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: no known allergies / adverse drug reactions attending: chief complaint: right upper lobe mass major surgical or invasive procedure: : right thoracotomy with right upper lobectomy history of present illness: mr. is a pleasant 77-year-old gentleman who was seen in clinic regarding his metastatic renal cell carcinoma. in , mr. initially was diagnosed with right kidney mass after falling off from a tree and breaking several rib bones. ct scan at that time found a right kidney mass and was resected at that time. he was being followed routinely with ct scan until . he was found to have right chest wall soft tissue mass measuring 14.5 x 6 x 5.5 cm in . this was resected and he underwent radiation therapy to this area. he has had a right carotid endarterectomy done at this time. in a follow up ct scan, it revealed a right upper lung nodule measuring 12 mm. he had no other lesions in his ct scan. in , his f/u ct scan of chest revealed this nodule to be 14 mm. otherwise, there are no new lung nodules or any lesions in other areas of the ct scan. mr. has been follwed by dr. with ct of chest every 6 months since that time to follow a solitary lung nodule. this increased from 14 mm to 3.3 x 1.5 x 1.7 cm as of . ct of chest and abd did not reveal other areas of concern. he does not note any fatigue, shortness of breath, chest pain, nausea or vomiting, diarrhea, fever, chills, night sweats, difficulty urinating. he maintains good po intake and he is very active according to him and his wife. past medical history: enlarging pulmonary nodule renal cell carcinoma hypertension carotid stenosis right carotid endarterectomy right thoracotomy with resection of renal cell metastasis right nephrectomy bilateral inguinal hernias open appendectomy social history: married and lives with his family. 20 pack-year history ex-smoker who quit 20 years ago. no alcohol. family history: non-contributory physical exam: vs: t: 97.3 hr: 93 sr bp: 118/72 sats: 96% ra gen: no acute distress cv: rrr, nl s1 and s2 resp: bibasilar crackles gi: abd soft, non-tender, non-distended incision: r vats site clean dry intact, margins well approximated neuro: awake, alert oriented pertinent results: wbc-10.2 rbc-3.12* hgb-10.4* hct-28.9 plt ct-241 wbc-7.2 rbc-4.64 hgb-15.1 hct-43.3 plt ct-227 glucose-116* urean-24* creat-1.2 na-138 k-3.9 cl-97 hco3-29 urean-21* creat-1.3* na-139 k-4.2 cl-99 hco3-28 abdomen: supine and upright view of the abdomen were provided. multiple air-fluid levels are seen. both small and large bowel are dilated. air is seen within the rectum suggesting that this is most likely an ileus in a recently postop patient. ng tube seen in the stomach. cxr : right chest tube has been removed. no appreciable interval pleural effusion has been demonstrated. mediastinal contour is stable. several areas of linear opacities in the left lung were noted. brief hospital course: mr. was admitted following video-assisted thoracic surgery (vats) right upper lobectomy for metastatic renal cell carcinoma. he was extubated in the operating room, monitored in the pacu prior transfer to the floor with a chest, foley and iv pain medication. respiratory: titrated off oxygen with saturations of 96%, incentive spirometer, ambulation and good pain control. chest-tube right was removed once drainage subsided cardiac: episode of atrial fibrillation . his verapamil was increased to 160 tid from 120 tid and titrated back to his home dose. he converted to sinus rhythm 80-90's within 24 hours. blood pressure 90-120's. gi: abdomen distention noted associated with nausea. he was npo, narcotics were minimized, an ngt was placed with 990 output. kub confirmed ileus. dulcolax suppository with mild results. overtime his ileus improved. he was started on clear liquid diet transition as tolerated. renal: foley was removed with delayed urine output. he was straight cath for 260 cc of urine. flomax was started and he voided. his renal function and output was monitored closely. his electrolytes were replete as needed. disposition: he continued to make steady progress and was discharged to home with his wife on . will follow-up with dr. as an outpatient. medications on admission: furosemide 20 mg diovan 160 mg daily verapamil 120 mg tid discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. oxycodone 5 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain for 21 doses. disp:*21 tablet(s)* refills:*0* 5. verapamil 120 mg tablet sig: one (1) tablet po q8h (every 8 hours). 6. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). disp:*30 capsule, ext release 24 hr(s)* refills:*2* 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: home discharge diagnosis: right upper lobe mass hypertension carotid stenosis s/p right carotidendarectomy psh: thoracotomy with resection of renal cell metastasis ', right nephrectomy b/l inguinal hernias open appy discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, cough (it is normal to cough up a small amount of blood-tinge sputum for a few days) or chest pain -incision develops drainage or increased redness -chest tube site with a bandaid until healed pain -acetaminophen 650 mg every 6 hours as needed for pain -oxycodone 5 mg every 6 hours as needed for pain -no driving while taking narcotic -take stool softners with narcotics activity -shower daily. wash incision with mild soap & water, rinse, pat dry -no tub bathing, swimming or hot tubs until incision healed -no lifting greater than pounds until seen -walk 4-5 times a day increase as tolerates medications: -hold furosemide until seen by your dr. . followup instructions: follow-up with dr. date/time: 1:00 on the clinical center chest x-ray radiology 30 minutes before your appointment please follow up with your pcp, . , within 1 week of discharge to discuss your blood pressure medication changes procedure: other bronchoscopy other operations on lung thoracoscopic lobectomy of lung diagnoses: unspecified essential hypertension atrial fibrillation paralytic ileus secondary malignant neoplasm of lung personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to