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: patient is a 50-year-old male with history of neurosarcoidosis and epidural lipomatosis secondary to prednisone. patient's sarcoidosis was diagnosed in beginning with myelopathy secondary to epidural lipomatosis and chronic steroid use. patient was evaluated and felt would benefit from a t4-t8 laminectomy. past medical history: hypertension. diabetes. gerd. obesity. on physical exam, he is in no acute distress. his lungs are clear to auscultation. he does have some inspiratory stridor. he has been on chronic steroid use since /. his cardiovascular system: regular, rate, and rhythm, no murmurs, rubs, or gallops. abdomen is obese. he has very full neck and chin secondary to chronic steroid use. his motor strength is decreased throughout. the patient has been walking with a walker since . he had worsening myelopathy. he is admitted status post t4-t8 laminectomy without intraoperative complications. postoperatively, his vital signs are stable. he was afebrile. he was following commands x4, moving all extremities with 4 plus strength. his lungs were clear. his abdomen was soft and nontender. his eoms were full. grasp was three. his at, , and gastrocs were bilaterally. his dressing was clean, dry, and intact. on postoperative day number one, he was awake, alert, and oriented times three. his strength on the right ip is 5, 4 plus on the left. quads 4 plus on the right and 5 on the left. at 5 on the right and 4 plus on the left. gastrocs 4 plus bilaterally. he had decreased proprioception at the ankles and decreased sensation of the lower extremities by 20 percent. he has decreased plantar reflexes. his vital signs were stable. he was transferred to the regular floor. his dressing was clean, dry, and intact. he had a mri with gadolinium of the thoracic spine, which showed good removal of lipomatosis. he was in stable condition, and was discharged to home on with follow up with dr. in one month. he will follow up in 10 days for staple removal. medications on discharge: 1. baclofen 60 p.o. q.d. 2. citalopram hydrobromide 60 p.o. q.d. 3. pantoprazole 40 p.o. q.d. 4. metoprolol 100 p.o. q.d. 5. trazodone 50 p.o. q.h.s. 6. primidone 150 p.o. q.d. 7. fentanyl patch 75 mcg topically q.72h. 8. multivitamin one p.o. q.d. 9. glipizide 5 p.o. q.d. 10. hydrochlorothiazide 25 p.o. q.d. 11. mirtazepine 30 mg p.o. q.h.s. 12. alendronate sodium 70 mg p.o. q monday. discharge condition: his condition was stable at the time of discharge. , procedure: other exploration and decompression of spinal canal diagnoses: esophageal reflux unspecified essential hypertension long-term (current) use of steroids diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified sarcoidosis spondylosis with myelopathy, thoracic region lipoma of other specified sites spinal stenosis, thoracic region 

Answer: The patient is high likely exposed to