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: diphenhydramine / bee pollen / phenytoin attending: chief complaint: brain lesion major surgical or invasive procedure: - right craniotomy and tumor resection history of present illness: patient is a 61 yr old with pmh of cad, htn, seizure who's first hospitalization was in secondary to motorcycle accident; while being sutured he had a generalized tonic clonic seizure. he was transferred to . ct at that time showed a right sided lesion. this was followed over the past year by serial mri's. in a brain biopsy was performed which revealed a grade iii astrocytoma. he returns today for a resection of this lesion. past medical history: past medical history: hypertension, cad, dyslipidemia surgical history: teeth extraction, tonsils and adenoids social history: lives with wife. was a heavy smoker for 22 years, but quit ten years ago. denies alcohol or drug use. he has four healthy children. he works as a diesel mechanic for the local fire department. family history: brother and sister - cad brother - cancer "spine" father - colon cancer mother - dementia, cva no diabetes physical exam: physical examination on discharge: the patient is awake, alert, and oriented and in no apparent distress. pupils are equally round and reactive to light, and extraocular eye movements are intact. he responds to questions and follows both simple and complex commands. his comprehension is full and speech is fluent. there is no facial asymmetry, and tongue protrusion is midline. there is full 5/5 strength in the bilateral upper extremities, including shoulder abduction/adduction, elbow flexion/extension, wrist flexion/extension, and grip strength. there is also full strength in the bilateral lower extremities, including hip flexion, knee flexion/extension, and ankle plantarflexion/dorsiflexion. pertinent results: brain mri: the right parietal lesion is stable in size, but demonstrates new foci of high signal on today's post-contrast study. in the absence of pre-contrast images, it is not clear whether these represent blood products or contrast enhancement. however, blood products are more likely than tumor progression, given the lack of increased mass effect. correlation with post-surgical pathology will be helpful. nchct: status post resection of a right parietal lobe mass, with post-surgical changes including right parietal lobe edema and moderate amount of bifrontal pneumocephalus. no intracranial hemorrhage. brain mri: 1. no evidence of residual enhancement surrounding the resection bed. recommend continued follow up after resoluation of the immediate post-surgical changes. 2. expected postoperative changes with a small amount of blood products, pneumocephalus, and adjacent restricted diffusion. brief hospital course: mr. presented to the for an elective right craniotomy for resection of lesion. he underwent the above procedure on and post-operatively was admitted to the neurosurgery service. please see operative report for full details. surgery was without complication and he tolerated it well. he was extubated and transferred to the icu. post operative head ct revealed stable post-operative changes and he remained stable overnight in the icu into . on , exam was nonfocal and he was transferred to the floor where he underwent post-operative mri that demonstrated expected post-operative changes. decadron taper was also started. on , the patient remained stable and neurologically intact. his dressing was changed and revealed a scalp wound that was clean, dry, and intact. he worked with the physical therapy service and was deemed safe for discharge home. his pain was well-controlled with oral pain medications, and his decadron was weaned to 2 mg po bid, a dose that will be continued until follow-up. the patient was discharged home on with detailed precautionary instructions as well as instructions regarding follow-up. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. caduet *nf* (amlodipine-atorvastatin) 10-80 mg oral qhs 2. carvedilol 6.25 mg po bid 3. levetiracetam 500 mg po bid 4. zonisamide 75 mg po bid discharge medications: 1. carvedilol 6.25 mg po bid 2. levetiracetam 500 mg po bid 3. zonisamide 75 mg po bid 4. dexamethasone 2 mg po bid duration: the patient is to go home on a dose of decadron 2mg po bid until follow up 5. docusate sodium 100 mg po bid 6. caduet *nf* (amlodipine-atorvastatin) 10-80 mg oral qhs 7. senna 1 tab po daily 8. oxycodone (immediate release) 5-10 mg po q4h:prn pain hold if somnolent, confused, rr <12 rx *oxycodone 5 mg tablet(s) by mouth every four (4) hours disp #*55 tablet refills:*0 9. acetaminophen 1000 mg po q6h:prn pain, t>38.5 discharge disposition: home discharge diagnosis: right parietal mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: craniotomy for tumor excision dr. ?????? 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. ?????? dressing may be removed on day 2 after surgery. ?????? **you have dissolvable sutures you may wash your hair and get your incision wet day 3 after surgery. you may shower before this time using a shower cap to cover your head. ?????? **your wound was closed with staples or non-dissolvable sutures then you must wait until after they are removed to wash your hair. 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) & senna 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 dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . ?????? **you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? 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: ?????? you will be contact regarding the date and time of an appointment at the brain clinic. 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of tobacco use other and unspecified hyperlipidemia malignant neoplasm of parietal lobe 

Answer: The patient is high likely exposed to