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: tegretol / keppra / dilantin kapseal / erythromycin base / penicillins / sulfa (sulfonamide antibiotics) / ciprofloxacin er / prednisone / quinolones / dextromethorphan attending: chief complaint: increased seizure acitivty major surgical or invasive procedure: left craniotomy for excision of mass history of present illness: this is a 69 year old right handed female with a complex medical history with a right temporal meningioma (treated with surgery and proton beam irradiation in ) and also a right parietal glioblastoma multiforme. she also has a right thymoma and hx of lung cancer. she had a right temporal grade i meningioma resected by dr. , proton beam irradiation to left parietal parasaggital meningoma at in , a left parietal resection by dr. in , cyberknife rdiosurgery right parietal cavity , ct guided lul lung bx positive for lung cancer, shoulder surgery for bone spur , portacath . she was hospitalized in after a seizure. she then presented to the emergency room on for right lower extremity spasms. her epileptologis, dr. feels that the spasms are focal seizures from a small menigeoma. the patient has stopped driving and feels that her seizures may be originating for the lesion seen on the left parasagittal region on her head. this is an area treated with probon beam irradiation in . currently she complains of increased seizure acitivty. she also has symptoms most likely unrelated to meningioma of shuffling gait and numbness bottom of right foot. past medical history: oncologic history (1) a right temporal grade i meningioma resected by , m.d. on , (2) proton beam irradiation to a left parietal parasaggital meningoma at in , (3) a left parietal gross total resection by dr. on , (4) protocol with hypofractionated involved-field radiation + cyberknife boost + temozolomide from to to 4,005 cgy, (5) cyberknife radiosurgery to right parietal cavity to 2400 cgy (800 cgy x 3 fractions) at 72% isodose line from to , (6) ct-guided left upper lobe lung biopsy on showing ck-7 and ttf-1 positive lung carcinoma, stereotactic radiation (7) shoulder surgery for bone spur on , (8) had portacath placement on , and (9) status post 18 monthly adjuvant temozolomide cycles from to . pmh: (from dr clinic note ) meningioma x2 (see below) gbm (left parietal) hysterectomy hypertension diabetes mellitus, type 2 left carotid endarterectomy chronic low back pain/congenital spondylolisthesis: l4-5 laminectomy at hospital. bunionectomy cataract surgery tubal ligation benign breast biopsies frequent uti copd social history: widowed, retired partner in a multinational corporation (marketing). husband died of metastatic lung cancer in . family history: mother died at 95 from chf physical exam: on admission: af vss gen: wd/wn, comfortable, nad. heent: pupils: bilateral eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr 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. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm 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 finger rub bilaterally. 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, decreased sensation bottom of foot reflexes: 2+ and symmetrical coordination: normal on finger-nose-finger, unable to walks on toes; ataxic gait handedness right on discharge: unchanged from admission with below exceptions -sensation on bottom of right foot improved -wound well approximated, clean/dry/intact pertinent results: pathology report tissue left sided tumor: pending at time of discharge mr head w/ contrast study date of 4:50 am 1. the patient is status post right parietal craniotomy, with persistent irregular area of enhancement in the right parietal lobe and vasogenic edema. 2. unchanged oval-shaped enhancing lesion in the left parietal convexity, likely consistent with a meningioma and unchanged area of uniform enhancement in the left parietal region as described above. radiology report ct head w/o contrast study date of 1:39 pm there is no evidence of hemorrhage. there is extensive edema present similar in comparison to the comparison study performed in . a noncontrast ct scan cannot say anything meaningful about the extent of the resection. there is intracranial air located in the left frontal region, which is expected postoperatively. there is no evidence of any new abnormalities. radiology report mr head w & w/o contrast study date of 9:21 am 1. post-surgical changes related to recent left parietal meningioma resection. susceptibility artifact in the left vertex, likely represents pneumocephalus, better seen on ct exam one day prior. there is minimal enhancement within the resection bed. attention on followup exams is recommended. no intracranial infarction. 2. post-surgical changes related to remote right parietal glioblastoma resection. an irregular focus of enhancement is unchanged. the surrounding vasogenic edema has mildly increased since prior exams, which may represent progression of treatment changes or underlying disease brief hospital course: this is a 69 year old female who presented electively on for a left sided craniotomy for mass resection. post operatively the patient was electively extubated. the post operative head ct was consistent with expected post operative changes. the patient was recovered in the csicu. on , the patients exam was intact. the patient was mobilized out of bed to the chair. a physical therapy consult was ordered. the patient was ordered for a regular diet and the foley catheter was discontinued. the patient's blood pressure goal was liberalized to a goal of less than 160. given the patient's complaints of mild abdominal pain and history for eroded esophagus, the patients steroids were discontinued as discussed with dr . the patient was transferred to the floor. the patient had a post operative mri of the brain which was consistent with post-surgical changes with minimal enhancement within the resection bed. on , the patient was able to ambulate independently and tolerate her diet well. she was evaluated by pt and deemed stable to go home with in home pt services. the patient was discharged to go home on . she is to resume taking her aspirin in 5 days. medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. albuterol inhaler puff ih q4h shortness of breath 2. aspirin 81 mg po daily 3. calcium carbonate 500 mg po daily 4. diazepam 5 mg po q6h:prn spasm 5. hydrochlorothiazide 25 mg po daily 6. lisinopril 20 mg po daily 7. metoclopramide 10 mg po qidachs 8. multivitamins 1 tab po daily 9. omeprazole 20 mg po tid 10. potassium chloride 20 meq po daily duration: 24 hours 11. simvastatin 10 mg po daily 12. zonisamide 400 mg po qhs 13. estradiol 1 mg po daily 14. avapro *nf* (irbesartan) 150 mg oral qday discharge medications: 1. albuterol inhaler puff ih q4h shortness of breath 2. diazepam 5 mg po q6h:prn spasm 3. hydrochlorothiazide 25 mg po daily 4. lisinopril 20 mg po daily 5. metoclopramide 10 mg po qidachs 6. multivitamins 1 tab po daily 7. omeprazole 20 mg po tid 8. simvastatin 10 mg po daily 9. zonisamide 400 mg po qhs 10. acetaminophen 650 mg po q6h:prn pain or fever 11. avapro *nf* (irbesartan) 150 mg oral qday 12. docusate sodium 100 mg po bid rx *colace 100 mg 1 capsule(s) by mouth twice a day disp #*30 capsule refills:*0 13. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxecta 5 mg tablet(s) by mouth every four (4) hours disp #*30 tablet refills:*0 14. simethicone 40-80 mg po qid:prn gas rx *simethicone 80 mg 1 tab by mouth four times a day disp #*30 tablet refills:*0 15. estradiol 1 mg po daily 16. calcium carbonate 500 mg po daily 17. potassium chloride 20 meq po daily duration: 24 hours hold for k > discharge disposition: home with service facility: discharge diagnosis: brain 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. ?????? 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. ?????? 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 101.5?????? f. followup instructions: follow-up appointment instructions ??????if you are not seen in brain clinic within the next days, 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 physician or practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call the brain clinic to set up an appointment. 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. procedure: excision of lesion or tissue of cerebral meninges diagnoses: obstructive sleep apnea (adult)(pediatric) tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of bronchus and lung hypopotassemia benign neoplasm of cerebral meninges cerebral edema epilepsy, unspecified, without mention of intractable epilepsy personal history of irradiation, presenting hazards to health 

Answer: The patient is high likely exposed to