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: slurred speech major surgical or invasive procedure: l crani for tumor resection history of present illness: 79 f with no past oncologic history who presented with a transient episode of speech slurring. work up included an mri that demonstrated a 2 cm left frontal parietal lesion with peri-lesion edema. subsequent oncologic work up revealed no evidence of systemic cancer. the patient presents for consideration of craniotomy for resection and tissue diagnosis. since the episode of speech slurring, the patient's family noted a change in the quality of her voice. the review of system is otherwise unremarkable. past medical history: htn, hypercholestrolemia, gerd, vulva lesion (resected). meds: gemfibrozil, amoldipine, atenolol, kcl,zantac, mvi, asa (discontinued for the past week) allergy: nkda social history: n/a family history: fh: mother died of chf. two children died of metastic cancer. sh: 25-30 pk/year smoking history, no significant alcohol use. denied ilicit drug use. physical exam: on examination, the patient is awake, alert, and appropriate. ltm: intact to birthday and home address stm: items at 3 minutes as: difficulty with serial 3's after the first two digits speech fluent though with squeaky pitch. followed simple and complex commands named objects. intact repetition. eomi. vff. perrl 3 mm. fs. ss/hearing symmetric. t/u midline. normal bulk and tone. full strength throughout. sensation intact to lt. symmetric reflex 1+. normal ftn and romberg. normal gait. mri: 2.4 x 1.4 x 2.1 cm superficial left frontal mass (contrast enhancing) anterior to the motor strip with peri-mass edema discharge exam: as above. slight expressive aphasia. full motor/sensory. pertinent results: admission labs: 09:03am hgb-11.3* calchct-34 09:03am glucose-103 lactate-1.6 na+-136 k+-3.6 cl--103 discharge labs: 05:30am blood wbc-4.9 rbc-3.58* hgb-11.0* hct-33.3* mcv-93 mch-30.6 mchc-33.0 rdw-13.9 plt ct-252 05:30am blood pt-12.2 ptt-25.0 inr(pt)-1.0 05:30am blood glucose-114* urean-20 creat-0.6 na-140 k-3.9 cl-105 hco3-27 angap-12 imaging: mri head : preoperative planning study demonstrates a 1.8 cm left frontal lobe mass which appears dural-based and intra-axial. the differential diagnosis includes a metastasis. the appearances lthough not typical for meningioma, it should also be considered in differential diagnosis. head ct : expected appearance, status post craniotomy. no evidence of new hemorrhage, infarct or hydronephrosis. mri is better able to detect acute infarct if clinically suspected mri : 1. post-surgical changes in the left frontal lobe with blood products at the surgical site and pneumocephalus. 2. restricted diffusion is identified at the margin of surgical cavity which would be postoperative in nature but there is also noted a linear component which extends further deep into the white matter from the surgical cavity and could be related to associated area of ischemia. clinical correlation recommended. 3. extensive changes of small vessel disease. 4. left frontal lobe edema unchanged from previous study. 5. no evidence of hydrocephalus. brief hospital course: the patient tolerated her procedure well, and following extuabtion was transferred to the pacu. her sbp was kept less that 160, and her neuro exam was closely followed. her post op head ct demonstrated edema. on examination, patient's speech garbled with expressive aphasia. she was transferred to sicu and mri was ordered to rule out infarct. mri showed increase in edema and steriods were kept at 4mg q6h. she was monitored closely for one more day in the sicu and transfer orders for the floor were written. she remained in the sicu while awaiting a floor bed and her aphasia improved to her baseline speech by pod2. patient had full strength throughtout and was otherwise non-focal. physical and occupational therapy were consulted on and the felt she needed another day prior to being discharged. she was trasnferred to the floor on . she was discharged to home on . medications on admission: tylenol, atenolol, amlodopine, bactrim, decadron, lopid, lorazepam, k-dur, premarin, protonix discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever. disp:*30 tablet(s)* refills:*0* 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po 3x/week (mo,we,fr). 5. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 6. atenolol 25 mg tablet sig: one (1) tablet po bid (2 times a day). 7. conjugated estrogens 0.625 mg tablet sig: one (1) tablet po 2x/week (mo,we) for 3 weeks. 8. amlodipine 2.5 mg tablet sig: one (1) tablet po bid (2 times a day). 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 10. dexamethasone 4 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*0* 11. levetiracetam 250 mg tablet sig: four (4) tablet po bid (2 times a day). disp:*240 tablet(s)* refills:*0* 12. oxycodone 5 mg capsule sig: capsules po every 4-6 hours as needed for pain. disp:*40 capsule(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: metastatic brain tumor discharge condition: . mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. 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: o narcotic pain medication such as dilaudid (hydromorphone). o 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. if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? 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. ?????? if you are being sent home on steroid medication, 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 a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????you have an appointment in the brain clinic on at 3 pm. the brain clinic is located on the of , in the building, . this is a multi-disciplinary appointment. 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 with/ or without gadolinium contrast. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain arterial catheterization diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension other malignant lymphomas, unspecified site, extranodal and solid organ sites cerebral edema aphasia 

Answer: The patient is high likely exposed to