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: codeine attending: chief complaint: left flank mass major surgical or invasive procedure: left nephrectomy history of present illness: 58f transferred to medical service from osh for w/ 10x15cm l renal mass. she presented to hospital c/o b le swelling, pruritis, dry cough, and urinary retention. the le swelling began approximately 1 month ago. w/u at osh included ct a/p, demonstrating 10x15cm l renal mass and multiple small pulmonary nodules. hct 21, so given prbc transfusion. osh oncologist recommended transfer to . past medical history: htn new renal mass, likely metastatic renal cell carcinoma, with associated liver dysfunction chf, ef 40-55% by report factor deficiency social history: lives at home in , ma with husband and son. two other children. smoked <1ppd x 10 years, quit 30 years ago. denies exposures to dyes, chemicals. occasional alcohol use. no illicit drugs. family history: father d. 59 with brain tumor. mother died of cva. sister with cervical cancer. brother with cad. pertinent results: 04:33am blood wbc-8.5 rbc-3.91* hgb-9.9* hct-32.2* mcv-82 mch-25.2* mchc-30.6* rdw-20.4* plt ct-736* 04:35am blood wbc-12.8* rbc-3.75* hgb-9.8* hct-30.5* mcv-81* mch-26.1* mchc-32.1 rdw-19.5* plt ct-644* 01:54pm blood wbc-19.4* rbc-4.10* hgb-10.4* hct-33.8* mcv-83 mch-25.4* mchc-30.8* rdw-20.2* plt ct-690* 01:19am blood wbc-23.2* rbc-3.88* hgb-10.0* hct-31.7* mcv-82 mch-25.9* mchc-31.7 rdw-20.1* plt ct-679* 05:28pm blood wbc-22.3*# rbc-3.93*# hgb-10.1*# hct-32.0*# mcv-82 mch-25.8* mchc-31.7 rdw-20.0* plt ct-675* 03:35am blood wbc-13.3* rbc-3.09* hgb-7.8* hct-24.3* mcv-79* mch-25.3* mchc-32.2 rdw-20.4* plt ct-659* 01:36pm blood wbc-12.1* rbc-3.24* hgb-8.5* hct-25.1* mcv-77* mch-26.1*# mchc-33.7# rdw-20.3* plt ct-661* 07:47am blood wbc-13.3* rbc-3.14* hgb-7.1* hct-23.8* mcv-76* mch-22.6* mchc-29.8* rdw-21.9* plt ct-778* 04:33am blood plt ct-736* 04:33am blood pt-14.0* ptt-27.3 inr(pt)-1.2* 05:24am blood pt-14.4* ptt-26.3 inr(pt)-1.3* 04:35am blood plt ct-644* 01:54pm blood plt ct-690* 01:19am blood plt ct-679* 01:19am blood pt-15.8* ptt-27.7 inr(pt)-1.4* 05:28pm blood plt ct-675* 05:28pm blood pt-16.1* ptt-28.3 inr(pt)-1.5* 03:35am blood plt ct-659* 03:35am blood pt-17.4* inr(pt)-1.6* 01:36pm blood plt ct-661* 01:36pm blood pt-18.5* ptt-30.4 inr(pt)-1.7* 10:45am blood pt-19.0* ptt-31.6 inr(pt)-1.8* 07:47am blood plt ct-778* 07:47am blood pt-19.3* ptt-33.8 inr(pt)-1.8* 04:33am blood glucose-58* urean-12 creat-0.5 na-136 k-3.9 cl-98 hco3-32 angap-10 09:23am blood na-137 k-4.3 04:35am blood glucose-83 urean-11 creat-0.6 na-137 k-3.7 cl-102 hco3-27 angap-12 01:54pm blood glucose-64* urean-10 creat-0.6 na-135 k-4.5 cl-102 hco3-27 angap-11 01:19am blood glucose-80 urean-7 creat-0.7 na-135 k-4.5 cl-99 hco3-29 angap-12 05:28pm blood glucose-91 urean-8 creat-0.7 na-135 k-4.3 cl-98 hco3-28 angap-13 03:35am blood glucose-99 urean-12 creat-0.8 na-132* k-4.2 cl-98 hco3-27 angap-11 01:36pm blood glucose-81 urean-13 creat-0.8 na-133 k-4.2 cl-94* hco3-28 angap-15 01:54pm blood ck(cpk)-24* 01:19am blood ck(cpk)-25* 06:04pm blood alt-7 ast-18 ld(ldh)-212 alkphos-259* amylase-17 totbili-0.8 05:28pm blood ck(cpk)-36 01:54pm blood ck-mb-notdone ctropnt-<0.01 04:33am blood calcium-7.6* mg-2.2 09:23am blood calcium-8.1* phos-4.1 mg-2.2 04:35am blood calcium-7.8* phos-4.3 mg-2.0 04:53am blood type-art temp-36.7 po2-108* pco2-52* ph-7.36 caltco2-31* base xs-3 intubat-not intuba 05:32pm blood type-art o2 flow-3 po2-90 pco2-46* ph-7.38 caltco2-28 base xs-0 intubat-not intuba 04:53am blood lactate-0.6 05:32pm blood glucose-87 lactate-1.3 na-135 k-3.6 12:40pm blood glucose-126* lactate-1.4 na-132* k-4.2 cl-95* 01:52pm blood o2 sat-98 12:40pm blood hgb-8.6* calchct-26 11:04am blood hgb-8.2* calchct-25 09:10am blood o2 sat-93 09:05am blood hgb-6.6* calchct-20 07:45am blood hgb-7.6* calchct-23 05:32pm blood freeca-1.09* 12:40pm blood freeca-1.21 11:04am blood freeca-1.08* 09:05am blood freeca-1.08* 07:45am blood freeca-1.17 brief hospital course: pt was initially seen by dr. as inpatient consult on . she is a 58 caucasian f who presents with a 17cm left renal mass with mets to chest. her bone scan was negative. pt was admitted to urology on same day admissions for left radical nephrectomy/adrenalectomy on . her surgery was complicated by a pleural leak which was closed with water seal. ebl 300. pt remained in pacu overnight per cardiology recs for nipride drip. pod#1 pt did well overnight. urine out put was intermittens. pt received 2uprbcs in pacu. pt extubated on this day and doing well. pt developed acute onset of delirium/agitation which resolved with haldol and ativan. change in ms may have been due to nitroprusside toxicity so pt weaned off of nitroprusside and started on oral htn meds. per cardiology, pt restarted on digoxin 0.125. pt transferred to tsicu s/p ms changes. pt on esmolol drip which was started in pacu. pod#2 pt unrestrained. improving ms. pt complained of chest pain related to inspiration. cxr: mild pulm vascular congestion and free air under r diaphragm. bilat nodules consistent with mets. normal ekg. blood pressure better controlled with oral regimen and pt responding well to lasix. pt seen by heme/onc to discuss tx options. pod#3 pt transferred to 12. pt responded well to diuresis, but remains slightly wet. adv diet to sip from clears. restart all home meds. weaning off of o2. per cards, cont lisinopril and 0.125 dig. pod#4 pt still with scant bibasilar crackles. sat @ 97% on 2l ng. continuing with oral htn meds and dig. oob and ambulating with walker. pod#5 pt depressed about diagnosis. sat 98% ra at rest. oob/amb with walker. adat. following dig and bnp levels per cardiology. dispo planning. nutrition recommends boots supplements. pod#6 pt feels anxious this am. no overnight events. sat 92% on room air and sat 86% on ra while ambulating. cxr: consistent with volume overload. ekg: no changes from prior tracings. pt diuresed per cardiology recommendations. discussed findings of ekg, cxr and pt's symptoms with cardiology fellow and attending. pod#7 pt doing much better this am. pt 100% while ambulating with pt. pt feels pt no longer needs home pt. pt safe to be discharged to home with services. pt discharged on oral htn meds per cardiology. discussed with pt the importance of following up with cardiologist. medications on admission: furosemide 40a, hydroxyzine 25 mg q4-6 prn itching, acetaminophen 325 mg q4-6 prn, zolpidem 5hs prn insomnia, percocet prn pain, lisinopril 10 qd, spironolactone 25 qd, ferrous sulfate 325 mg qd, phytonadione 10 qd, digoxin 0.25 qd discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 2. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for anxiety/insomnia. disp:*30 tablet(s)* refills:*0* 3. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. phytonadione 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. colace 100 mg capsule sig: one (1) capsule po twice a day: take this medication while taking the pain medication. disp:*60 capsule(s)* refills:*0* 7. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 8. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 9. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* discharge disposition: home with service facility: care centrix discharge diagnosis: left renal cell carcinoma discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. please call your doctor if you have any of the following.: -worsening abdominal pain -fever of 101 or more -vomiting -increased drainage coming from your incision -you may see a small amount of clear or slightly red drainage coming from the wound. this is normal. if you have a lot of drainage, you should let your surgeon know. followup instructions: provider: , m.d. phone: date/time: 8:40 provider: , m.d. phone: date/time: 9:40 procedure: nephroureterectomy unilateral adrenalectomy diagnoses: congestive heart failure, unspecified unspecified essential hypertension malignant neoplasm of kidney, except pelvis secondary malignant neoplasm of lung congenital deficiency of other clotting factors 

Answer: The patient is high likely exposed to