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: recurrent pituitary macroadenoma major surgical or invasive procedure: transphenoidal hypophysectomy for re-resection history of present illness: ms. 45 y/o f s/p transhpenoidal resection of a pituitary macroadenoma in () presented for 6 month follow up. patient states that she has been seeing endocrine regularly and has noticed that some of her symptoms have recurred. she reports intermittent severe headaches and irregular menstruation. she also reports fatigue and lightheartedness. she denies any n/v, dizziness, or visual changes. mri head was done and showed regrowth of pituitary mass past medical history: hld, cholecystectomy social history: works as a contract administrator, lives with husband an done daughter. denied smoking, alcohol or ilicit drug use. family history: father with dm, mother with htn, no oncologic history physical exam: physical exam: gen: wd/wn, comfortable, nad. heent: atraumatic, normocephalic pupils:4-3mm bilaterally eoms: intact neck: supple. lungs: no audible wheezing or rhonchi. cardiac: rrr abd: soft, nt extrem: warm and well-perfused. no c/c/e. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 3 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch on discharge: intact, no csf rhinorrhea, no epistaxis, no salty taste in throat pertinent results: ct head post-op expected postoperative appearance after transsphenoidal resection of pituitary adenoma with no surgical complication identified brief hospital course: patient was admitted to neurosurgery on and underwent the above stated procedure. please review dictated operative report for details. patient was extubated without incident and transferred to pacu then floor in stable condition. she had a head ct post op which showed post-operative changes. endocrine was consulted for further management. serial serum/urine sodium/osmolarities were obtained. her urine output was monitored and remained within normal limits. hydrocortisone was weaned to current regimen and her post-operative course was uncomplicated. now dod, patient is afebrile, vss, and neurologically stable. patient's pain is well-controlled and the patient is tolerating a good oral diet. she is set for discharge home in stable condition and will follow-up accordingly. medications on admission: fioricet, ocp, crestor discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever/pain. 2. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day). 5. hydrocortisone 10 mg tablet sig: per instructions tablet po qam (once a day (in the morning)): take 20mg (2 tablets) every morning and 10mg (1 tablet) every evening until follow-up with endocrinology. disp:*45 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: recurrent pituitary macradenoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ???????????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. sinus precautions: no straws, no nose blowing, no incentive spirometer ??????call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: ??????please call ( to schedule an appointment with dr. to be seen in 8 weeks you will need mri with contrast. also, you will need to follow up with dr. in 2 weeks. please call ( to schedule an appointment. ?????? please call to set up an appointment with your endocrinologist in 1 week. procedure: total excision of pituitary gland, transsphenoidal approach temporomandibular arthroplasty diagnoses: other and unspecified hyperlipidemia diabetes insipidus benign neoplasm of pituitary gland and craniopharyngeal duct 

Answer: The patient is high likely exposed to