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: visual field deficit major surgical or invasive procedure: right subfrontal craniotomy for tumor resection history of present illness: 60-year-old female who was recently seen in brain clinic, with progressive visual loss and was found to have a growing tuberculum sella meningioma. she was electively admitted on for resection of said mass. past medical history: hypercholestrolemia social history: from and now lives in the u.s. with her daughter. she has 7 children. family history: non-contributory physical exam: on discharge: oriented x 3 with interpreter. right eye has little sight but patient does she "shadows." left pupil is reactive to light. right pupil is small but unreactive. face symmetric, tongue midline. facial sensation symmetric. no drift. full strength and sensation throughout all extremities. incision clean, dry, and intact. pertinent results: labs on admission: 03:33pm blood wbc-13.2*# rbc-4.24 hgb-12.3 hct-36.4 mcv-86 mch-29.0 mchc-33.8 rdw-14.5 plt ct-234# 03:33pm blood pt-12.5 ptt-19.2* inr(pt)-1.1 03:33pm blood glucose-208* urean-7 creat-0.8 na-146* k-3.9 cl-112* hco3-25 angap-13 03:33pm blood calcium-8.7 phos-5.3* mg-2.0 imaging: mri head : limited mri of the brain with contrast: there has been no significant interval change in the size or appearance of the previously described enhancing mass along the planum sphenoidale with dural tail, consistent with a meningioma, which has suprasellar and intrasellar extension, measuring approximately 23 x 35 mm on sagittal images with prior measurement in of approximately 22 x 30 mm. mass effect on the chiasm and pre- chiasmatic optic nerves is stable. no obvious vascular invasion is identified. no other abnormal enhancing lesions are noted within the brain parenchyma. estimated tumor volume is approximately 8.96 cm3, slightly increased from exam where it measured 7.3 cm3. impression: slight interval growth from of large planum sphenoidale meningioma with stable adjacent mass effect. ct head : findings: patient is status post right frontal subcraniotomy. there has been interval removal of a suprasellar mass as seen on most recent prior mri. there is a 1.0 x 1.6 cm focus of high attenuation located in the right frontal lobe (2a:7) that likely represents focal intraparenchymal hemorrhage, not significantly changed when compared to prior exam. high-attenuation material tracking along the right frontal lobe convexity is unchanged. there has been interval decrease in extensive pneumocephalus. the -white matter differentiation is preserved. there is no evidence of acute infarction or change in ventricular size and configuration. there is no evidence of hydrocephalus. no new hemorrhage is identified. the visualized paranasal sinuses are clear. impression: 1. no significant change in right frontal intraparenchymal hemorrhage and right frontal hyperdensity seen layering along the dura. 2. interval decrease in expected pneumocephalus mri head : findings: since the previous study, the patient has undergone resection of tuberculum sella and subfrontal meningioma. there is a right frontal craniotomy seen with a subdural collection in this region as seen on the recent ct. small amount of blood products are seen in the inferior frontal region on the right secondary to the surgery. there is no hydrocephalus or midline shift is seen. no acute infarct seen on diffusion images. following gadolinium administration, no residual nodular area of enhancement seen in the region of tuberculum sella or the inferior frontal region. the suprasellar lesion seen on the previous study has been resected. difference in the signal intensity of the intraorbital optic nerves is seen with the right side being slightly had intense on t2-weighted images. slight hyperintensity of the right intraorbital or intracranial optic nerve is also seen on diffusion images. it is unclear whether this is secondary to edema or ischemia in the optic nerve. clinical correlation recommended. impression: postoperative changes with resection of the subfrontal tumor without residual enhancing mass lesion identified. slight increased signal of the right optic nerve is seen on the t2 and diffusion images. this could be secondary to edema from mass effect. however, clinical correlation recommended. no acute territorial infarct seen. brief hospital course: mrs. was admitted for an elective craniotomy for resection of a supersellar meningeoma on . her operative course was uncomplicated and post- operatively the patient was transferred directly to the intensive care unit. she was monitored with close neurological observation she was found to have decreased vision in the right eye with possible light recognition. mri showed postoperative changes with resection of the subfrontal tumor without residual enhancing mass lesion identified. slight increased signal of the right optic nerve is seen on the t2 and diffusion images, no infarct was seen. an opthamology consult was obtained they felt there was little change from pre-op and vision prognosis was uncertain. on she was transferred to neurological floor she was neurologically intact except for her vision. she was evaluated by physical therapy and occupational therapy and they recommended a second day of therapy while in the hospital. upon re-evaluation on she had improved significantly and they felt she was safe to be discharged with home services. the patient was given one dose of na tablet due to na of 130. she was neurologically much improved compared to the prior few days. she was discharged on with services. her family will be available to assist her at home as well. medications on admission: zocor 20mg daily vitamen c 500mg tid (non-compliant) vitamen d 400units daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 4. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: no driving while on this medication. disp:*50 tablet(s)* refills:*0* 8. dexamethasone 2 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 doses: on take 3mg x 3 days. on take 2mg x 3 days. on take 1mg x 3 days. disp:*21 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: supersellar meningioma discharge condition: neurologically stable discharge instructions: general 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 have been removed. ??????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. ??????clearance to drive and return to work will be addressed at your post-operative office visit. ??????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. ??????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: ??????please return to the office in days (from your date of surgery) for removal of your staples/sutures and a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . ??????you have an appointment in the brain clinic on @4pm. 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 as this was done during your acute hospitalization. you will also need formal visual field testing in approximately 8 weeks. please call ( to schedule this appointment. procedure: other bronchoscopy excision of lesion or tissue of cerebral meninges diagnoses: pure hypercholesterolemia unspecified essential hypertension hypopotassemia benign neoplasm of cerebral meninges hyperosmolality and/or hypernatremia electrolyte and fluid disorders not elsewhere classified unspecified visual loss 

Answer: The patient is high likely exposed to