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: mental status changes and confusion. major surgical or invasive procedure: microsurgical navigation guided resection of left frontal tumor. history of present illness: mr. is a 75-year-old right-handed man with cad, chf, h/o stroke, paroxysmal atrial fibrillation, and metastatic nsclc cancer, s/p cyberknife on to brain metastases who presents with progressive confusion over the past month. patient is unable to provide any details of the events precipitating this admission; thus, history was obtained from his son . he has had waxing and confusion for the past two weeks. his son states that he "seems to have lost his logic and common sense." he recognizes his family but has exhibited much confusion with performance of his adl's. son reports that he has only been putting on his left shoe and walking around the house with only one shoe on. similarly he has had difficulty with putting on only one side of his pants. he has not been performing self-hygiene and has not been taking medications. family has noticed changes in his balance, and patient reports that he has fallen twice in the past week. his son recently noticed scratches on his arms and legs, but a fall was never witnessed. he frequently complains of fatigue and has been sleeping more than usual. patient has not reported any dizziness. he has had one episode of urinary incontinence approximately one month ago, but otherwise has been using the bathroom unassisted. he has not had any observed seizure-like activity or fecal incontinence. in the ed, vital signs were 97.6 f, heart rate 105, blood pressure 148/89, respiratory rate 18, and oxygen saturation was 96% on room air. he received decadron 10 mg po x 1. ct head was performed and he was evaluated by neurology consult. he was admitted for further work-up to the oncology medicine service. past medical history: 1) nsclc w/brain metastases (see below) 1) cad - s/p inferior stemi , stent to left circumflex 2) chf(ef 55% on ) 3) htn 4) paroxysmal afib 5) cva 6) left le dvt on coumadin 7) s/p prostatectomy 8) s/p ivc filter oncologic history: he was in his usual state of health until when he was experiencing a persistent cough. in , he suffered from a myocardial infarction with congestive heart failure and inferior lead st elevation. his chest x-ray showed a right upper lobe mass. a biopsy showed adenosquamous carcinoma. he was staged at iiia. he later had carboplatin and taxol, together with chest irradiation. after neoadjuvant chemo-irradiation, he underwent a right upper lobectomy. he had staging head mri in that reveals a left medial frontal brain metastasis. that has increased in size over time. he then received cyberknife radiosurgery in late . last seen in with some increase in edema on ct head, felt to be related to weaning his dexamethasone. social history: originally from , cantonese speaking. retired. worked a variety of jobs, including in restaurants. lives with wife and one of his sons. three kids. he is a non-smoker, occasional etoh, and no drugs. family history: father and mother had cad. physical exam: vital signs: temperature 97.9 f, hr 98, bp 154/87, rr 18, spo2 99% on ra general: elderly male, supine in bed, smiling heent: clear op, mmm, sclera anicteric cardiovascular: rrr, nl s1 s2, no m/r/g respiratory: decreased breath sounds rul abdomen: soft nt/nd, +bs extremities: warm, well-perfused, no clubbing/cyanosis/edema neurological examination: his karnofsky performance score is 40. he is awake, alert, and oriented times 1 (himself). he was unable to folow commands or answer questions. he has significant psychomotor slowing. his recent recall is poor. cranial nerve examination: his pupils are equal and reactive to light, 3 mm to 2 mm bilaterally. extraocular movements are full. visual fields are full to confrontation. funduscopic examination reveals sharp disks margins bilaterally. his face is symmetric. he has corneals bilaterally. his hearing is grossly intact. his tongue is midline. palate goes up in the midline. sternocleidomastoids and upper trapezius are strong. motor examination: he does not have a drift. he can move all 4 extremities well. his muscle tone is normal. his reflexes are 2- at brachioradialis, 2+ at biceps, 0 at triceps, 2- at knees, and 0 at ankles. his toes are down going. his gait is wide-based and he has retropulsion. pertinent results: laboratory results: 09:10am blood wbc-10.2 rbc-4.59* hgb-15.1 hct-44.1 mcv-96 mch-32.9* mchc-34.2 rdw-14.5 plt ct-245 08:17am blood wbc-13.3* rbc-4.26* hgb-14.3 hct-39.9* mcv-94 mch-33.4* mchc-35.8* rdw-14.0 plt ct-239 09:10am blood pt-11.9 ptt-26.4 inr(pt)-1.0 09:10am blood glucose-218* urean-21* creat-1.1 na-139 k-4.1 cl-105 hco3-25 angap-13 09:10am blood alt-26 ast-32 ck(cpk)-75 alkphos-108 amylase-38 totbili-0.9 09:10am blood albumin-4.3 calcium-9.5 phos-3.2 mg-2.4 relevant imaging: 1)ct head (): no acute intracranial hemorrhage. vasogenic edema from the known metastatic lesion in the left frontal lobe is more prominent. for further evaluation, mri with gadolineum can be performed. 2)mri head (): increase in size of enhancing component of the left frontal lobe metastatic lesion with increased surrounding edema compared with the immediate prior mri of . no underlying infarct is identified. no evidence of midline shift or hydrocephalus. 2)cxray (): post-radiation and post-surgery changes in the right perihilar region. no new abnormalities to account for change in mental status. ct may be considered for more complete characterization if clinical suspicion persists. 4)ct chest w/contrast (): stable post-operative appearance, right upper lobectomy. no evidence of intrathoracic malignancy. 5)ct head (): small foci of blood and pneumocephalus in the left frontal lobe status post left frontal craniotomy are expected post- operative findings. no evidence of large intracranial hemorrhage. unchanged mass effect on frontal of the left lateral ventricle. brief hospital course: mr. is a 75-year-old right-handed man with cad, chf, h/o stroke, paroxysmal atrial fibrillation, and metastatic nsclc cancer, s/p cyberknife on to brain metastases who presents with altered mental status. (1) nsclc with brain metastases: patient presented with acute mental status changes in the setting of increased vasogenic edema surrounding left frontal metastasis. he was placed on decadron for edema and keppra for anti-seizure prophylaxis. aspirin, coumadin, and were held in anticipation for surgery. he was transferred to the neurosurgery service for a left frontal craniotomy for tumor resection. he underwent the procedure without complications. repeat ct scan head consistent with post-operative changes. patient was then transferred back to oncology service. mental status slowly returned to baseline. he is scheduled to see dr. within 1 week after being discharge. in addition, he is scheduled in the neurosurgery clinic on for removal of his sutures. (2) cad: s/p inferior stemi in with to left circumflex. he had been on aspirin and as outpatient but per wife had not been taking the everyday. both were stopped few days prior to surgery. per neurosurgery, aspirin 325mg should be started on , . since patient is 2 years out from stent placement and given non-compliance at home, will stop altogether. (3)paroxysmal atrial fibrillation: patient remained in sinus rhythm throughout his hospital stay. coumadin was held in anticipation for surgery. per patient, he was not taking it at home and inr had been subtherapeutic on arrival. per neurosurgery, coumadin will be restarted on , with bridging with lovenox. inr should be monitored closely with goal between . he was continued on beta-blocker. medications on admission: not documented. discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 8. coumadin 2 mg tablet sig: one (1) tablet po at bedtime: please start on , . . 9. lovenox 60 mg/0.6 ml syringe sig: sixty (60) milligrams subcutaneous twice a day: please start on , . please stop once inr is therapeutic (). 10. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day): please stop on , after patient is started on lovenox and coumadin. . 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. 12. prochlorperazine 10 mg iv q6h:prn 13. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 14. dexamethasone 4 mg tablet sig: one (1) tablet po q12h (every 12 hours). 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 16. insulin please place patient on insulin sliding scale during duration that patient is on decadron. discharge disposition: extended care facility: of discharge diagnosis: primary diagnoses: 1)metastatic non small cell lung cancer 2)atrial fibrillation 3)cardiovascular disease secondary diagnoses: 1)hypertension 2)congestive heart failure discharge condition: stable discharge instructions: 1)please take all medications as listed in the discharge instructions. 2)please stop taking your . 3)you should be restarted on aspirin 325mg on , . 4)you should start taking lovenox injections and coumadin starting , . you will need to have your blood counts monitored closely (inr) while on these medications. if there are any questions or concerns, dr. at should be contact at . 5)please attend all appointments as listed below. you are scheduled to have your sutures removed next week. you also have an appointment with dr. . 6)if you experience any fevers, chills, chest pain, shortness of breath, dizziness or any other concerning symptoms please return to the emergency room. followup instructions: 1) clinic for suture removal on at 11am in building on at . phone number: . 2)provider: , m.d. phone: date/time: 1:00 3)provider: , md phone: date/time: 11:30 4)provider: , voice and speech clinic date/time: 3:00 5)provider: , voice and speech clinic date/time: 10:00 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 congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of bronchus and lung mitral valve insufficiency and aortic valve insufficiency percutaneous transluminal coronary angioplasty status candidiasis of mouth secondary malignant neoplasm of brain and spinal cord personal history of other diseases of circulatory system old myocardial infarction chronic systolic heart failure late effects of other accidents other ill-defined cerebrovascular disease 

Answer: The patient is high likely exposed to