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: hydromorphone attending: chief complaint: headache, nausea & vomiting major surgical or invasive procedure: 1. attempted drainage of brain cyst with neurosurgery on 2. brain cyst drainage with interventional radiology on history of present illness: 67 right handed female with a history of ovarian ca who presented with imbalance and a large cerebellar cystic lesion, she underwent stereotactic drainage and catheter placement on . she has been treated with cyberknife locally, and recieved her last treatment this past thursday . she states that she had a headache on friday which resolved and was headache free over the weekend, but then again developed a headache accompanied by nausea and vomiting this morning. she called her oncologist who advised her to take an extra dose of decadron today and not start her taper and to come to the emergency department. she has taken 4mg of decadron for the past few days. past medical history: ovarian ca, hypertension, arthritis, seasonal allergies, depression, hyperlipidemia, adenomas, asthma and tia social history: - denies tobacco and recreational drug use - rare alcohol use family history: - father with cancer, deceased at 49 - brother with prostate cancer physical exam: gen: wd/wn, comfortable, nad. heent: pupils: 6 to 4mm eoms: intact neck: supple. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: slightly dysarthric with thick speech,good comprehension and repetition. cranial nerves: i: not tested ii: pupils equally round and reactive to light,6 to 4 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 voice. 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, propioception, pinprick and vibration bilaterally. physical exam upon discharge: ********* pertinent results: 11:18pm -125* potassium-3.9 chloride-87* 07:30pm glucose-157* urea n-11 creat-0.5 -125* potassium-3.1* chloride-85* total co2-24 anion gap-19 biopsy of cystic lesion drainage: pending head ct impression: 1. left cerebellar hypodense lesion, with mild interval increase in size since the prior study. an mri is recommended for further evaluation. 2. no evidence of acute intracranial hemorrhage. brain mri impression: 1. enlargement in the size of the left posterior fossa cystic lesion despite drain in situ. signal characteristics today are suggestive of subacute blood products. 2. increase in the surrounding vasogenic edema and increased mass effect on the fourth ventricle and inferior displacement of cerebellar tonsils without new hydrocephalus. brief hospital course: this is a 67 yo female with h/o stage iv ovarian ca s/p surgery, 6 cycles of /taxol, cyst aspiration of a cerebellar lesion and cyberknife treatments now admitted with increased has, n/v, dysarthria likely increased edema in brain lesion. . # n/v/dysarthria: pt was initially admitted to the neurosurgical service in the icu for close observation. a head ct was performed which revealed cerebellar cyst versus edema. she was given 10mg decadron, iv hydration, decadron 4mg q6h. she underwent an mri w and w/o contrast which showed enlargement in the size of the left posterior fossa cystic lesion and increase in the surrounding vasogenic edema and increased mass effect on the fourth ventricle. overnight, she neurologically improved. her dysarthria, h/a & n/v resolved. pt was transferred to omed floor, where she continued to be largely aymptomatic. neurosurg attempted to drain from the cystic lesion, however, was unsuccessful. the drainage was then planned by ir the next day and approx 14cc of fluid was drained. the fluid was sent to the lab for analysis. likely increased edema seen on imaging. pt was continued on reglan prn, compazine prn and zofran prn for nausea. at discharge, dexamethasone was started to be tapered. pt was also initiated on bactrim for pcp . . # hyponatremia: her na was initially 125. likely siadh brain edema. improved with fluid restriction and salt tabs. na 133 on day of discharge. . # stage iv ovarian cancer: pt was continued on pain control with home motrin, oxycodone prn. pt has f/u mri and appt on with brain clinic. given pt's unusual metastatic spread of her ovarian cancer to the brain and history of prostate cancer in the family at a young age, it can be considered to do genetic testing (incl brca) as outpt. . # depression/insomnia: pt was continued on home citalopram and ativan qhs prn. . # htn/hl: pt was continued on home hctz, lisinopril, verapamil. it can be considered as outpt to discontinue hctz, given pt's persistent hyponatremia. pt was continued on home simvastatin. . # pt was on a regular diet, oncology repletion scales. pain control was with motrin, oxycodone prn. pt was on a bowel regimen and a ppi. pt was on dvt ppx with sc heparin. pt was full code. medications on admission: dexamethasone - (dose adjustment - no new rx) - 1 mg tablet - 2 tablet(s) by mouth twice a day taper as follows: take 2 mg on , take 2 mg qam and 1 mg qpm on , take 2 mg once daily on , take 1 mg once daily on . stop taking decadron after your dose on . hydrochlorothiazide - (prescribed by other provider) - 12.5 mg capsule - 2 capsule(s) by mouth daily (daily) ibuprofen - (dose adjustment - no new rx) - 600 mg tablet - 1 tablet(s) by mouth three times a day as needed for pain lisinopril - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth daily (daily) lorazepam - 0.5 mg tablet - 1 tablet(s) by mouth at bedtime and as needed metoclopramide - 10 mg tablet - 1 tablet(s) by mouth every 6 hours as needed for nausea, abdominal bloating take 30min before meals omeprazole - 40 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth daily (daily) ondansetron hcl - 8 mg tablet - 1 tablet(s) by mouth q8hr as needed for nausea, vomiting oxycodone - 5 mg tablet - tablet(s) by mouth q4hr as needed for pain prochlorperazine maleate - 10 mg tablet - 1/2-1 tablet(s) by mouth q6hr as needed for nausea, vomiting scalp prosthesis - - apply to head simvastatin - (prescribed by other provider) - 10 mg tablet - 2 tablet(s) by mouth daily (daily) verapamil - (prescribed by other provider) - 240 mg tablet sustained release - 1 tablet(s) by mouth every twenty-four(24) hours discharge medications: 1. citalopram 40 mg tablet sig: one (1) tablet po once a day. 2. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 3. verapamil 120 mg tablet sustained release sig: two (2) tablet sustained release po q24h (every 24 hours). 4. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 5. docusate 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*30 tablet(s)* refills:*0* 7. ondansetron hcl 8 mg tablet sig: one (1) tablet po three times a day as needed for nausea. 8. prochlorperazine maleate 5 mg tablet sig: 1-2 tablets po four times a day as needed for nausea. 9. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 10. lorazepam 0.5 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 11. metoclopramide 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. 12. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 13. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 14. chloride 1 gram tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* 15. dexamethasone 2 mg tablet sig: three (3) tablet po q12h (every 12 hours) for 3 days. disp:*18 tablet(s)* refills:*0* 16. dexamethasone 2 mg tablet sig: two (2) tablet po twice a day for 3 days. disp:*12 tablet(s)* refills:*0* 17. dexamethasone 2 mg tablet sig: three (3) tablet po qam (once a day (in the morning)). disp:*36 tablet(s)* refills:*2* 18. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*20 tablet(s)* refills:*0* 19. bactrim ds 800-160 mg tablet sig: one (1) tablet po mwf. disp:*12 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnoses: 1. cystic brain lesion 2. siadh, low 3. stage iv ovarian cancer secondary diagnoses: 1. depression 2. hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you during this admission. you were admitted for headaches, nausea, vomiting, and difficulty speaking. you had an mri of your head that showed increased size of cystic lesion. neurosurgery tried to drain the fluid but were unable to. you had a second procedure with interventional radiology, who was able to remove some fluid. your headaches improved. the following medications were changed during this admission: start chloride 1mg, 2 tablets, three times daily (this is to maintain your levels at a normal level) start oxycodone 5mg 1-2 tablets every four hours as needed for pain **this medication can cause sedation, do not take this medication while if you feel sedated or confused. and you should not be driving while on this medication, or at all. start bactrim ds (oral) 800-160 mg tablet, 1 tablet on monday, wednesday and friday (this is an antibiotic that prevents an infection called pcp in the lungs; this is important to take since you are on steroids and may be more susceptible to infection) the dose of dexamethasone was changed; please follow the schedule below: start dexamethasone 6mg by mouth twice daily for 3 days, then take 4mg twice daily for 3 days, then take 6mg daily in the morning. you should see your doctor in the interim to determine how long you need to be on the dexamethasone. continue all other medications you were on prior to this admission. **you have been continued on your home dose of hydrochlorathiazide 25mg daily. however, we would like you to discuss discontinuing this with your doctor. has been low during this admission, which has been controlled with restriction of 1l of fluid and salt tabs. however, hctz can also lower the . since you have been stable on this medication, you were continued on it. though, please discuss this with your doctor at follow-up. **in terms of travel, it is safe for you to visit you family. however, you should not drive. this can be very dangerous, especially since you recently had a procedure. ?????? 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. followup instructions: please follow-up with the following appointments: provider: scan phone: date/time: 11:15 provider: , md phone: date/time: 11:00 provider: , md phone: date/time: 11:00 department: radiology when: friday at 11:15 am with: cat scan building: campus: east parking: garage department: hematology/oncology when: monday at 11:00 am with: , md building: campus: east parking: garage department: hematology/oncology when: monday at 11:00 am with: , md building: sc clinical ctr campus: east parking: garage ** you will also need a follow-up brain mri in one month. dr. office will be in contact with you regarding it. procedure: ventriculopuncture through previously implanted catheter diagnoses: unspecified essential hypertension hematoma complicating a procedure depressive disorder, not elsewhere classified other opiates and related narcotics causing adverse effects in therapeutic use abnormality of gait nausea with vomiting other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure secondary malignant neoplasm of brain and spinal cord cerebral edema dermatitis due to drugs and medicines taken internally personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits headache other disorders of neurohypophysis personal history of antineoplastic chemotherapy presence of cerebrospinal fluid drainage device personal history of colonic polyps arthropathy, unspecified, site unspecified malignant neoplasm of ovary 

Answer: The patient is high likely exposed to