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: history of present illness: no medical history until when she presented to her primary care physician with complaints of right upper and lower extremity weakness of approximately three weeks duration. an mri done at an outside hospital on , reportedly showed four enhancing lesions (lesion #1 is the largest lesion, measuring approximately 14 mm x 14 mm x 8.0 mm in the left thalamic region with surrounding edema extending to the left mid brain with compression.) at that time the patient had no pulmonary complaints, but a chest x-ray on , demonstrated a right upper lobe lesion with a question of mediastinal adenopathy and a chest ct scan performed the next day revealed a 3.7 cm x 2.4 cm right upper lobe mass with right hilar, precarinal lymphadenopathy. together these findings are suspicious for a primary lung cancer. an initial bronchoscopy was unsuccessful. on repeat bronchoscopy, there are clusters of atypical glandular cells, suspicious for adenocarcinoma. mrs. was administered approximately fourteen doses in all. her last dose was in late . she subsequently completed a decadron prior to considering chemotherapy. mammography demonstrated two lesions on the right breast. a chest ct scan demonstrated a right upper lobe mass, but no mediastinal lymphadenopathy and low attenuation lesions of the liver, suspicious for primary lung carcinoma. ct scan guided biopsy of the chest lesion was performed at - on . the procedure was complicated by a small persistent right apical pneumothorax. at the time of admission, pathology was still pending. on the day of admission, the patient was watching television at home. she was in her usual state of health. she was noted to be "zoned out" and staring blankly into space. her head turned to the right side and she had a generalized tonoclonic seizure for at least several seconds. the patient's husband could not recall the duration of seizure activity. the patient and her husband, who witnessed the seizure, denied any urinary or bowel incontinence. the patient was taken to the emergency department where she went for a head ct scan to evaluate. she apparently had a second seizure while in the ct scan room. a medical emergency was called, the patient was given 2.0 mg of iv ativan. she later received an additional 3.0 mg of iv ativan. after the head was examined, she was reported to be somnolent with a respiratory rate ranging from 8 to 12 breaths per minute. at that point, she was taken to the medical intensive care unit for observation. in the medical intensive care unit, her blood pressure responded to intravenous fluid resuscitation. she had no further seizure activity while in the medical intensive care unit. past medical history: metastatic cancer, brain and liver, presumably from the right lung mass. details described in history of present illness. admitting medications: formally on decadron, tapered off in mid . no other medications. allergies: no known drug allergies. social history: she is originally from county in . she is married. she has a distant history of tobacco use. family history: no history of cancer. physical examination: temperature 98.6 f, blood pressure 124/70, heart rate 82 and regular, respiratory rate 18 breaths per minute. in general, she was somnolent, opens her eyes to noxious, but not verbal stimuli. she does not follow commands during the examination. pupils are equal, round, and reactive to light, extraocular movements are intact without nystagmus. the trachea was midline. the neck was supple without lymphadenopathy. the heart was regular in rate and rhythm, there were normal first and second heart sounds, no murmurs, rubs, or gallops. the lungs had decreased breath sounds diffusely, but no crackles or wheezes were appreciated. there was a poor inspiratory effort. the abdomen was soft and nontender, there were normoactive bowel sounds. the extremities were warm with palpable peripheral pulses and without edema. no lymph nodes were appreciated. neurologically she was not oriented to person, place, or time. cranial nerves ii through xii are grossly intact. the examination was limited due to lack of cooperation on the patient's part. muscle tone was markedly increased in the right lower extremity. it was impossible to perform a thorough motor / sensory examination secondary to patient's inability to follow commands. deep tendon reflexes were 2+ and symmetric. laboratory data: laboratory values on were notable for a white count of 9.1 with 89% neutrophils and 7% lymphocytes, hematocrit 38.9%. pt 12.3, ptt 27. sodium 137, potassium 3.7, chloride 101, bicarbonate 24, bun 11, creatinine 0.7, glucose 151. alt 15, ast 19, alkaline phosphatase 81, albumin 4.0, amylase 43, total bilirubin 0.4, lipase 37. laboratory values on were notable for a white count of 5.6, hematocrit 35.6, platelets 220,000. sodium 137, potassium 3.7, chloride 101, bicarbonate 25, bun 11, creatinine 0.7, glucose 151. dilantin 17.7 (normal value of dilantin is ). the head without contrast on demonstrated a 13 mm x 18 mm mass with high attenuation in the left frontal lobe with associated edema, extending to the cerebral peduncle. no frank hemorrhage or midline shift was appreciated. x-ray demonstrated a small apical pneumothorax post lung biopsy, which is unchanged from the previous x-ray two days ago. pathology per the lung biopsy came back positive for a non-small cell adenocarcinoma. hospital course: mrs. was transferred from the medical intensive care unit to the omed service for further management of her adenocarcinoma. she was started on decadron and dilantin for seizure prophylaxis and reduction of cerebral edema associated with her metastatic disease. she remained without seizure activity for the duration of her stay on the omed service. her mental status gradually cleared during the course of her stay on the omed service. it was thought that her initial decline in mental status was due to the combination of the high dose of intravenous ativan she received immediately following her seizure and the effects of cerebral edema. as the decadron had a chance to take effect and the ativan had a chance to be metabolized, her mental status improved. at the time of discharge, her mental status was back to baseline. her neurological examination at the time of discharge was notable for: alert and oriented to person, place, and time with good naming and short-term and long-term memory. cranial nerves ii through xii were intact. motor strength was on the right side and on the left side. her examination was grossly normal. hemodynamically her blood pressure remained stable throughout her admission on the omed service. she did not require any intravenous fluid or medications. discharge medications: decadron 6.0 mg qid, protonix 40 mg q day, dilantin 300 mg q hs. discharge diagnosis: metastatic non-small cell adenocarcinoma. follow up: mrs. will follow up in the clinic on , with her oncologist, dr. . , m.d. dictated by: medquist36 procedure: magnetic resonance imaging of brain and brain stem computerized axial tomography of head diagnoses: malignant neoplasm of liver, secondary other convulsions secondary malignant neoplasm of brain and spinal cord malignant neoplasm of upper lobe, bronchus or lung 

Answer: The patient is high likely exposed to