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: decline in mental status. major surgical or invasive procedure: resection of r cerebellar mass with placement of right intraventricular, occipital drain. subsequent placement of right anterior ventricular drain. history of present illness: 85 yo male with atrial fibrillation on coumadin, cad, chf, copd and a hx of prostate ca who initially presented to on with mild confusion, increasing sob over several days, unresponsive to his copd medications and n, with vomiting. his labs were significant for wbc 23.8 (diff 85n, 5b, 3 %lymph) inr 2.6, k 3.2, elevated creat 1.6 (up from baseline 1.3) and a trop of 0.2, ck 63, mb 2.6. his ekg was notable for a rbbb but did not show any changes to prior. his cxr was notable for rll patchy infiltrate and lll consolidation. an abg showed ph 7.55, pco2 37, po2 50. d-dimer was negative. he was thought to have a cap with superimposed chf and possible exacerbation of his copd. he was given albuterol nebs, lasix, solumedrol, levaquin, morphine. on he was was found to be increasingly confused and noted to be exhibiting bizarre behavior. a head ct was done and showed 5x2cm r cerebellar hemorrhage with mild mass effect. 2u ffp, vi k, dilantin load and lasix and nitropaste for edema associated with ffp transfusion. he was transferred to for further management. past medical history: 1 atrial fibrillation on coumadin 2 cad s/p cabg in , s/p mi 3 chf (last echo in ' showed right ventricular cavity enlargement with free wall hypokinesis and severe pulmonary artery systolic hypertension (63mm gradient) consistent with cor pulmonale), mild mitral regurgitation. low normal left ventricular systolic function. ef 50-55%. 4 mild dementia 5 htn 6 emphysema and reactive airway dz on home o2 and nite cpap (followed by dr.)- fev1 and vital capacity .85 and 2.4 (45 and 77% of predicted) 7 cri (baseline 1.3) 8 gerd 9 lgib - last colonoscopy in : non-bleeding telangiectasias were seen near the ileocecal valve and in the cecum. there were no stigamata of recent bleeding. diverticulosis of the sigmoid 10 chronic severe bilateral leg pain spinal stenosis 11 djd s/p tkr 12 depression social history: lives w/ his wife; remote tobacco use; no alcohol or illicit drug use. family history: non-contributory. physical exam: pe: vs: 98.2, hr 78, bp 130/56, rr 27, o2sat 96 on 2l gen: nad, occ non-voluntary movement of r arm heent: ng tube in place, arcus senilis, perrla, eomi, mm dry with crusty surface on palate neck: jvd 14cm, no lad, lij in place, no erythema on insertion site cv: irreg, irregular, no m/r/g lungs: decerased breath sounds at bases, crackles b/l half way up, no wheezes, or rhonchi abdmonen: soft, nt, nd, +bs ext: in pneumoboots, +dp neuro: cn ii-xii intact, strength 5/5 b/l, hyperactive reflexes b/l, babinsky +r, ?l, sensitivity grossly intact, hemiballismus of r arm, fft with action and intention tremor, ametry. speech slurry but understanding intact. pertinent results: 11:36pm pt-18.3* ptt-34.1 inr(pt)-2.3 11:36pm plt count-235 11:36pm wbc-21.4*# rbc-3.39* hgb-10.7* hct-30.0* mcv-89 mch-31.5 mchc-35.6* rdw-14.4 11:36pm calcium-9.4 phosphate-3.8 magnesium-2.3 11:36pm glucose-195* urea n-48* creat-1.6* sodium-131* potassium-3.9 chloride-88* total co2-29 anion gap-18 . brief hospital course: here, on the , the pt had a right cerebellar craniotomy that revealed a cerebellar hemorrhage as well as a mass in the r cerebellum. he had removal of mass and a placement of a right intraventricular, occipital drain in or. the pathology revealed a poorly differentiated carcinoma most consistent with small cell carcinoma, concerning for small ca of lung/ neuroendocrine ca or less likely melanoma or lymphoma. he underwent ct of chest/abd/pelvic. that revealed multiple mass lesions within the liver, mediastinum, lung, pelvis, and left inguinal region, concerning for diffuse metastatic disease. one large lesion within the pelvis is contigous with the prostate, possible exophytic prostate lesion or a metastatic focus invading into the prostate. also, bilateral pleural effusions were seen. the occipital intraventricular drain was removed on the and a right anterior ventricular drain placed on the , b/o a new component of cerebellar hemorrhage involving the vermis. the pt was extubated on the . ct of the head showed stability of the ich over the next days. the pt's second drain was removed on the . the pt also received 5u of prbc during his operation and 4u of ffps. he continued to improve in his mental status although to remained with severe dysarthria and dystaxia due to his cerebellar lesion and involvement of other cranial nerves such as the hypoglossus. the pt's prognosis was infaust. further management of the underlying cancer was discussed with the pt and he refused radiation of chemotherapy and requested comfort care. this was also in accordance to his living will. palliative care and social work were consulted for a meeting with all teams involved in the pt's care and the family. it was decided to treat the pt with comfort measures only. the pt died on the at 11.30am. . medications on admission: coumadin 7' zocor 10' zoloft 50' metolazone 2.5' lasix 40", protonix 40' kcl 20 meq qday nebs with home o2 at 2lnc ceftriaxone/zithromax started osh for pna discharge medications: none discharge disposition: expired discharge diagnosis: metastatic cancer of unknown primary discharge condition: expired procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain insertion of endotracheal tube enteral infusion of concentrated nutritional substances transfusion of packed cells transfusion of other serum ventricular shunt to extracranial site nec ventricular shunt to extracranial site nec transfusion of platelets diagnoses: obstructive hydrocephalus malignant neoplasm of liver, secondary congestive heart failure, unspecified acquired coagulation factor deficiency chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate intracerebral hemorrhage secondary malignant neoplasm of brain and spinal cord long-term (current) use of anticoagulants secondary malignant neoplasm of lung other malignant neoplasm without specification of site 

Answer: The patient is high likely exposed to