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: right brain mass major surgical or invasive procedure: right craniotomy for mass history of present illness: patient is a 63m transferred from osh for definitive nsurg care in the setting of newly identified brain mass. he reports having a history of headache and difficulty swallowing as of recently. on , he had an episode of sudden weakness, falling in the bathtub. he was then admitted to said osh, where workup was revealing for the aformentioned mass. past medical history: cad s/p pcta, mix4, seizure dx, dyslipidemia,dm,asthma,dvt,htn, bph,ascvd,pvd,djd, s/p neck surgery, s/p lbsurgery, s/p ccy social history: divorced for 20 years, has one daughter. +tobacco 1ppdx50yrs family history: non contributory physical exam: on discharge: oriented x 3. perrl. eoms intact. face symmetric, tongue midline. no drift. full strength throughout. sensation intact throughout. incision - clean, dry, intact. sutures in place. pertinent results: labs on admission: 09:30pm blood wbc-17.0* rbc-5.36 hgb-16.0 hct-48.4 mcv-90 mch-29.8 mchc-33.0 rdw-14.9 plt ct-245 09:30pm blood neuts-87.9* lymphs-7.4* monos-4.2 eos-0.2 baso-0.3 09:30pm blood pt-12.8 ptt-22.7 inr(pt)-1.1 09:30pm blood glucose-152* urean-15 creat-0.6 na-142 k-3.9 cl-106 hco3-25 angap-15 09:30pm blood calcium-9.4 phos-3.6 mg-2.1 04:55am blood phenyto-7.1* labs on discharge: 06:40am blood wbc-11.0 rbc-3.52* hgb-11.0* hct-31.6* mcv-90 mch-31.1 mchc-34.7 rdw-14.0 plt ct-317 06:40am blood plt ct-317 06:40am blood pt-12.4 ptt-24.2 inr(pt)-1.0 06:40am blood glucose-134* urean-18 creat-0.6 na-143 k-3.6 cl-103 hco3-32 angap-12 06:40am blood phenyto-11.8 imaging: -------------------- mri head : impression: 1. heterogeneously enhancing multiloculated dural-based extra-axial right frontotemporal mass with mass effect on the right lateral ventricle, slight right uncal herniation, marked surrounding vasogenic edema, and leftward shift of the normally midline structures. differential diagnosis includes an atypical meningioma, or hemangiopericytoma. 2. no acute infarction or hemorrhage. no additional enhancing lesions are identified. cta head : impression: 1. large right frontotemporal heterogeneously enhancing extra-axial dural-based mass with mass effect, surrounding vasogenic edema, and approximately 1.5 cm shift of the normally midline structures. the differential diagnosis includes an atypical meningioma, or hemangiopericytoma. 2. no acute territorial infarction or hemorrhage.vascular displacement by mass. ct head : impression: 1. interval mild increase in effacement of cerebral sulci bilaterally and decreased differentiation of -white matter, likely representing a component of cerebral edema. clinical correlation is recommended. 2. stable amount of blood and mass effect at the surgical site. 3. severely increased subcutaneous edema in the left frontal scalp extending to the periorbital area. impression: status post right frontotemporal craniotomy and removal of large right extraaxial mass with a postoperative small amount of extraaxial and intraparenchymal bleed and 1.6 cm of midline shift towards the left. mri head : 1. infarction of the right frontal lobe adjacent to the surgical cavity. 2. possible residual tumor enhancement, most pronounced at the right temporal lobe. 3. post-surgical changes after craniotomy with a fluid-filled surgical cavity, as well as blood products surrounding the surgical cavity and small left subdural pneumocephalus. 4. compared to the ct earlier from the day, unchanged, about 1.5 cm shift of normally midline structures to the left with subfalcine herniation. brief hospital course: patient admitted to the nsurg service after transfer from osh for definitive care for newly identified brain mass. on admission, he was sent for mri of the head, and cta of the head for further evaluation and surgical planning. due to the size of the lesion; it was decided to take him to the or on to resect the mass and obtain diagnosis to guide treatment. pre-operatively, due to his extensive cardiac history, a cardiology consult was obtained. they recommended the addition of a beta blocker(which was done), and did not recommend continuing the plavix post-operatively as his stending procedure was completed greater than one year prior. they did however, recommend restarting aspirin as soon as it was safe for us to do so. post-operativley, he was returned to the sicu for q1h neurochecks and diligent system monitoring. after an uneventful night of monitoring, he was oob with physical therapy. his blood pressure was kept under strict control under 140mmhg. on post op day 3 he had an improving neurological exam, and was transferred out of the unit to the step down floor. the patient was evaluated by physical therapy and he was deemed an appropriate candidate for rehab. he was discharged to a rehab facility on . medications on admission: plavix, metformin, nitro sl, lisinopril, lipitor, hctz, percocet, flomax, avodart discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 5. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 6. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 7. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 8. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 10. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 13. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 14. phenytoin 50 mg tablet, chewable sig: three (3) tablet, chewable po bid (2 times a day). 15. nicotine 7 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 16. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 17. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): discontinue once dexamethasone is completed. 18. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 19. dexamethasone 2 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 doses. 20. dexamethasone 1 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 3 doses: please start after 2 mg dose. discharge disposition: extended care facility: discharge diagnosis: right frontal parietal brain mass **preliminary pathology: meningioma discharge condition: neurologically stable mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance discharge instructions: general instructions wound care: ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your sutures are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. be sure however, to remain well hydrated, and increase your consumption of fiber, as pain medications may cause constipation. medications: ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: -narcotic pain medication such as dilaudid (hydromorphone). -an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? 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 were on plavix (clopidogrel) prior to your surgery, you have been discontinued on this medication at the request of the inpatient cardiologist. as your stenting procedures were greater than 1yr ago, it is no longer needed. please verify with your regular cardiologist. ?????? you may restart your aspirin in 1 month. ?????? 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. activity: the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: ??????please return to the office in days (from your date of surgery) for removal of your sutures and a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . you have your sutures removed at rehab. they must be removed by . ??????you have an appointment in the brain clinic on at 3pm. 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 may restart your aspirin in 1 month. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled asthma, unspecified type, unspecified peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status benign neoplasm of cerebral meninges cerebral edema old myocardial infarction personal history of venous thrombosis and embolism cardiovascular disease, unspecified 

Answer: The patient is high likely exposed to