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: vancomycin attending: chief complaint: decrease in lateral visual fields major surgical or invasive procedure: : craniotomy and resection of left occipital mass history of present illness: 65m who had noticed decrease visual fields in his periphery over the last 4-5 weeks. this prompted him to go see his opthamologist where he discovered a central homonymous visual field abnormality and obtained an mri. the mri shows a 3.6x2.0x2.4cm mass with surrounding edema. he denies any headache, speech difficulty, motor weakness or seizure activity. he now presents for electively for craniotomy and resection. past medical history: htn, hyperlipidemia, dvt on coumadin social history: married and lives with wife. family history: non-contributory physical exam: gen: wd/wn, comfortable, nad. heent: pupils: perrla 3-2mm eoms full, no nystagmus neck: supple. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. visual fields are grossly full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally. coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin physical exam upon discharge: intact pertinent results: mri brain large, 5.5-cm partially cystic, partially solid enhancing mass in the left occipital lobe with surrounding vasogenic edema- demonstrated for surgical planning. ddx includes metastasis versus primary neoplasm of glial/other origin. ct head post-op 1. immediately status post left parieto-occipital craniotomy, with small amount of blood present within the surgical cavity and expected pneumocephalus. 2. vasogenic edema, unchanged, with negligible shift of the midline structures and no evidence of central herniation. mri brain post-op 1. extensive blood products within the medial inferior aspect of the resection cavity for the known cystic and solid mass which limits the sensitivity for evaluation of residual tumor. no discrete areas of abnormal enhancement identified. 2. apparent increased t2 signal intensity in the left tranverse sinus likely related to slow flow, though recommend attention on followup imaging. brief hospital course: pt was electively admitted and underwent a craniotomy and mass resection. surgery was without complication and he was transferred to the icu for close neurological observation. post op head ct revealed expected post-op changes. he remained stable overnight in the icu tolerating a po diet and his foley was discontinued on the morning of . his blood pressure was well controlled off of any drips and he was deemed fit for transfer to the floor on the afternoon of . he underwent an mri scan of the brain on and an mri of the kidneys on to further assess the left kidney lesion that was found on pre-op ct torso. he remained stable and was deemed fit for discharge on teh afternoon of and was discharged to home without services with instructions for follow-up. medications on admission: hydrochlorothiazide - (prescribed by other provider) - 12.5 mg capsule - capsule(s) by mouth lisinopril - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth daily metformin - (prescribed by other provider) - 1,000 mg tablet - 1 tablet(s) by mouth twice daily rosuvastatin - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth daily warfarin - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth daily 6 days per week warfarin - (prescribed by other provider) - 7.5 mg tablet - 1 tablet(s) by mouth daily once a week discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, t>38.5. 2. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 3. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 4. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 8. dexamethasone 2 mg tablet sig: taper tablet po per taper for 1 days: take 3mg (1.5 tablets) po every 6 hours on , then 2mg (1 tablet) every 6 hours on , then 2mg (1 tablet) twice a day on and continue until follow-up. disp:*90 tablet(s)* refills:*2* 9. coumadin 6 mg tablet sig: one (1) tablet po once a day: 6 days a week per previous dosing, begin on . 10. warfarin 7.5 mg tablet sig: one (1) tablet po once a week: per previous dosing, begin . discharge disposition: home discharge diagnosis: left occipital mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. 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 and/or staples 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 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. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your staples/sutures and/or 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 11am. 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. you will need to arrange an appointment with dr from urology as an outpatient. to arrange this please call there office at to be seen in the next 1 to 2 weeks. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges other computer assisted surgery diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia secondary malignant neoplasm of brain and spinal cord long-term (current) use of anticoagulants personal history of venous thrombosis and embolism other malignant neoplasm without specification of site 

Answer: The patient is high likely exposed to