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: patient recorded as having no known allergies to drugs attending: chief complaint: headache and instability plus anorexia s/p surgery. major surgical or invasive procedure: left sided craniotomy with evacuation sdh history of present illness: 73 year old male who was admitted 1 week ago and received a burr hole drainage of a left sided sdh. once discharged, he continued having headaches with the same features as intial presentation. in addition, he had difficulty ambulating (see exam below) although he has had no falls. today, his wife was concerned because he had remained unsteady, with loss of apetite and continued having headaches. she to center where a ct scan showed a chronic sdh with a relevant midline shift (12 mm) and greater volume than in the past. he was transferred to . past medical history: seasonal allergies. he has on colonoscopy had diverticuli in . he did have a right total knee replacement in . raynaud's phenomenon. he does have 50% carotid blockage on ultrasound in . recent exercise stress test in which he was only able to perform 5 minutes of exercise stopping with a maximal heart rate of 132 with dyspnea and a maximal blood pressure of 210/78. no ekg changes with exercise. emphysema social history: social hx: cigarette smoking but stopped smoking 10 years ago. he used to work in electronic repair. he is married and lives with his wife. does not smoke at present and uses alcohol infrequently. there is a history of mom blindness occurring after being stung with wasps in the past but there is no allergic history. there is no history of allergy to drugs. family history: fh: his father died prematurely of throat cancer. his father's family died in their 70s. his mother died at age with a stroke at age . she did have alzheimer's disease and carotid vascular disease. he has lost a brother and a sister to trauma.he has a brother and sister who are alive with no history of stroke and no history of coronary disease. he works presently in delicatessen. physical exam: vs: 134/ 74, 70 bpm, rr 12 so2 100% ra. gcs 15. gen: lying in bed, nad. heent: nc/at, moist oral mucosa neck: supple, no carotid or vertebral bruit back: no point tenderness or erythema cv: nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: soft, nontender, non-distended. no masses or megalies. percussion within normal limits. +bs. ext: no edema, no dvt data. pulses ++ and symmetric. neurologic examination: no meningismus. no photophobia. ms: general: alert, awake, normal affect orientation: oriented to person, place, date, situation attention: 20 to 1 backwards +. follows simple/complex commands. however digit span backwards is impaired. speech/language: fluent w/o paraphasic errors; comprehension, repetition, naming: normal. prosody: normal. memory: registers and recalls when given choices at 5 min praxis/ agnosia: able to brush teeth. no field cuts. cn: i: not tested ii,iii: vff to confrontation, perrl 3mm to 2mm in the left and 4 to 2 mm on the right to direct and consensual light, fundus w/o papilledema. iii,iv,vi: eomi, no ptosis. no nystagmus v: sensation intact v1-v3 to lt vii: facial strength intact/symmetrical viii: hears finger rub bilaterally ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue protrudes midline. rinne: r ear: ac>bc, left ear ac> bc : central. motor: normal bulk. tone: mildly increased on the right hemibody. no tremor, no asterixis or myoclonus. no pronator drift: delt;c5 bic:c6 tri:c7 wr ext:c6 fing ext:c7 left 5 5 5 5 5 right 5 5 5 5 5 ip: quad: hamst: dorsiflex: :pl.flex left 5 5 5 5 5 right 5- 5 5- 5 5- deep tendon reflexes: bicip:c5 tric:c7 brachial:c6 patellar:l4 toes: right 2 2 2 2 indifferent left 1 1 1 1 downgoing sensation: intact to light touch, vibration, and temperature. propioception: normal. coordination: *finger-nose-finger mild dysmetria on the left *rapid arm movements normal. *fine finger tapping: normal *heal to shin: normal. unable to perform heel to toe. regular gait: narrow based, hemiparetic features, normal arm swing, cadence normal, stride normal. turns are normal. trunk is not in flexion. on discharge : pt neurologically intact without focal deficit incision clean and dry and sutures and staples have been removed. pertinent results: 10:34am blood wbc-7.7 rbc-4.59* hgb-14.9 hct-41.8 mcv-91 mch-32.4* mchc-35.6* rdw-13.3 plt ct-297 07:30pm blood neuts-73.3* lymphs-15.7* monos-8.6 eos-2.0 baso-0.4 10:34am blood plt ct-297 07:30pm blood glucose-94 urean-19 creat-1.0 na-138 k-4.7 cl-105 hco3-21* angap-17 05:53am blood phenyto-7.9* 05:53am blood albumin-3.5 , pathology examination name birthdate age sex pathology # , 72 male report to: dr. description by: dr. . /dif specimen submitted: subdural membrane. procedure date tissue received report date diagnosed by dr. /ttl diagnosis: subdural membrane, excision: dense fibrous tissue with calcifications consistent with dura with hemorrhage, hemosiderin laden macrophages, chronic inflammation, and granulation tissue consistent with subdural hematoma. clinical: subdural hematoma. gross: the specimen is received fresh labeled with the patient's name, ", ", the medical record number and "subdural membrane." it consists of a fragment of pink-tan soft tissue with glistening surfaces measuring 2.0 x 0.3 x 0.1 cm. the specimen is entirely submitted in a. , m 72 cardiology report ecg study date of 10:30:38 am sinus rhythm normal ecg since previous tracing of , no significant change read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 62 138 80 416/419 46 -17 45 , m 72 radiology report chest (portable ap) study date of 4:29 am , nsurg sicu-a 4:29 am chest (portable ap) clip # reason: preop medical condition: 72 year old man with chronic sdh reason for this examination: preop final report indication: 72-year-old man, preoperative evaluation. chronic subdural hematoma. comparison: . single upright view of the chest at 5:00 a.m: the extreme costophrenic angles are excluded from the exam. however, the lungs are well expanded and clear without consolidation, evidence of pleural effusion, or pneumothorax. tiny pleural effusions cannot be excluded. there is no cardiomegaly. the hilar and mediastinal contours are within normal limits. pulmonary vascularity is normal. soft tissue and bony structures are unremarkable. impression: no acute cardiopulmonary abnormality. the study and the report were reviewed by the staff radiologist. dr. dr. approved: fri 9:55 am , m 72 radiology report ct head w/o contrast study date of 7:26 am , nsurg sicu-a 7:26 am ct head w/o contrast clip # reason: clinical f/u medical condition: 72 year old man with chronic sdh and midline shift (chronic) s/p burr hole drain 1 week ago. mild umn weakness and spasticity in rigth inferior extremity reason for this examination: clinical f/u contraindications for iv contrast: none. provisional findings impression: 9:54 am compared to prior exam from , there is increased size of left cerebral convexity subdural hematoma and mass effect with worsening rightward shift of normally midline structures. final report indication: 72-year-old male with chronic subdural hematoma and midline shift. patient with mild upper motor neuron weakness and spasticity in the right inferior extremity. non-contrast head ct: compared to prior exam from , there is increased size of left cerebral convexity subdural hematoma although with overall decreased density. there is increased mass effect onto the subjacent brain with increased rightward shift of normally midline structures (13 mm). there is impending left uncal herniation. there is no hydrocephalus, or evidence of major vascular territorial infarct. the -white matter differentiation is preserved. the visualized paranasal sinuses and mastoid air cells are normally aerated. new left calvarial burr holes are again noted. impression: compared to prior exam from , there is increased size of left cerebral convexity subdural hematoma and mass effect with worsening rightward shift of normally midline structures. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 12:35 pm , m 72 radiology report ct head w/o contrast study date of 6:24 pm , j. nsurg fa11 6:24 pm ct head w/o contrast clip # reason: assess for any residual blood medical condition: 72 year old man with subdural hematoma reason for this examination: assess for any residual blood contraindications for iv contrast: none. provisional findings impression: dmfj mon 8:19 pm persistent left cerebral convexity subdural hematoma with areas of increased density suggestive of ongoing bleeding. persistent shift of normally midline structures to the right of 6 mm. close followup recommended. final report study: ct of the head without contrast. history: 72-year-old male with subdural hematoma. assess for residual blood. comparisons: ct . technique: mdct axial images of the head were obtained. findings: there has been interval removal of an intracranial catheter. the patient is status post left frontal craniotomy. a mixed attenuation collection overlies primarily the left frontoparietal convexity. there are areas of increased attenuation within this collection, which suggest ongoing bleeding. several areas of pneumocephalus are compatible with recent craniotomy. the total diameter of this collection measures approximately 11 mm, which is slightly larger compared to the previous measurements of 8 mm allowing for slight differences in technique. there is persistence of adjacent sulcal enfacement, particularly notable superiorly within the frontal lobe. there is shift of normally midline structures to the right of approximately 6 mm, which is probably unchanged compared to the previous shift of 5 mm. the visualized paranasal sinuses and mastoid air cells appear grossly clear. multiple staples and subcutaneous emphysema are noted along the subcutaneous tissues overlying the left frontal bone and site of craniotomy. impression: persistence of left extra-axial collection status post catheter removal with several areas of increased density suggestive of ongoing hemorrhage. persistent shift of normally midline structures to the right of approximately 6 mm. continued close followup is advised. the study and the report were reviewed by the staff radiologist. dr. dr. . approved: tue 9:31 am , m 72 neurophysiology report eeg study date of object: r/o seizure. referring doctor: dr. findings: abnormality #1: there is diffuse mixed theta/delta frequency slowing seen broadly across the left hemisphere. background: showed generally a low voltage fast activity across the right hemisphere. the posterior predominant rhythm on the left reached an 8 hz maximum. hyperventilation: could not be performed. intermittent photic stimulation: produced no activation of the record. sleep: the patient progressed from wakefulness to drowsiness but did not achieve stage ii sleep. cardiac monitor: showed a generally regular rhythm with an average rate of 60 bpm. impression: this is an abnormal routine eeg in the waking and drowsy states due to persistent left hemisphere mixed slow wave activity indicative of an area of broad subcortical dysfunction in this region. there are no epileptiform features noted. interpreted by: , l. (09-0955j) , m 72 radiology report mra neck w&w/o contrast study date of 8:30 pm , j. nsurg fa11 8:30 pm mr head w & w/o contrast; mra neck w&w/o contrast; mra brain w/o contrast clip # reason: evaluate for vascular abnormalities contrast: magnevist amt: 17 medical condition: 72 year old man with new onset dysarthria several days after crani for sdh reason for this examination: evaluate for vascular abnormalities contraindications for iv contrast: none. wet read: 11:16 am noa cute infarction; unchanged left sdh with mass effect on the cerebral hemisphere on the elft. patent major itnra and extra cranial arteries without focal flow limiting stenosis, occlusion or aneurysm more than 3 mm within the resolution of mra. final report indication: 72-year-old man with new-onset dysarthria several days after craniotomy for sdh, to evaluate for vascular abnormalities. comparison: ct of the head done on . technique: multiplanar t1- and t2-weighted imaging of the head was performed without and with iv contrast. 3d tof mr angiogram of the head, contrast- enhanced mr angiogram of the neck were performed, mip reformations of the arteries were obtained. findings: mri of the head: the left-sided convexity based subdural hematoma is again visualized, with small amount of air and mild displacement of the cerebral parenchyma. there is also edema of the left cerebral hemisphere, with decrease in the size of the cerebral sulci, the overall appearance not significantly changed compared to the prior ct study done on , allowing for the differences in the modalities. there are multiple small flair hyperintense foci noted in the cerebral white matter on both sides, in the frontal and the parietal lobes, periventricular and subcortical in location. there are no areas of restricted diffusion in the brain parenchyma. the visualized portions of the paranasal sinuses are clear. small areas of increased signal intensity are noted in the left mastoid air cells from mucosal thickening/fluid. 3d tof mr angiogram of the head: the left vertebral artery is dominant. the right posterior cerebral artery and the p1 and p2 segments are slightly tortuous with tortuous course of the junction of the p1 and p2 segments. the p1 segment on the left side is not visualized, with a fetal pca pattern. the a1 segment of the left anterior cerebral artery is slightly small in caliber and likely hypoplastic. the anterior communicating artery is faintly visualized. no areas of abnormal enhancement are noted in the brain parenchyma. enhancement of the meninges, likely relates to the recent surgery in the subdural hematoma on the left side. the tip of the basilar artery is slightly prominent related to the infundibula at the origins of the branch vessels. mr angiogram of the neck: the origins of the arch vessels are patent. there is common origin of the brachiocephalic trunk and the left common carotid artery, representing bovine arch variant. there is mild narrowing, at the origin of the left vertebral artery, which may relate to tortuosity or stenosis. however, there is no flow limitation distally. the right vertebral artery is small in caliber diffusely likely related to mild hypoplasia with the left being dominant, the narrowing is more prominent at the origin and v4 segment ; however, there is no flow limitation. the common carotid arteries are patent, as well as the cervical internal carotid arteries without focal flow- limiting stenosis, occlusion, or aneurysm. there is a short segment of mild- moderate stenosis in the left common carotid artery, seen only on the mips and not on the source images and hecne is of doubtful significance- no flow limitation distally. (series 106, im 6; series 108, im 5) the delayed phase images are not obtained on the mr angiogram. impression: 1. no acute infarction. 2. small-to-moderate size left-sided subdural hematoma, with small amount of air, and mass effect on the left cerebral hemisphere, with edema, unchanged compared to the most recent ct head study done on . 3. patent major intra- and extra-cranial arteries, without focal flow- limiting stenosis, occlusion, or aneurysm within the limitations of mr angiogram. please see the additional details above. 4. narrowing at the origin of the left vertebral artery, question tortuosity, or stenosis, no flow limitation distally; ? stenosis in the left common carotid artery- seen only on mips but not on source images; no flow limitation distally. dr. peri approved: 10:18 pm imaging lab eeg no final read at present - verbal report = normal ct brain final report pending brief hospital course: mr was admitted to the sicu for close observation and prepared for a left sided cranitomy for evacuation of subdural hematoma. on he underwent a craniotomy. post operatively he was monitored for 24 hours in the sicu his exam improved with no drift or weakness. on his first post operative day he was transferred to the surgical floor. he was tolerating a regular diet, pt eval stated pt was safe to go home. however family was uncomfortable taking pt home and was requesting rehab. during evaluation for re-hab on pod 5 he then developed severe dysarthria. repeat head ct was unchanged and mri/mra of brain and neck were negative for stroke. his eeg was also negative. over the next few days his speech/word finding improved. he did wax and wane with periods of aphasia and normal speech. there was concern for seizure so a 24hr eeg was done and shows normal activity. ct scan on day of discharge = stable. staples and sutures were removed from crani site. site without erythema. plan is for discharge home today with - pt and family agree with this plan. his exam remains non-focal. medications on admission: phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). simvastatin oral discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed. 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: do not drive while on this medication . disp:*30 tablet(s)* refills:*0* 6. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day): do not stop this medication on your own . disp:*120 capsule(s)* refills:*2* 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day): do not take at the same time as taking your dilantin . 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. outpatient lab work dilantin level albumin level please fax results to patients primary care physicians office discharge disposition: home with service facility: area discharge diagnosis: left sided subdural hematoma discharge condition: neurologically stable/ improved 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. ?????? you may wash your hair ?????? 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. ?????? do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. for 2 weeks. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. 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 a follow up appointment with dr to be seen in 4 weeks at / you will need a head ct without contrast at that time procedure: incision of cerebral meninges diagnoses: personal history of tobacco use abnormality of gait occlusion and stenosis of carotid artery without mention of cerebral infarction other emphysema dermatitis due to drugs and medicines taken internally headache subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness aphasia fall from other slipping, tripping, or stumbling raynaud's syndrome anorexia other and unspecified anticonvulsants causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to