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: no known allergies / adverse drug reactions attending: chief complaint: seizure, left frontal mass major surgical or invasive procedure: left craniotomy with excision of mass history of present illness: 44 year old gentleman who had a generalized tonic clonic seizure at a day cookout per witness reports. he was going to catch something that was being thrown to him and when he attmepted to catch it he fell to the ground and seized.paramedics were called and the administered 0.5mg of ativan with good effect. in the ambulance he had what was described as a localized left facial seizure which responded to ativan. upon arrival to a head ct was obtained whcih showed a left frontal lesion 3cm x 3cm in size mostly cystic with a hemorrhagic and calcified components. he was transferred to for further care and neurosurgery was consulted for assistance in his care. he currently denies headache, nausea, vomiting,dizziness, difficulty ambulating, changes in bowel or bladder function, or changes in vision, hearing, or speech. past medical history: depression social history: married, has 2 children. mailroom manager. no etoh/drugs. smokes 1 cigar daily family history: non-contrib physical exam: gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. 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, 4mm to 2mm bilaterally. visual fields are 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. physical exam upon discharge: awake but fatigued. a+o . expressive aphasia mae's symmetrically following all commands pertinent results: cta head left frontal mass, cystic, with calcification. more subtle right frontal lesion is better demonstrated on the subsequent mri. the multiplicity make metastasis most likely. the calcified, cystic nature is suggestive of a mucinous gastrointestinal primary. multiple cavernomas or an infectious process are less likely, particularly given the mri appearance. mri brain large left frontal lobe cystic mass with thick nodular enhancement and dense calcification. smaller peripheral right frontal mass. the multiplicity of the lesions is most suspicious for metastases. the cystic and calcified nature suggests an adenocarcinoma, perhaps of gi source. multiple cavernomas are possible, as there was a prominent subependymal vein draining the left frontal lesion, however, this is less likely given the lack of susceptibility with the smaller right frontal lesion. an infectious process is less likely as well. ct torso 1.no definite evidence of malignancy. 2. indeterminate right renal lesion for which ultrasound is recommended for further evaluation. 3. fatty infiltration of the liver. renal us- right upper pole simple cyst. no suspicious renal lesions. mri head: rim-enhancing lesions, a larger one in the left frontal lobe and a smaller in the right frontal lobe are unchanged since the previous mri examinations. no definite new abnormalities are seen. the post-gadolinium images are somewhat limited by motion. the examination is performed for surgical planning. head ct: status post left frontal craniotomy and mass resection without large extra- or intra-axial acute hemorrhage. final attending comment: the calcified portion of the mass has not been resected. mri head: hemorrhage in the resection bed limits evaluation for residual tumor. there is a residual infiltrative component of the tumor in the left frontal lobe that crosses the midline to involve the right frontal lobe, not significantly changed. a right frontal lobe rim-enhancing lesion is not significantly changed. cytotoxic edema along the posterior resection cavity. no acute large vascular territorial infarction. brief hospital course: mr. was admitted to the sdu at for evaluation of a newly diagnosed right frontal lesion. he was being treated with dilantin for seizure prophylaxis. on he required a dilantin bolus for a level of 8.9 and his routine dose was increased to 200bid. pre-op work up was ordered. ct torso was done for staging revealing an indeterminate right renal lesion and renal us was ordered. this revealed a cyst and no suspicious lesions. his dilantin level was 13.6 on and he was transfered to the floor. he was preop'ed for surgery. on he was taken to the or and underwent a left craniotomy and mass resection. post-operatively, he was taken to the neuro icu for q1hour neurochecks and close hemodynamic monitoring. although he had a somewhat slow wake up postop, within a few hours, he had mostly cleared, moving all 4 extremities well with some perseveration on questioning. post op ct showed no acute hemorrhage with residual calcified portion of the mass. on , the patient had improved and was a&o x2-3 but still tired. his aline was removed and he was transferred to the stepdown unit on q2hour neurochecks. a regular diet was started but the patient did not take much po. subq heparin started for dvt prophylaxis. pod 1 mri showed hemorrhage in the resection bed which limited evaluation for residual tumor. there was a residual infiltrative component of the tumor in the left frontal lobe crossing the midline to involve the right frontal lobe, which is not significantly changed with unchanged right frontal lobe rim-enhancing lesion. he remained stable on and was cleared for transfer to the floor on . his decadron was tapered and physical and occupational therapy consultations were requested. dilantin level was therapeutic at 10.7. on his aphasia was slightly improved. pt and ot are recommending discharge to acute rehab. pateint was discharged to rehab on . medications on admission: effexor xr 150mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever/pain. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. venlafaxine 75 mg capsule, ext release 24 hr sig: two (2) capsule, ext release 24 hr po daily (daily). 6. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. phenytoin 50 mg tablet, chewable sig: two (2) tablet, chewable po q8h (every 8 hours). 10. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 11. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 12. dexamethasone 2 mg tablet sig: one (1) tablet po q8hrs () for 2 days. 13. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 300 days. discharge disposition: extended care facility: discharge diagnosis: right frontal tumor seizure fatty liver right renal lesion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). 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. ?????? 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 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 ??????you have an appointment in the brain clinic on at 12 pm. 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: other convulsions depressive disorder, not elsewhere classified other and unspecified hyperlipidemia unspecified disorder of kidney and ureter aphasia other chronic nonalcoholic liver disease malignant neoplasm of frontal lobe 

Answer: The patient is high likely exposed to