatment was begun during his hospital stay here. major surgical or invasive procedure: thoracic instrumented fusion t1-12 discharge disposition: extended care facility: hospital - discharge diagnosis: renal cell carcinoma metastatic to thoracic spine community acquired pneumonia md procedure: other exploration and decompression of spinal canal transfusion of packed cells dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture other partial ostectomy, other bones insertion of interbody spinal fusion device fusion or refusion of 9 or more vertebrae diagnoses: pneumonia, organism unspecified chronic hepatitis c without mention of hepatic coma opioid type dependence, continuous rheumatoid arthritis personal history of malignant neoplasm of kidney kyphosis (acquired) (postural) secondary malignant neoplasm of bone and bone marrow myelopathy in other diseases classified elsewhere pathologic fracture of vertebrae 

Answer: The patient is high likely exposed to