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 drug allergy information on file attending: chief complaint: consulted for sdh found on head ct major surgical or invasive procedure: none history of present illness: 85 male sent to er with mental status changes from the nursing home. there is no report of a fall or any other trauma. the patient is unable to provide a history at this time and his health care proxies are unavailable. he had a head ct which revealed a sdh and small sah. neurosurgery was consulted for evaluation. past medical history: prostate cancer social history: lives at nursing home with wife family history: non-contributory physical exam: upon admission: t:98.6 bp:119/76 hr:117 rr:18 o2sats:100% ra gen: wd/wn, comfortable, nad. heent: pupils:pupils surgical bilaterally. eoms-intact ears: patient is nearly deaf. neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person. language: + dysarthria, speech is not fluent cranial nerves: i: not tested ii: pupils surgical 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 in the uppers and in the lowers. he did not participate with all muscle groups in the lowers. did not participate with pronator drift testing. sensation: intact to light touch bilaterally. toes downgoing bilaterally upon discharge: patient is oriented x 1 upon discharge. his pupils are surgical bilaterally. he is following commands. he appears to have some neglect on the right side but does move the right side somewhat. his left side is strong, purposeful. he has a foley catheter in place. pertinent results: ct head : findings: the study is compared with the initial nect of and the interval unenhanced and enhanced mr examinations of . over the three-day interval, there has been little change in the overall appearance of the heterogeneous but predominantly hyperattenuating lobulated process centered in the extra-axial space of the left parietovertex. this appears to "mold" to the contour of the subjacent convexity, where there is focal low-attenuation in the immediate subcortical white matter, corresponding to the flair-signal abnormality in this region, which may represent edema secondary to venous congestion, gliosis, or both. the overall appearance is most suggestive of a partially calcified en plaque meningioma, though there is no specific evidence of "reactive change" in the suprajacent inner table of the skull. there has been no other short-interval change. impression: no short-interval change in the overall appearance, with the lobulated, predominantly hyperdense, process, in the extra-axial space at the left parietovertex, given its stability and mr more likely an en plaque meningioma, partially calcified, accounting for the mr . moreover, the findings on both this exam and the recent enhanced mr study raise the serious possibility of at least partial invasion of the immediately subjacent superior sagittal sinus, without definite thrombosis, and possible venous obstruction-related edema in local white matter. if this will affect therapeutic decision, dedicated mr venography might be considered. mri brain : findings: the study is significantly limited due to patient motion artifacts. there is enhancement noted in the area of known hemorrhage in the left parieto- occipital region, compared to the pre-contrast sequences done on the prior study. however, the etiology of enhancement is not clear as there is significant amount of hemorrhage in this location, as seen on the prior ct and mr studies. mildly dilated ventricles are visualized, not adequately assessed. impression: 1. study significantly limited due to motion artifacts. enhancement noted in the left parieto-occipital region, partly extending along the dura, the etiology of which is uncertain, as this is in the region of the known hemorrhage. repeat evaluation, after resolution of the hemorrhage can be considered, to evaluate for any underlying vascular or space-occupying lesion. close followup with ct scan can also be considered as clinically indicated. brief hospital course: the patient was admitted on to the neurosurgery service after a mental status change at the nursing home. he was admitted with a presumed sdh on the ct scan. however, the patient had an mri which revealed a mass resembling a meningioma. there was no hemorrhage there. the patient was transferred out of the icu on . he was evaluated by pt and a speech/swallowing therapist. pt felt that he was safe to be discharged back the his nursing home on . on he was also able to take in thin liquids and pureed solids without difficulty. he had his foley catheter removed on but had urinary retention. a coud?????? catheter was placed that night and he was discharged with it in place. flomax was started as well and bladder training was begun. he may be able to have it removed in a day or so at the nursing home. the patient should follow up with a urologist. the patient was made dnr/dni in the hospital by his health care proxy as well as for the ambulance ride. palliative care and medical consults were obtained to assist in management of the patient. his medications were optimized due to his mental status changes. additionally a family meeting with all 3 teams occurred. it was felt that surgery would not benefit the patient and that quality of life was important. we all agreed that being at the nursing home with his wife would be the best for him at this time. the nursing home staff may want to consider a "do not hospitalize" policy with this patient and his health care proxy. medications on admission: lisinopril 10 mg po daily atenolol 25 mg po daily omeprazole 10 mg po daily hydrochlorothiazide 12.5 mg po daily vesicare 5 mg oral daily ferrous sulfate 325 mg po daily meclizine 25 mg po qid mirtazapine 7.5 mg po hs cholestyramine 4 gm po daily trazadone 25 mg po hs oxycodone sr (oxycontin) 10 mg po q12h docusate sodium 100 mg po bid senna 1 tab po bid bisacodyl 10 mg po/pr daily discharge medications: 1. omeprazole 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 2. cyanocobalamin 1,000 mcg/ml solution sig: one (1) injection daily (daily) for 3 days. 3. vitamin b-12 1,000 mcg tablet sig: one (1) tablet po once a day. 4. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 5. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 6. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 10. oxycodone 5 mg tablet sig: 0.5-1.0 tablet po q4h (every 4 hours) as needed: pain. *****the po vitamin b12 should begin after the injections are completed. discharge disposition: extended care facility: academy manor of - discharge diagnosis: meningioma discharge condition: neurologically improved compared to admission discharge instructions: ?????? 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, or ibuprofen etc. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: no follow up with dr. needed. call with questions. your medications were adjusted while in the hospital. please take as directed in the following pages. you had a foley catheter placed on due to urinary retention. follow up with a urologist at the nursing home or at - call for an appointment in the urology office on the . procedure: venous catheterization, not elsewhere classified diagnoses: other chronic pain anemia, unspecified esophageal reflux other persistent mental disorders due to conditions classified elsewhere other b-complex deficiencies other and unspecified hyperlipidemia hypotension, unspecified malignant neoplasm of prostate benign neoplasm of cerebral meninges unspecified hearing loss encounter for palliative care encephalopathy, unspecified other and unspecified coagulation defects secondary malignant neoplasm of bone and bone marrow adult failure to thrive other alteration of consciousness other specified retention of urine dizziness and giddiness other specified analgesics and antipyretics causing adverse effects in therapeutic use benign essential hypertension parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to