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: codeine attending: chief complaint: confusion, left visual field vision loss major surgical or invasive procedure: right occipital craniotomy for tumor resection history of present illness: 72yp rh white man with history of cad (2 mis 20years ago), htn and ckd who was in his usual state of health until 9am this morning when suddenly developed "confusion". he woke up and performed his usual activities, and at 9am sat down to read his newspaper and realized that he could not fold his newspaper, and could not correct the upside-down disposition of the pages. he called for his wife and tried to walk; however, he had difficulty in turning left despite being able to ambulate with no unsteadiness. he described being "confused" to his wife, and walked by himself back to the chair seating down. the ems was activated, and the patient was taken to hospital, where a ct scan was reported to demonstrate an ischemic stroke in the right parietal lobe with an area of subarachnoid hemorrhage superimposed. upon arrival at the er a stroke code was activated past medical history: htn cad - mi x 2 in approximately 20 years ago hlp social history: no tobacco; quit 27 years ago no alcohol no drugs family history: no family hx of cns malignancy physical exam: gen - nad, calm, comfortable, appropriate affect neck - no bruits to auscultation cv - rrr, no murmurs or gallops lungs - clear neurological exam: ms: aaox3 language: repetition intact, naming intact, follows 2 step commands speech: no dysarthria cn: perrl, left homonimous hemianopsia, emoi, no nystagmus, v1-v3 intact, face symmetric, palate elevates symmetrically, tongue protrudes in midline. motor: strength: throughout no drift finger tapping symmetric tone normal sensory: lt/pp/vib/jps intact; tactile extinction to the right in the initial exam. dtr: 3+ throughout, symmetrically coordination: ftn and hts intact plantar response: flexor bilaterally station: deferred gait: deferred pertinent results: labs on admission: 12:34pm pt-12.8 ptt-34.2 inr(pt)-1.1 12:34pm plt count-269 12:34pm wbc-9.1 rbc-4.41* hgb-13.6* hct-39.7* mcv-90 mch-30.9 mchc-34.3 rdw-13.4 12:34pm estgfr-using this 12:34pm glucose-125* urea n-28* creat-1.7* sodium-137 potassium-4.4 chloride-101 total co2-24 anion gap-16 01:05pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:05pm urine color-straw appear-clear sp -1.007 01:05pm urine gr hold-hold 01:05pm urine hours-random imaging: ct 7//11 findings: ct head: there is an area of vasogenic edema in the right parietal lobe with a small approximately 1-cm hypodense area peripherally located. ct angiography neck: ct angiography of the neck demonstrates atherosclerotic disease and calcification at both carotid bifurcations without high-grade stenosis. the vertebral arteries are patent without stenosis or occlusion. in the visualized upper lungs, there is a parenchymal abnormality seen in the left upper lung as well as a partially visualized left lower lobe abnormality identified. correlation with chest ct recommended. ct angiography head: ct angiography of the head demonstrates no evidence of vascular stenosis or occlusion. the arteries of anterior and posterior circulation demonstrate normal flow signal. mild atherosclerotic disease is seen. impression: 1. head ct shows vasogenic edema with a 1-cm hypodense area which could be suggestive of a hemorrhagic metastasis. the appearance does not suggest an infarct. 2. ct angiography of the head and neck demonstrates patent vascular structures with mild atherosclerotic disease. mr head impression: 1. two enhancing lesions are identified on the right parietal lobe, the largest is noted on the inferior aspect of the right parietal lobe, with significant vasogenic edema. a punctate focus of enhancement is demonstrated in the post-central sulcus on the right, measuring approximately 3 x 4 mm in size. these lesions are concerning for metastatic disease. multiple foci of t2 and flair signal are demonstrated in the subcortical white matter, likely reflecting chronic microvascular ischemic disease. . . ct-abd/chest/pelvis impression: 1. 3 cm rounded solid mass in the left upper lobe, with peripheral ground-glass opacity, concerning for a primary lung malignancy. predominantly ground-glass nodules in the left upper lobe and right upper lobe, concerning for regional metastases. 2. no pleural effusions. no mediastinal or hilar lymphadenopathy. 3. numerous small hypodense hepatic lesions, with the largest one measuring 17 mm in segment v, incompletely assessed in this single-phase study but could potentially represent biliary hamartomas and/or small hepatic cysts. 4. bilateral duplex kidneys, with severe upper moiety hydroureter, right worse than left. no renal tissue or excretion is identified in the obstructed upper pole moieties. ectopic insertion of dilated/obstructed upper pole ureters into the prostatic urethra. lower moiety appears normal bilaterally. 5. colonic diverticulosis without acute diverticulitis. 6. no suspicious osteolytic or sclerotic lesions. post op ct head 1. recent right 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 brief hospital course: 72yo rhm with htn, hld and gout here after confusion found to have r parietal bleed with significant edema and enhancing mass concerning for malignancy. #neuro: further imaging revealed a significant mass in lung concerning for primary ca. several services were consulted including neuro-oncology, oncology, neurosurgery, radiation oncology. the best course of action for tackling this presentation was deemed to be a tumor resection of the malignancy, and then - depending on type of ca- further chemo/radiation with possible pulmonary biopy. on exam, he continued to have l hemineglect that improve to a left upper quarantanopsia. he did not have a repeat episode of confusion or "staring spell" during this admission and did not developed new symptoms. he was started on keppra 1000mg prophylactically. he was also started on decadron 4mg, ppi, iss . # cards: on admission, given possibility of stroke, he was restarted on on atenolol and his bp was permitted to rise to 160. after 2 days, he was restarted on lisinopril . #. renal failure: chronic and stable. we avoided nephrotoxins and started ns ivfs operative course and onward on 7.15 patient udnerwent a right sided occipitalc raniotomy for tumor resection, patient tolerated the procedure well, was extubated in the oeprating room, and brought to the icu post-operatively for further management. preliminary pathology was consistent with metastatic carcinoma. his post-op ct was stable and showed expected post-op changes, his post-op check was significant only for a slight left upper quadrantanopia. he was transferred to the floor in stable condition on pod#1. he was seen by pt and cleared for home with family support. his pain was well controlled with po medications. his decadron was tapered from 4mg q6 to goal of 2mg . he will follow up in brain tumor clinic in 1 week. medications on admission: crestor (discontinued 2 weeks ago myalgias) hydralazine atenolol 50 daily allopurinol 300 daily diltiazem 75mg daily lisinopril 30 asa 81qd, last used am discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 2. allopurinol 100 mg tablet sig: 1.5 tablets po daily (daily). 3. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. oxycodone 5 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain or t>100.4. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 8. dexamethasone 2 mg tablet sig: one (1) tablet po q6 () for 1 days. 9. dexamethasone 2 mg tablet sig: one (1) tablet po q8 () for 1 days. 10. dexamethasone 2 mg tablet sig: one (1) tablet po q12 () for 30 days. disp:*90 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: brain tumor discharge condition: aox3. activity as tolerated. no lifting greater than 10 pounds. discharge instructions: ?????? 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 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 . if 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. 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 staples/sutures and/or a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . ??????you will have an appointment in the brain clinic. the brain tumor clinic staff will contact you with your appt time and date. 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 not need an mri of the brain with/ or without gadolinium contrast. if you are required to have a mri, you may also require a blood test to measure your bun and cr within 30 days of your mri. this can be measured by your pcp, please make sure to have these results with you, when you come in for your appointment. 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 hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia secondary malignant neoplasm of brain and spinal cord cerebral edema malignant neoplasm of other parts of bronchus or lung 

Answer: The patient is high likely exposed to