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: patient recorded as having no known allergies to drugs attending: chief complaint: metastatic brain lesions major surgical or invasive procedure: : right parietal craniotomy for mass resection history of present illness: patient is a 77 yo woman with pmhx sig. for breast cancer diagnosed in s/p chemotherapy followed by herceptin who presented to hospital with seizures, was found to have metastatic brain lesion, and transferred for xrt of metastatic brain lesions. patient had a pet scan in that was normal except a low attenuation lesion in r parietal lobe. outpatient brain mri on showed 1.2 cm right parietal mass with extensive edema c/w sole metastasis. on sunday evening, she presented with new seizures. the patient's son was sitting with her when she began to have jerking of her left arm. she recalls that her arm was "trembling" and then she cannot recall any further events. she then developed slurred speech and l facial droop. she was taken to the ed, where she was agitated and confused. she received ativan 4 mg, phenytoin loading, and dexamethason 6 mg iv. she was seen by neurology and oncology, who felt that the patient would be candidate for gamma knife or neurosurgical removal followed by xrt. she is transferred for evaluation of these treatments. she has had no seizures since being hospitalized at . she did receive at 8 am on for agitation. she also received dilantin iv and decadron iv. vitals prior to transfer were: 97.4 124/66 65 20 100% on 5l. history was confirmed by her hcp/son . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, vision problems, gait problems dysarthria. denies sinus tenderness, rhinorrhea or congestion. denies chest pain or tightness, palpitations. denies cough, shortness of breath. denies nausea, vomiting, diarrhea, constipation, or abdominal pain. no dysuria, urinary frequency. all other review of systems negative. past medical history: - breast cancer, stage iiib (t3n3m0), diagnosed in , right breast mass with positive supraclavicular and axillary nodes, er neg, pr neg, her-2/neu positive, s/p chemotherapy with 6 cycles of taxotere, carboplatin, and herceptin followed by herceptin completed 3 weeks ago by dr. (). social history: patient lives with her husband, has 4 grown children. tobacco: none etoh: none family history: no history of cancer. physical exam: vitals: 96.7, 140/80, 62, 18, 100% on 4l gen: nad, lethargic but arousable, oriented to self, "monday," (not to month), thought she was at heent: perrl, not cooperative for eomi, mm slightly dry, sclera anicteric, not injected neck: no lad, no jvd cardiovascular: rrr normal s1, s2, no murmurs appreciated respiratory: clear to auscultation bilaterally, no wheezes, rales or rhonchi abd: normoactive bowel sounds, soft, non-tender, non distended extremities: sig. chronic lymphedema on rue, no pedal edema, 2+ dp pulses neurological: cn sig. for uncooperative eomi and slight nasolabial flattening on left, sensation normal, speech fluent, slightly hyperreflexive lue compared to rue, upgoing babinksi on l and downgoing on r, ms in lue, in rue, 4-/5 in lle, 4+/5 in rle integument: warm, moist psychiatric: lethargic but arousable, pleasant, not anxious pe upon discharge: awake, a+ox3 perrl, eomi face symmetric, tongue midline full strengths r ue and le l tricep otherwise 5/5 l at/ 0/5 g left neglect following all commands pertinent results: osh labs, : 12.5 5.4>-------<196 37.5 143 15 ----------------< 132 3.1 1.4 ck 221, ckmb 2.1, trop i 0.02 at 11:57 phenytoin level 21.6 at 5:15 bcxs from ngtd ucx form ngtd osh imaging: , pet ct: no abnormal fdg-avid abnormalities to suggest recurrent or metastatic idsease. not previously localized focus of low attenuation which is partially seen in the high posterior right parietal lobe. , mri brain with or without contrast: 1.2 cm r parietal intraparenchymal enhancing mass with extensive vasogenic edema is hgih suspicious for metastatic neoplasm. the lesion is located with the post central gyrus and edema extends to the motor cortex. there is no associated sig. midline shift or downward herniation. , head ct without contrast: area of hypoattenuation in the r post central gyrus with a nodular focus of hyperdensity. , cxr: limited study not including portions of the lower lobes with suggestion of cardiomegaly without failure. mri brain right posterior frontal/parietal 2-cm lesion at the surface of the brain, likely dural-based metastatic lesions. surrounding edema is seen. no midline shift or hydrocephalus. no change in appearance head ct: impression: right frontoparietal post-surgical changes with small amount of blood products and focus of air within the post-surgical cavity with surrounding vasogenic edema. pneumocephalus over the right frontal lobe. mild right cerebral hemispheric edema with effacement of the sulci. no midline shift. head mri: impression: limited study with no post-gadolinium t1 images obtained for assessment of residual mass. no diffusion images. blood products and postoperative changes in the right parietal region are as expected. for better assessment, consider repeat gadolinium study. head ct /c contrast: impression: 1. post-surgical changes, similar in appearance with small amount of hemorrhagic products, edema and pneumocephalus as expected. no new hemorrhage or shift of normally midline structures. 2. no definite abnormal enhancement. please note that mri is more sensitive for detection of residual disease. brief hospital course: 77 yo woman with pmhx sig. for breast cancer diagnosed in s/p chemotherapy followed by herceptin who presented to hospital with seizures, was found to have metastatic brain lesion, and transferred for xrt of metastatic brain lesions. . # metastatic breast cancer to the brain/seizure: the patient was continued on decadron and phenytoin with a therapeutic level. she was seen by the neuro-oncology service, neurosurgery service, and the radiation oncology service. after long discussion with her two sons, the patient opted for neurosurgical treatment of her solitary brain metastasis and was transferred on the neurosurgery service on on . an initial speech and swallowing study obtained while the patient was recommended soft solids. . # encephalopathy, metabolic: the patient was initially extremely lethargic, although arousable and able to follow commands, which was thought to be secondary to the large doses of ativan that she received for her seizure. by the second hospital day the patient's mental status was completely back to baseline and she remained oriented and interactive. . # acute renal failure: - ivfs - monitor cr the patient was trasnferred to the neurosurgery service on the evening of from the in order to undergo surgical resection of her brain mass. she had an mri wand study overnight on for surgical planning with plan for or am. on the morning of she was brought to the pre-op area however her case had to be reshceduled for the evening. she remained stable on the floor while awaiting her operation. surgery was performed without complication. she was admitted to the icu post op for close neurological monitoring. the patient's post-operative neurologic examination remained unchanged. post-op mri revealed no evidence of new cva or residual tumor. on - she was neurologically stable. she was cleared for transfer to the floor. post operative imaging was performed which revealed post operative changes and no hemorrhage. pt and ot were consulted and recommended discharge to a rehab facility. on she was cleared for discharge to rehab facility pending bed availability. medications on admission: home medications: per osh records (via pharmacy phone call), ativan 0.5 mg prn anxiety medications on transfer: phenytoin 100 mg tid dexamethasone 4 mg q6 hrs discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever/pain. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 7. insulin lispro 100 unit/ml solution sig: one (1) subcutaneous asdir (as directed). 8. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 9. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 10. dexamethasone 2 mg tablet sig: 1.5 tablets po q6hrs () for 3 days. 11. dexamethasone 2 mg tablet sig: one (1) tablet po q6hrs () for 3 days. 12. dexamethasone 2 mg tablet sig: 0.5 tablet po q6hrs () for 3 days. 13. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 14. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for pain. 15. heparin, porcine (pf) 10 unit/ml syringe sig: five (5) ml intravenous prn (as needed) as needed for line flush. 16. heparin lock flush (porcine) 100 unit/ml syringe sig: five (5) ml intravenous prn (as needed) as needed for de-accessing port. discharge disposition: extended care facility: hospital - discharge diagnosis: right parietal brain mass discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). 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. ?????? 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, unless you have been instructed not to. 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: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow up appointment instructions ??????you have an appointment in the brain clinic on at 4 pm . 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. please call if you have questions or problems related to your surgery. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: adrenal cortical steroids causing adverse effects in therapeutic use acute kidney failure, unspecified personal history of malignant neoplasm of breast other convulsions secondary malignant neoplasm of brain and spinal cord metabolic encephalopathy other abnormal glucose benzodiazepine-based tranquilizers causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to