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: no known allergies / adverse drug reactions attending: chief complaint: n/v major surgical or invasive procedure: : right parietal craniotomy and resection of tumor history of present illness: 48m with a hx of renal cell carcinoma and currently on sutent. he reports nausea/vomiting since thursday , he spoke to his oncologist who prescribed an antiemetic but recommended he go to the er for ivf if the nausea continued. he presented to the osh er on where a head ct showed a r ich that is concerning for a underlying mass. he was admitted and underwent a work up for this lesion. he was cleared for discharge home and returns on electively for resection of this lesion. past medical history: - rcc with mets to r lung and heart - back surgery to l5-s1 in , with no hardware, done at hospital in - tonsillitis as a child - history of pneumonia as a child - history of cholecystectomy in - history of questionable bronchitis in and , which may have reflected actual disease recurrence - depression - gerd social history: lives with his partner. worked as a mortgage banker and has been unemployed and on disability since . denies tobacco, reports social use of etoh. denies recreational drug use. was previous smoker x 20 + years family history: - mother: ra, dm, hypothyroidism - father: unknown to patient - daughter: hodgkin's lymphoma age 19 physical exam: gen: wd/wn, comfortable, nad. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. 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, 4 to 3 mm bilaterally. visual fields - left field cut. 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. left pronator drift sensation: intact to light touch coordination: l dysmetria on finger-nose-finger skin: scalp incisional wound cdi pertinent results: echo: left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). there is a mass or tumor in the right ventricle which fills the apex and extends well into the rv cavity. the mass measures 4.7 cm x 6.9 cm in mid-esophageal long axis view. the mass is seen extending into the rvot 1-2 cm from the pulmonic valve, however no turbulent flow is seen in the rvot by color flow doppler. the mean gradient is 1 mmhg at a blood pressure of 95/54. the right ventricular free wall thickness is normal. the right ventricular cavity is markedly dilated with focal hypokinesis of the apical free wall. the portion of right ventricular free wall that is unaffected by tumor appears to contract normally. there is abnormal diastolic septal motion/position consistent with right ventricular volume overload. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. mild to moderate (+) tricuspid regurgitation is seen. brain: impression: 1. short-term stability of extensive hemorrhagic mass in the right parietal lobe with additional smaller lesions in the left frontal and parietal lobes. 2. no evidence of new lesions. no new mass effect or hemorrhage. ct head: impression: postoperative changes from resection of right parietal mass. brain: impression: 1. status post right parietal craniotomy with expected post-surgical changes and blood products in the surgical bed; with gadolinium contrast, no frank evidence of residual mass lesion is identified; however, close followup is recommended. 2. no diffusion abnormalities are detected to suggest acute or subacute ischemic changes. persistent vasogenic edema and asymmetry of the right ventricular trigone and right temporal ventricular . there is no evidence of new areas with abnormal enhancement. brief hospital course: patient electively presented and underwent craniotomy and resection of mass. surgery was without complication. please see the operative report for details. he was extubated and transferred to the icu. post operatively he had persistent left field cut/ slight left pronator drift but was otherwise neurologically well. he had persistent n/v therefore multiple anti-emetics were ordered. head ct was stable post op, with no hemorrhage. he was continued on ivf with a goal of euvolemia. the following day his nausea continued. ivf's and decadron 4mg q6h were continued. he underwent an for post op evaluation which revealed post operative changes. he was kept in the icu for close observation and euvolemia maintenance. he was transferred to the floor. during his decadron taper his left sided drift/weakness slightly worsened. his decadron was increased again. he was seen by pt and ot and they recommend dicharge extended care facility with pt/ot services. medications on admission: 1. citalopram 20 mg tablet sig: 0.5 tablet po qhs (once a day (at bedtime)). 2. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 3. dexamethasone 4 mg tablet sig: one (1) tablet po q8h (every 8 hours). disp:*30 tablet(s)* refills:*0* 4. keppra 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*1* 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily) as needed for shortness of breath or wheezing. 6. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for sob. 7. zofran odt 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po every 4-6 hours as needed for nausea. disp:*30 tablet, rapid dissolve(s)* refills:*1* 8. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 9. oxycodone 5 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. disp:*30 tablet(s)* refills:*0* discharge medications: 1. dexamethasone 2 mg tablet sig: one (1) tablet po q 8hrs () for 99 days: 4q8 on 3q8 on 2q8 on 2 thereafter. 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for sob. 3. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 4. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). 5. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for headache/. 6. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 9. baclofen 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for neck pain. 10. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 11. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: discharge diagnosis: right parietal lesion cerebral edema discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: general instructions/information you restart your coumadin 2 weeks from your date of surgery / your start date will be ?????? 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 after 3 days. ?????? 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. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? if you are being discharged 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. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer upon discharge. followup instructions: follow-up appointment instructions **** you have an appointment in the brain clinic on at 3pm **** you will need to come in earlier that same day for an - you should come to the department of radiology phone: date/time: 1:15 / this is also on the ********** 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: esophageal reflux secondary malignant neoplasm of other specified sites depressive disorder, not elsewhere classified secondary malignant neoplasm of brain and spinal cord cerebral edema long-term (current) use of anticoagulants secondary malignant neoplasm of lung personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to