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: the patient is an 18 year old male with a history of right radical orchiectomy in . the pathology from this showed 85% embryonal cell carcinoma with lymphvascular invasion. after his orchiectomy, the patient's tumor markers remained elevated and he underwent three cycles of bep and completed this in . at that time his markers had normalized, but a ct scan showed paracaval, intraaortocaval and periaortic retroperitoneal lymphadenopathy. there were multiple lesions and they were approximately 2 to 3 cm in size. they were encompassing or appeared to be very close to the left renal vein and patient was referred to to see dr. for definitive care. prior to being sent here, he donated and banked sperm at the ivf facility. past medical history: as above. allergies: no known drug allergies. medications on admission: none. hospital course: the patient was admitted to and taken to the operating room on . he underwent full retroperitoneal lymph node dissection by dr. . please see separate dictated operative note for details of this procedure. postoperatively he was taken to the surgical intensive care unit. he was extubated following the case, but had an indwelling nasogastric tube. he also had a foley catheter in place. pain was controlled with an epidural. the nasogastric tube remained in place until postoperative day two. on postoperative day one he was transferred from the icu to the surgical floor where he was out of bed and ambulating. his diet was advanced slowly on postoperative day three and was tolerating a regular diet by postoperative day four. he was given a couple of doses of toradol for additional pain control, but otherwise his pain was controlled with oral medications. the patient was seen in conjunction with physical therapy while in-house and they felt that he would benefit from home physical therapy. these services were arranged. on postoperative day four he spiked a temperature to 102.5. fever workup included blood and urine cultures, complete blood count, pa and lateral chest x-ray. there was only a small left effusion seen on chest x-ray and otherwise his fever workup was negative. he remained afebrile for the remainder of his course. on postoperative day five the staples were removed and steri-strips applied to the wound. he was ambulating without difficulty and his pain was controlled on oral medication. he was tolerating a regular diet at that time. he was discharged to home in stable condition. on physical examination he was well-developed, well-nourished, in no acute distress. heart was regular rate and rhythm. lungs were clear to auscultation bilaterally. abdomen was soft, nondistended, nontender. incision was clean, dry and intact with steri-strips across the left flank, extending down across to the midline of the abdomen. he did have a counterlateral incision in the right groin that was also intact. extremities were warm and well perfused without edema. discharge medications: 1. percocet one to two tabs p.o. q.four to six hours p.r.n. pain. 2. colace 100 mg p.o. b.i.d. condition on discharge: good. discharge instructions: the patient will follow up with dr. as previously scheduled. disposition: to home. , m.d. dictated by: medquist36 procedure: division or crushing of other cranial and peripheral nerves regional lymph node excision excision of other lesion or tissue of spermatic cord and epididymis diagnoses: personal history of malignant neoplasm of testis secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes 

Answer: The patient is high likely exposed to