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: syncope, seizure major surgical or invasive procedure: right frontal crani for mass x 2 resection history of present illness: this is a 54 year female with past medical history of hypertension and osteoporosis, who presents as a transfer from osh s/p syncope and seizure, and with abnormal head ct. in summary, the patient was reportedly attending a funeral today when she had a syncopal episode and fell. she was sent to hospital for further evaluation. shortly following admission, she was found slumped over and unresponsive in a chair, and subsequently seized. resolved with ativan. continued to seize 1-2 times later in the evening. received a total of 14mg of ativan. intubated for increasing mental status changes and lethargy. transferred to for continued care. past medical history: 1. hypertension 2. osteoporosis social history: she works as a registered nurse at the home away from home. she is a former smoker. she quit over 15 years ago but has about 30 pack year hx. her hcp is her husband and she is dnr per her husband. family history: she has no hx of cancers and fh only notable for maternal aunt who was diagnosed with breast cancer in her 60's. physical exam: on admission: physical exam: o: t: 101.8 bp: 119/76 hr:76 r:20 o2sats: 100%t gen: wd/wn, comfortable, nad. off sedation, agitated. heent: nc/at pupils: perrla eoms n/a extrem: warm and well-perfused. neuro: mental status: intubated. no eo cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 2mm bilaterally. visual fields are full to confrontation. iii, iv, vi: n/a v, vii: n/a viii: n/a ix, x: gag reflex present : n/a xii: n/a motor: normal bulk and tone bilaterally. no abnormal movements. moves all extremities x 4 purposefully, equally, when off sedation. toes downgoing bilaterally. on discharge: awake, alert and oriented to person, place and date. face is symmetric, tongue with a slight left deviation. full strength and sensation throughout. wound is clean, dry and intact without signs of infection. pertinent results: ct head: impression: there are two rim-enhancing lesions peripherally located within the right frontal lobe, as described above, with associated vasogenic edema and mass effect. the inferior lesion demonstrates a punctate focus of hemorrhage. while the superior lesion does abut the dura, it lacks characteristic dural tail, making meningioma a less likely consideration. moreover, the more inferior lesion does appear intra-axial on coronal and sagittal reformatted images. differential diagnosis includes metastatic disease versus abscess. mri brain w/ & w/o: 1. two enhancing right frontal lesions most consistent with metastases with surrounding vasogenic edema and right frontal sucal effacment. 2. 2mm leftward shift of midline structures. ct torso: 1. no definite evidence of malignancy. consolidation within the superior segment of the left lower lobe may represent infection, but there is a slightly more rounded appearance inferiorly, and consider repeat chest ct following treatment. prominent left-sided intrapulmonary lymph nodes may be reactive. 2. gallbladder sludge. 3. gas tracking in the posterior subcutaneous tissues and extending into the left paraspinal musculature and left psoas muscle. findings are likely related to pressure erosion. there is no focal fluid collection. 4. trace pelvic free fluid. slightly limited evaluation of the pelvis due to motion artifact, but no gross abnormalities are identified. ct head : expected postoperative appearance status-post right craniotomy. unchanged 2mm leftward shift of midline structures mri brain : 1. two curvilinear foci of residual enhancement of the right frontal lobe. continued attention on followup studies is recommended. 2. interval resection of the two right frontal lesions. persistent, unchanged right frontal edema and 2 mm leftward shift of midline structures. 3. no evidence of acute infarct. brief hospital course: this is a 54 year old f in her usual state of health until an episode of syncope and seizure. osh ct revealed a brain mass with vasogenic edema. patient was transferred to where a head ct was repeated- again showing a two rim-enhancing lesions peripherally located within the right frontal lobe with associated vasogenic edema and mass effect. pt was admitted to the icu under dr. care. a brain mri was done on which showed two enhancing right frontal lesions most consistent with metastases with surrounding vasogenic edema and right frontal sulcal effacement a ct torso was done on , which was negative for any primary lesion or mets, but did show ground glass opacity in rul. she was consented and pre-oped, and went to the or for resection of this mass on . the procedure went well without complications. the preliminary pathology report was metastatic carcinoma. she remained in the pacu overnight for q1 hour neuro checks post-op. ct head was negative for hemorrhage. she was stable on and she was transferred to the step down unit. her foley and a-line was discontinued. she had an mri. pt and ot were ordered. she was cleared for home on with pt outpatient needs. medications on admission: 1. ecotrin 81m daily 2. pepcid 20mg 3. lopressor 25mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. alendronate 70 mg tablet sig: one (1) tablet po qsun (every sunday). 5. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain: max apap 4g/24hrs. 7. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 8. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 9. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*0* 10. outpatient physical therapy discharge disposition: home with service facility: , discharge diagnosis: right sideded frontal brain masses discharge condition: neurologically stable mental status: clear and coherent. level of consciousness: alert and interactive. 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. ?????? 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 prescribed keppra for anti-seizure medicine, take it as prescribed. ?????? you are being sent home on steroid medication(taper to 2mg twice daily), 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 your date of surgery) for removal of your 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, please make arrangements for the same, with your pcp. ??????you have an appointment in the brain clinic on at 11:30. 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. ??????please follow up with medical oncology. you should be receiving a call from them once pathology has been finalizined. if you do not hear from them by friday please call dr. at to schedule an appointment or if you have any questions procedure: spinal tap incision of lung other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: unspecified essential hypertension other convulsions personal history of tobacco use other opiates and related narcotics causing adverse effects in therapeutic use intracerebral hemorrhage compression of brain secondary malignant neoplasm of brain and spinal cord osteoporosis, unspecified cerebral edema malignant neoplasm of other parts of bronchus or lung dermatitis due to drugs and medicines taken internally 

Answer: The patient is high likely exposed to