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: compazine / zofran attending: chief complaint: intractable nausea/vomiting and headache major surgical or invasive procedure: : left posterior fossa craniotomy for tumor resection history of present illness: ms. is a 37 y/o female with metastatic colon cancer. she was diagnosed with poorly differentiated adeno carcinoma in and has been followed closely by hematology for her metastatic disease. since her initial diagnosis, she has had mets to the lung, abdominal wall and pelvis. she presented today with complaints of intractable nausea and worsening headaches. she was sent for a ct of her head while in clinic which showed a new large left cerebellar lesion. she was then directed to come to the emergency department for further neurosurgical care past medical history: oncologic history: bezabhe was diagnosed with t3, n2, stage iiic colon cancer in by colonoscopy. she underwent right hemicolectomy on with resection of a 4.5cm poorly differentiated adenocarcinoma with lymphovascular invasion. seven of thirteen nodes were involved. mri of the abdomen at the time of diagnosis showed two hepatic hemangiomas; no metastasis. she then completed six months of adjuvant chemotherapy with 5-fu/leucovorin after having failed oxaliplatin due to severe nausea. cancer recurred with krukenberg tumor resected by left salpingoophorectomy and right salpingectomy in , and again in right ovary status post right salpingoophorectomy in 8/. cea rose and she was found to have pulmonary metastasis and then treated with irinotecan/erbitux, completed in 4/. . cea noted 95->276 in , ct torso on shows disease progression in the thorax and pelvis. she started first cycle of cpt-11 and erbitux on . . . pmh: - colon cancer as above - bilateral oophorectomies - now on hrt social history: originally from , now living with her siblings in , ma, denies etoh, tobacco, or ivdu. family history: unaware of incidence of colorectal, gastric, uterine, ovarian ca in . physical exam: exam on discharge: patient is oriented x 3. perrl, eoms intact. face symmetric. tongue midline. no pronator drift. strength full throughout. sensation intact. nausea and vomiting have resolved. cerebellar incision is clean, dry, and intact. pertinent results: labs on admission: 09:30am blood wbc-7.1 rbc-4.13* hgb-11.9* hct-36.9 mcv-89 mch-28.8 mchc-32.3 rdw-16.8* plt ct-231 05:53am blood pt-11.9 ptt-22.1 inr(pt)-1.0 09:30am blood urean-5* creat-0.4 na-138 k-3.2* cl-103 hco3-24 angap-14 05:53am blood calcium-9.1 phos-3.1 mg-1.9 labs on discharge: xxxxxxxxxxx ------------ pertinent imaging: ------------ mri head : 3cm x 2.5cm mass in the posterior fossa. there is mass effect on the fourth ventricle. there is no hydrocephalus. mri head (post-op):showing gross total resection of mass. ct head : dilitation of temporal horns, with mass effect to the basal cisterns and 4th ventricle. brief hospital course: patient was admitted to the neurosurgery service after being referred to the emergency department for a newly identifed posterior fossa mass. she was admitted to the icu for frequent neuromonitoring, and surgical planning. she was additionally started on decadron to treat surrounding mass effect. she was then taken to the or on , for posterior fossa craniotomy and mass resection(preliminary pathology is metastatic carcinoma). she tolerated this procedure well, and was returned to the icu for routine post-craniotomy care. on , she had her post-resection mri of the head which showed gross total resection with a small amount of expected blood in the surgical cavity. she was then transferred to the neurosurgical floor, and decadron taper initiated. on , she complained of nausea, vomiting, and subtle visual changes. a stat head ct was performed, showing early hydrocephalus and worsened mass effect. fortunately, her neurological examination remained unchanged in this setting. she was given decadron, mannitol and lasix, and transferred to the icu for scrupulous neurological monitoring. on , head ct was repeated showing significant improvement. mannitol taper was began. in the afternoon of , she was transferred to the neurosurgical stepdown unit. the mannitol was tapered off and completed on . the patient continued to do well neurologically and she was started on a decadron wean on . the patient was taking in food without difficulty, and had no nausea or vomiting. pt recommended home with services for assistance with balance training. she was discharged to home on medications on admission: -ondansetron 4 mg tablet, rapid dissolve -prempro 0.625-2.5 mg tablet sig: one (1) tablet po daily (). -ranitidine hcl 150 mg tablet -docusate sodium 100 mg tablet -senna 8.6 mg tablet -prednisone 20 mg tablet -codeine-guaifenesin 10-100 mg/5 ml syrup -morphine 10 mg/5 ml solution discharge medications: 1. methocarbamol 500 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*0* 2. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 5. dexamethasone 2 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 6. outpatient physical therapy discharge disposition: home with service facility: homecare discharge diagnosis: left cerebellar mass **prelim pathology is metastatic carcinoma intractable nausea/vomiting discharge condition: neurologically stable discharge instructions: general instructions wound care: ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your sutures are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. be sure however, to remain well hydrated, and increase your consumption of fiber, as pain medications may cause constipation. medications: ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: -narcotic pain medication such as dilaudid (hydromorphone). -an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. ?????? you are being sent home on steroid medication(tapering to a standing dose of decadron 2mg twice daily), make sure you are taking a medication to protect your stomach (prilosec, protonix, or pepcid), as these medications can cause stomach irritation. make sure to take your steroid medication with meals, or a glass of milk. activity: the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: follow up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your sutures and a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . ??????you have an appointment in the brain clinic on at 1:00 pm with dr. . the brain clinic is located on the of , in the building, . their phone number is . please call if you need to change your appointment, or require additional directions. ??????you will not need an mri of the brain as this was completed during your acute hospitalization. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: secondary malignant neoplasm of other specified sites nausea with vomiting secondary malignant neoplasm of brain and spinal cord personal history of malignant neoplasm of large intestine hemangioma of other sites secondary malignant neoplasm of lung communicating hydrocephalus 

Answer: The patient is high likely exposed to