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: flonase attending: chief complaint: cerebellar mass major surgical or invasive procedure: : left suboccipital crani for mass resection history of present illness: patient is a 49m electively admitted for suboccipital crani for mass resection past medical history: dmii, cerebellar mass social history: non-contributory family history: non-contributory physical exam: on discharge: oriented x 3. perrl, eoms intact. face symmetric, tongue midline. no drift. full strength and sensation throughout. incision clean, dry, and intact - sutures in place. pertinent results: labs on admission: 08:23pm blood wbc-14.0*# rbc-3.36* hgb-10.6* hct-33.4* mcv-99* mch-31.6 mchc-31.8 rdw-18.0* plt ct-198# 08:23pm blood pt-12.8 ptt-22.3 inr(pt)-1.1 08:23pm blood glucose-307* urean-14 creat-1.2 na-141 k-4.2 cl-108 hco3-19* angap-18 08:23pm blood calcium-9.0 phos-5.1* mg-1.7 labs on discharge: 05:35am blood wbc-6.8 rbc-3.02* hgb-9.5* hct-29.6* mcv-98 mch-31.4 mchc-32.1 rdw-16.7* plt ct-131* 05:35am blood plt ct-131* 05:35am blood pt-12.3 ptt-22.6 inr(pt)-1.0 05:35am blood glucose-167* urean-17 creat-0.9 na-137 k-4.6 cl-103 hco3-25 angap-14 --------------- imaging: --------------- mri head : comparison is made with prior study from . there has been no significant interval change in size of the posterior fossa midline enhancing mass abutting the tentorium. no new lesions have appeared. the ventricles and sulci are stable in size and configuration. there is mild inferior cerebellar ectopia which is unchanged. mri head : findings: the patient is status post suboccipital craniotomy for resection of cerebellar neoplasm. there is hemorrhage in the operative bed, which limits evaluation for residual neoplasm. there is leptomeningeal enhancement in the posterior fossa which is likely to be post-operative in nature. there is continued mass effect on the fourth ventricle, although the ventricles are unchanged in size and prominence. there is edema in the posterior fossa which is post-operative. there is also a small focus of cytotoxic edema lateral to the operative cavity, which could represent a small focus of acute ischemia or cytotoxic post-operative edema. impression: post-operative changes in the posterior fossa, it is difficult to assess for residual neoplasm in the face of t1 hyperintense blood products. there is a small focus of cytotoxic edema along the left lateral margin of the operative bed, which could represent acute ischemia or post-operative changes. brief hospital course: mr. was admitted on for a post-occipital craniotomy for tumor resection. the procedure went well and he was in the sicu overnight for q 1 hour neuro checks. he was neurologically stable and transferred to the neuro stepdown unit on . he was continued on an insulin drip at that time. on dr from neuro-oncology consulted on the patient and will see the patient in brain clinic in one week. pathology results are pending at the time of this writing from the operative biopsy. on was consulted to assist with transitioning the patient from insulin drip to insulin sc. they adjusted the regimen again on but the glucose levels were much improved overall. physical therapy evaluated the patient and felt that he was safe to be discharged home. the patient was discharged on . medications on admission: atenolol, insulin discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for headache. 2. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 3. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. prilosec otc 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: no driving while on this medication. disp:*40 tablet(s)* refills:*0* 7. pain meds you may alternate between the dilaudid that you have at home and the oxycodone that you are receiving a prescription for today for your pain. 8. insulin please see attached sheet for insulin regimen recommended by the doctors. discharge disposition: home discharge diagnosis: left cerebellar brain mass hyperglycemia discharge condition: neurologically stable mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: general instructions wound care: ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your sutures are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. be sure however, to remain well hydrated, and increase your consumption of fiber, as pain medications may cause constipation. medications: ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: o narcotic pain medication such as dilaudid (hydromorphone). o an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. - unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. ?????? 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. activity: the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: follow up appointment 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 . ??????you have an appointment in the brain clinic on at 2pm. the brain clinic is located on the of , in the building, . this is a multi-disciplinary appointment. their phone number is . please call if you need to change your appointment, or require additional directions. you will also be scheduled to have an mri prior to this appointment at 11:55am. this will be located on 4. -you need to call your pcp days to discuss your insulin management. you should schedule an appointment with your pcp weeks. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of antineoplastic chemotherapy malignant carcinoid tumor of unknown primary site secondary neuroendocrine tumor of liver secondary neuroendocrine tumor of other sites secondary neuroendocrine tumor of bone 

Answer: The patient is high likely exposed to