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: flovent diskus attending: chief complaint: he states that he "just feels slow" and his voice is lower than usual. he also reports a headache that is a that starts in the r shoulder and radiates up the neck across the cheek over to the r eyebrow. he states it is worse in the morning and is relieved throughout the day. he also reports some dizziness and intermittent episodes of visual disturbances. he describes the visual disturbances as "black outs" that last approximately 1 minute and leaves him feeling unsteady. he denies any nausea or vomiting. major surgical or invasive procedure: right temporal craniotomy for tumor resection. history of present illness: 76 y/o m with pmhx of acom aneurysm and sah in presents to clinic c/o fatigue since middle . he states that he "just feels slow" and his voice is lower than usual. he also reports a headache that is a that starts in the r shoulder and radiates up the neck across the cheek over to the r eyebrow. he states it is worse in the morning and is relieved throughout the day. he also reports some dizziness and intermittent episodes of visual disturbances. he describes the visual disturbances as "black outs" that last approximately 1 minute and leaves him feeling unsteady. he denies any nausea or vomiting. mri of head showed a new large r temporal lobe mass. he was directly admitted to for further neurosurgical intervention. past medical history: patient has h.o htn recent sah occ asthma, not on any ppx medication he had a laminectomy in multiple skin ca removals social history: married and lives at home with his wife. three daughters, two who live here in mass and a third who lives in . family history: nc physical exam: gen: wd/wn, comfortable, nad. heent: atraumatic, normocephalic pupils:3-2mm bilaterally eoms: intact with vertical nystagmus neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm 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 throughout. no pronator drift sensation: intact to light touch discharge exam: awake and alert, cn 2-12 grossly intact. speech clear. motor exam full. incision: c/d/i and closed with staples. pertinent results: mra brain: the head mra demonstrates a small coil pack within the region of anterior communicating artery. no evidence of recanalization of the aneurysms identified. a small basilar tip aneurysm is again identified. no evidence of vascular occlusion seen. there is displacement of the right middle cerebral artery and elevation of the m1 segment secondary to mass in the temporal pole. impression: no evidence of aneurysm recanalization. basilar tip aneurysm again noted. mri brain: there is now a new large area of edema identified in the right temporal lobe extending to the basal ganglia region. there is irregular rim-enhancing mass identified on post-gadolinium images, measuring approximately 6 x 4 cm in the anterior, posterior, and transverse dimensions. there is mass effect on the right lateral ventricle with mild midline shift. there are no other areas of abnormal enhancement seen. no acute infarct is identified. diffusion images demonstrate no evidence of abnormalities on the adc to indicate low defect slow diffusion within the region of mass. post op head ct: status post resection of the right temporal lobe mass, with continued mass effect and only minimal improvement in leftward midline shift. post op mri:1. status post right temporal craniotomy and partial tumor resection, with residual nodular enhancement consistent with residual tumor. minimal interval improvement in mass effect. 2. new area of slow diffusion within the right temporal lobe, posterior to the resection cavity, consistent with an acute infarction. 3. bifrontal subdural fluid, blood and air, causing mild mass effect on the frontal lobes. brief hospital course: mr. was admitted to the neurosurgery service on the floor and had a stable course preoperatively. some question about left ankle swelling prompted us to obtain a left lower extremity doppler to rule out a dvt which was negative. he was seen by neuro oncology for recommendations. we will have him follow up with them post operatively and when we have a tissue diagnosis. he was taken to the operating room on monday for resecton of his right temporal mass which was performed without complication. he was transferred to the pacu in stable condition and remained there overnight for close neurological observation. a post op ct was performed and not hemorrhage was appreciated. on he remained neurologically intact. his post op mri was performed. he was cleared for transfer to the floor. physical therapy was consulted to assist with discharge planning. physicial therapy cleared the patient for discharge home with family supervision which he will have. patient will follow up in dr. office for a wound check and in brain tumor clinic for treatment of his brain tumor. medications on admission: dexamethasone - 1 mg tablet - 2 tablet(s) by mouth q6hrs gabapentin - 100 mg capsule - 1 capsule(s) by mouth daily, taper up as directed hydrocodone-acetaminophen - 5 mg-500 mg tablet - 0.5 (one half) tablet(s) by mouth every 6 hours as needed for pain phenytoin sodium extended - 100 mg capsule - 1 capsule(s) by mouth three times a day take 5 tabs at noon, then 5 tabs at bedtime. starting take 1 tab 3 times daily. 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. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 4. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 7. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. dexamethasone 2 mg tablet sig: 1.5 tablets po q8h (every 8 hours). disp:*135 tablet(s)* refills:*1* discharge disposition: home discharge diagnosis: right temporal brain tumor discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - with family supervision discharge instructions: general 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 only after sutures and/or staples have been removed. ?????? you may shower before this time using a shower cap to cover your head. ?????? 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, and ibuprofen etc. ?????? 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, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in _7-10___days from the date of your surgery removal of your staples. you also have the following appointment with dr. . provider: , md phone: date/time: 10:30 procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: unspecified essential hypertension asthma, unspecified type, unspecified personal history of other malignant neoplasm of skin cerebral edema malignant neoplasm of temporal lobe 

Answer: The patient is high likely exposed to