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: history of present illness: the patient is a 60 year old, right handed female who started experiencing nausea and vomiting one week ago. she felt dizzy and had diplopia. she fell the day prior to admission and was brought back to bed and could not get out of bed until the day of admission when ems was called. she was brought to hospital where a ct of her head showed left frontal hemorrhage and right occipital hemorrhage. also a mass was detected on her chest x-ray and confirmed by chest ct. patient was then transferred to . past medical history: lumbar diskectomy. hypertension. depression. allergies: none known. medications on admission: aspirin 81 mg p.o. q.day, univasc 30 mg q.day, thiamine 100 mg im, mvi one p.o. q.day, levaquin 500 mg iv q.24 hours, atenolol 75 mg p.o. q.a.m., norvasc 10 mg p.o. q.day, folate 1 mg p.o. q.day, tylenol and magnesium. physical examination: the patient's heart rate was 46, blood pressure 158/51, sao2 96 percent, respiratory rate 19. patient was awake, alert, slightly lethargic, oriented times two. lungs were clear, left lung slightly coarse breath sounds. abdomen soft, nontender. cardiac regular rate and rhythm. extremities had no edema. neurologic exam showed an awake, slightly lethargic, oriented times two, not to time, slightly reversed when following commands. right eye had slightly decreased adduction, slight decreased elevation of the right eye. also left lateral gaze nystagmus. face was symmetric. frontalis was intact. moderate dysarthria. no obvious drift. upper and lower extremities were full for muscle. reflexes were 1+ in the upper extremities and 1 in the lower extremities. no hoffmann, no clonus. sensation was intact to lower extremities bilaterally. laboratory data: white count 10.6, hematocrit 27.4, platelets 309. inr 1.3, ptt 33.2. sodium 139, potassium 3.4, chloride 106, co2 22. hospital course: the plan for this patient was admission to the icu, obtain an mri with gadolinium. she was made npo, iv fluids at 80 an hour. neuro checks were q.one hour. she was given mannitol 25 q.four hours and decadron 8 mg q.four hours. on the patient was noted to be arousable, oriented to person only, very dysarthric, more lethargic than the previous day. she had received ativan at the time of examination. she did have a slight right drift. she had an mri which showed a large right cerebellar t2 hypointense and t1 hyperintense mass which measured about 5 cm in maximal dimension. a dwi scan loss of signal in the right cerebellum and left frontal lobe. mr flow in both intracranial carotid arteries and in the anterior middle cerebral artery. there was flow in the vertebral arteries. the impression was cerebellar and cerebral hemorrhagic masses consistent with metastasis. the cerebellar mass is large and there is superior herniation into the cerebellum and compression of the fourth ventricle. given the patient's exam and mri findings, it was felt that the patient should have an emergent craniotomy for removal of this tumor and the hemorrhagic lesion. prior to surgery patient did have an interventional pulmonology consult. they saw her and felt she had a left upper lobe mass infiltrate with the diagnosis that included possible pneumonia versus lung mass versus combination. they did follow her throughout her stay here and did not recommend that she needed bronchoscopy at this time. they referred her to oncology. the patient was brought to the o.r. on where she underwent craniotomy and removal of the right cerebellar hemorrhagic lesion. patient did well intraoperatively and had no complications. on post-op day one patient was awake, oriented times name only, inattentive, unable to follow midline commands. she had abduction depression of the right eye. pupils were 5 to 3.5 in the right eye and left eye 4.5 to 2.5. she had a question of bilateral slight pronator drift, greater on the right than the left. recommendations were to keep her blood pressure less than 150, use minimal ativan only and to slowly advance her diet. her post-op hematocrit was 25.9. also on the 1st she had repeat mri which showed status post resection of right cerebellar hemorrhagic lesion without residual enhancement. left frontal hemorrhagic lesion with enhancement was suggestive of metastatic disease. the patient did require the use of nipride to keep her systolic blood pressure less than 140. she did have periods of agitation at times. on patient was awake, continued in the icu. her face was symmetric. no rebound, no drift. finger to nose showed slight right dysmetria. patient was advanced out of bed to a chair. her activity was also increased. patient was continued on iv decadron 4 mg q.six hours. in the late afternoon of the 2nd, patient was transferred out of the unit awake, alert and oriented times three, moving all extremities. vital signs were stable. she did see physical therapy when moved to the floor who recommended that she receive visitations every day by them to assist with her impaired mobility and help with her impaired mental status. on the patient was awake, alert, oriented, tolerating a diet, ambulating with help. her dysarthria was noted to be improved. she had a slight right drift noted. her dysmetria was also improved. her foley was removed. decadron was continued to be weaned. occupational therapy also saw her and assisted her with safety awareness and helped her with her upper extremities. on the 5th oncology saw patient who felt that she most likely will receive palliative chemotherapy with radiation rather than systemic chemo. patient's special stains for melanoma were found to be negative on . patient will need to go to a rehab facility for further assistance with her gait and rehabilitation needs. she is to follow up in the brain tumor clinic with dr. . she also needs to follow up with hematology/oncology here at . the patient was treated with levaquin for pneumonia that was diagnosed prior to admission. she received 10 days of levaquin therapy. discharge instructions: to keep the staples clean and dry, do not get them wet. she should have them removed on . she can come back to 5 to have those removed or she can have them removed at her rehab facility. right now her appointment for the brain tumor clinic is pending. also her appointment with oncology is pending at this time. discharge medications: 1. heparin 5000 units subcu. 2. regular insulin sliding scale. 3. nicotine patch 20 mg per 24 hours. 4. lopressor 50 mg tablet b.i.d. 5. protonix 40 mg q.day. 6. oxycodone with acetaminophen one to two tablets p.o. q.four to six hours. 7. decadron taper down to 2 mg p.o. b.i.d. , m.d. dictated by: medquist36 procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: pneumonia, organism unspecified unspecified essential hypertension personal history of tobacco use intracerebral hemorrhage secondary malignant neoplasm of brain and spinal cord malignant neoplasm of upper lobe, bronchus or lung loss of weight unspecified disorder of adrenal glands 

Answer: The patient is high likely exposed to