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: sulfa (sulfonamides) attending: chief complaint: change in mental status major surgical or invasive procedure: stereotactic brain biopsy craniotomy, tumor resection history of present illness: 64 year old female presents with change in mental status according to her son. she did not answer the phone that morning and when he arrived she appeared confused, slightly lethargic and was slightly off balance when walking. the patient did not fall or have loc. this was abnormal for her. at baseline, she is fully independent and works in advertising. the patient does not have any headache, n/v, chest pain, or sob. she does complain of chronic back pain as well as constipation. she has no known cancer anywhere in her body. past medical history: emphysema osteoporosis chronic low back pain social history: lives alone, works in advertising, has a son and a sister family history: non-contributory physical exam: gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms-intact 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, place, and date with prodding. language: speech fluent with some difficulty with comprehension. good repetition. some difficulty with word finding. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2 to 1 mm bilaterally. 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 bilaterally. toes downgoing bilaterally pertinent results: mr head w & w/o contrast 8:57 pm extensive edema in the left frontal lobe extending to the corpus callosum with rim-enhancing masses as described above. the lack of slow diffusion suggest masses to be due to neoplasms. chest (pa & lat) 7:15 pm spiculated nodule within the right upper lobe, and a second possible nodule within the left upper lobe. further evaluation with ct scan is recommended. ct chest w/contrast 11:12 am no evidence of neoplasm in the chest, abdomen, or pelvis. pathology: metastatic adenocarcinoma with papillary features, some mucin production, and extensive necrosis. mr : : complete resection of the superior left frontal mass and partial resection of the inferior left frontal mass with postoperative changes at the surgical sites. new pneumocephalus in left frontal craniotomy. brief hospital course: because of change in mental status and masses with enhancement found on head ct, patient was admitted on . patient was loaded with dilantin, given decadron, and an mri of brain and spine were ordered. neuro oncology was also consulted. as part of the metastatic disease workup, a torso ct was obtained, which was negative. patient also previously had a bone scan and mammogram in , which were negative from reports. on a stereotactic brain biopsy was obtained which showed carcinoma. on the patient was taken for craniotomy and tumor resection. post operatively, she had significant edema on mri and will therefore be continued on decadron 2mg until radiosurgery has been administered. she is also on dilantin right now for seizure prophylaxis and has been started on keppra 500mg . the keppra will need to be increased by 250mg every 3 days to a goal of 1000mg . once keppra is at a therapeutic dose, the dilantin can be discontinued. her mental status has greatly improved since the the surgery. she continues to be a little slow to respond and have some difficulty finding words at times. she has some upper and lower extremity weakness with her triceps and iliopsoas muscles. she also has some gait difficulty. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po bid (2 times a day). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 4. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 6. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 9. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day): 1 tablet x 3 days. on , take 1.5 tabs in the am and 1 tab in the pm. on , take 1.5 tabs in the am and pm. on , take 2 tabs in the am and 1.5 tabs in the pm. on , take 2 tabs in the am and pm. continue at that dose. 12. dexamethasone 2 mg tablet sig: one (1) tablet po q12 (). 13. fluoxetine 20 mg capsule sig: one (1) capsule po bid (2 times a day). 14. insulin regular human 100 unit/ml solution sig: sliding scale injection qac + hs: 121-140 2 units, 141-160 3 units, 161-180 4 units, 181-200 5 units, etc. discharge disposition: extended care facility: hospital - discharge diagnosis: brain tumor discharge condition: neurologically stable discharge instructions: discharge instructions for craniotomy ??????have a 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, excessive bending ??????you may wash your hair only after sutures and/or staples have been removed ??????you may shower before this time with assistance and use of a shower cap ??????increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ??????unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ??????if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ??????clearance to drive and return to work will be addressed at your post-operative office visit 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, drainage ??????fever greater than or equal to 101?????? f followup instructions: you may return to the office in four days for removal of the staples. the phone number for the clinic is . the rehabilitation facility can also remove the staples. you have an appointment in the brain clinic at 2pm. please bring a list of all medications (including vitamins and herbal supplements) with you to this appointment. you also have an appointment with oncology on . procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges closed [percutaneous] [needle] biopsy of brain diagnoses: adrenal cortical steroids causing adverse effects in therapeutic use personal history of tobacco use secondary malignant neoplasm of brain and spinal cord malignant neoplasm of bronchus and lung, unspecified osteoporosis, unspecified cerebral edema other emphysema toxic myopathy backache, unspecified aphasia 

Answer: The patient is high likely exposed to