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: penicillins / chocolate flavor / phenytoin attending: chief complaint: right sided brain mass major surgical or invasive procedure: right craniotomy for mass resection history of present illness: patient is a 50m who presented electively for resection of right sided brain mass on . past medical history: - glioblastoma multiforme (who iv) s/p resection () and chemoradiation therapy (completed ). - complex partial seizures - migraines - hypertension social history: born in , migrated to the us about six years ago, lives in , ma. he is single and recently moved in with his friend of over twenty years; this friend is also his hcp , ). was working in maintenance prior to gbm surgery and now has a desk job 25-30 hours/week at the same company. denies history of smoking, illicits. former social drinker but not since surgery. family history: cad (mother, cause of death at 82yo) prostate cancer (74yo) physical exam: on discharge:pt is sitting up in bed with his street clothes on waiting for discharge. his family is in the room. at the time of the exam, he denies headache, nausea, vomiting,numbness,or visual disturbances, vital signs remain stable.alert and oriented x 3, follows commands consistently, eyes open spontaneously, strength 5/5 bilateral upper extremities/bilateral lower extremities, slight nasolabial flattening on the left, tounge midline, pupils 4-3 mm perrl bilaterally, toes downgoing, speech is clear, pt is independent for ambulation and activities of daily living. pertinent results: 02:31am blood wbc-10.1# rbc-4.83 hgb-13.8* hct-39.7* mcv-82 mch-28.5 mchc-34.6 rdw-14.4 plt ct-271 02:31am blood plt ct-271 02:31am blood glucose-128* urean-13 creat-0.9 na-142 k-4.2 cl-107 hco3-26 angap-13 03:38pm blood type-art po2-176* pco2-31* ph-7.47* caltco2-23 base xs-0 03:38pm blood glucose-112* lactate-1.9 na-131* k-4.1 cl-95* 03:38pm freeca-1.09* 03:38pm hgb-14.9 calchct-45 03:38pm glucose-112* lactate-1.9 na+-131* k+-4.1 cl--95* 03:38pm type-art po2-176* pco2-31* ph-7.47* total co2-23 base xs-0 pathology report tissue: fs right frontal lobe study date of report not finalized. assigned pathologist , p. please contact the pathology department, pathology # fs right frontal lobe mr of the head done on . comparison: comparison is made with the prior study of . scan findings: as on the previous examination there is a large enhancing mass in the right frontal region with a central area of low signal in the anteromedial frontal lobe. there is now increased extension of the enhancing mass to the corpus callosum extending to the contralateral side. there is effacement of the right frontal . there is a slight enlargement of the enhancement within the right frontal lobe as well. the rapid growth of this lesion is suggestive of recurrent neoplasm although radiation necrosis is not excluded. no other enhancing lesions within the brain parenchyma are seen. there is no hydrocephalus. impression: interval progression in size of right frontal enhancing mass with increased extension to corpus callosum and right frontal lobe. radiology report ct head w/o contrast study date of 9:51 pm comparison: ct head and mr . technique: non-contrast axial images of the head are obtained with 5-mm section thickness. ct head without contrast: the patient is status post repeat right frontal craniotomy and resection with a large focus of pneumocephalus and a small amount of hemorrhage in the resection bed. surrounding vasogenic edema is also noted. effacement of the frontal of the right lateral ventricle persists. there is no shift of normally midline structures, or evidence of acute major vascular territorial infarct. post-surgical changes include right frontal craniotomy and subcutaneous emphysema. the surrounding osseous structures are otherwise unremarkable and the imaged portions of the paranasal sinuses and mastoid air cells are well aerated. impression: status post right frontal lobe resection for recurrent glioblastoma with large pneumocephalus and small hemorrhage in the resection cavity. surrounding vasogenic edema and effacement of the right frontal persists. radiology report mr head w & w/o contrast study date of 8:25 am final report indication: 50-year-old male patient, with right frontal mass, status post resection, to evaluate for residual tumor, baseline postop. comparison: mr of the head done on and . findings: patient is status post right frontal craniotomy, with post-surgical changes, seen in the surgical resection bed, with areas of hemorrhage. there is also moderate amount of pneumocephalus, which is slightly decreased compared to the most recent ct scan. adjacent edema and mild shift of the midline structures to the left side are not significantly changed. there is an area of restricted diffusion, in the posterior aspect of the surgical bed, with associated flair hyperintensity. this can relate to blood products or acute infarction in this location. this can be confirmed at a followup study. there is some enhancement noted in the margins of the surgical resection cavity, assessment of which is somewhat limited due to the the pre-contrast t1 hyperintense appearance and represent blood products and post-surgical changes. there are areas of enhancement noted in the right inferior lobe, extending inferior to the resection cavity margins, which represent some residual tumor (series 13, image 12). the remaining brain, is unchanged compared to the recent study. enhancement of the dura, likely represents post-surgical changes and can be evaluated at followup. impression: 1. enhancing areas, noted in the posterior and inferior aspects of the surgical resection cavity in the right frontal lobe, likely represent residual tumor. followup evaluation, to assess interval change/progression. 2. areas of restricted diffusion, in the posteromedial aspect of the surgical resection cavity, may represent hemorrhage vs. infarction. this can again be further assessed at a close follow up examination. 3. no significant change in the mild shift of the midline structures to the left side, and less surrounding edema. mild decrease in the pneumocephalus. brief hospital course: patient was electively admitted on for resection of his right sided brain mass. post operatively, the patient was admitted to the icu for monitoring overnight. on pod#1, the patient was awake, alert and oriented x3 with no deficits. his mri was completed and appeared to have a gross total resection. he was transferred to the floor, his diet was advanced. pt/ot felt the patient was able to go home from the hospital without further services. pod # 3 pt is sitting up in bed with his street clothes on waiting for discharge. his family is in the room. at the time of the exam, he denies headache, nausea, vomiting,numbness,or visual disturbances. vs remain stable. alert and oriented x 3, follows commands consistently, eyes open spontaneously, strength 5/5 bilateral upper extremities/bilateral lower extremities, slight nasolabial flattening on the left, tongue midline, pupils 4-3 mm perrl bilaterally, toes downgoing, speech is clear, pt is independent for ambulation and adls. as it is the weekend, he will call to make an appointment in the brain clinic on monday. this was discussed with the patient with the family present. the pt was discharge home on in a neurologically stable condition. medications on admission: unknown 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. hydromorphone 2 mg tablet sig: one (1) tablet po q4hrs; prn as needed. disp:*60 tablet(s)* refills:*0* 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*1* 4. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 6. dexamethasone 1 mg tablet sig: two (2) tablet po twice a day: please continue this dose until you are seen in follow up. disp:*120 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: right brain mass discharge condition: neurologically stable discharge instructions: general instructions/information ?????? 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 have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 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. ?????? if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? 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. ?????? 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 while at home. 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: increasing redness, increased swelling, increased tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: please return to the office in days from (from the date of your surgery) for removal of your staples/sutures and 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, then please make arrangments for the same with your primary care physician. you will need to make an appointment in the brain clinic. the brain clinic is located on at in the biulding, the phone number is . please call to make your appointment at that time they can give you directions to the office. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain insertion of skull plate diagnoses: unspecified essential hypertension migraine, unspecified, without mention of intractable migraine without mention of status migrainosus localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy malignant neoplasm of frontal lobe 

Answer: The patient is high likely exposed to