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: vicodin attending: chief complaint: occipital mass major surgical or invasive procedure: occipital craniotomy for resection of mass history of present illness: 67 y/o female on coumadin, came to on recommendation of her oncologist because of progressively worsening weakness in legs bilaterally and headaches. she was previously diagnosed with a brain mass in and went through radiation of the brain and spine. upon follow up, a suspicious "spot" was seen on mri. she reports blurred vision, decreased hearing on right side, and unsteady gait, walks with a walker at home. she denies any n/v or dizziness. past medical history: past medical history: she has a history of dermatomyositis and non-small cell lung cancer, left deep vein thrombosis, and right breast cancer. she does not have diabetes, hypertension, hypercholesterolemia, or copd. past surgical history: she had a right mastectomy for her breast cancer and a wedge resection of the lower lobe of the left lung for adenocarcinoma. she also had ivc filter placement after her left deep vein thrombosis was discovered. social history: she lives alone at her home. she was smoking 1 packs of cigarettes per day for 40 years but stopped in . she does not drink alcohol or use illicit drugs. family history: her mother is alive but she has a history of deep vein thrombosis and diabetes. her father died at the age of 41 from a myocardial infarction. she has 2 sisters; one has breast cancer but she is alive. her brother died at age 49 from a myocardial infarction. her son is healthy. she does not have any biological daughters but she has 3 step-daughters. physical exam: physical exam: t: bp:100 /60 hr: 60 r: 16 o2sats: gen: wd/wn, comfortable, nad. heent: normocephalic, atraumatic pupils: 3-2mm bilaterally eoms: intact 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. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 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 voice. slightly decreased on r side ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue slight deviation to left side without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power on ue, on le bilaterally. no pronator drift sensation: intact to light touch coordination: normal on finger-nose-finger on discharge: xxxxxxxxxxxxxx pertinent results: labs on admission: 08:00pm blood wbc-10.3 rbc-4.70 hgb-13.9 hct-42.0 mcv-89 mch-29.7 mchc-33.2 rdw-15.8* plt ct-299 08:00pm blood pt-47.7* ptt-33.6 inr(pt)-5.2* 08:00pm blood glucose-160* urean-42* creat-0.5 na-137 k-4.3 cl-103 hco3-22 angap-16 08:00pm blood calcium-8.6 phos-3.6 mg-2.2 labs on discharge: xxxxxxxxxxxxxxxxxx imaging: mri head: comparison is made with . accounting for differences in head angulation and positioning, there might be slight if any interval decrease in enhancing right cerebellar lesion . there are post- radiation changes in the white matter. no new lesions are identified. there is stable mastoid opacification, right greater than left.ventricles and sulci are unchanged in size and configuration. there is no evidence of acute ischemia. intracranial flow voids are maintained. impression: slight, if any, interval decrease in the size of the right cerebellar enhancing lesion abutting the transverse sinus. no new lesions are seen. mri head : findings: post-surgical changes are seen following resection of a right cerebellar lesion, with postoperative hemorrhagic products seen within the surgical bed. there is a tiny amount of residual enhancement seen along the lateral margin of the resection bed (13:5). additionally, a rim of slow diffusion at the surgical bed likely relates to post-surgical changes. a small amount of right subdural fluid/blood also is likely post-surgical. there is no evidence of an acute infarct. the ventricles and sulci are mildly prominent, likely related to atrophy. periventricular white matter t2/flair hyperintensities are stable. there is fluid in bilateral mastoid air cells, right more severe than left. impression: 1. post-surgical changes in the right cerebellar hemisphere, with hemorrhagic products, as well as a small amount of subdural fluid/hemorrhage overlying the right cerebral convexity. 2. tiny amount of residual enhancement is seen along the lateral margin of the resection bed. head ct : findings: patient is status post right occipital craniectomy, with an overlying mesh. postoperative changes within the right posterior fossa and right cerebellar hemisphere with air and edema are stable. small amount of air overlying the right frontal lobe, as well as scattered throughout the sulci in the left frontal lobe are slightly decreased in extent from prior study. there is no evidence of a new acute intracranial hemorrhage, mass effect, shift of normally midline structures, or acute major vascular territorial infarction. the size of the ventricular system is stable, without evidence of new hydrocephalus. periventricular white matter low attenuation is unchanged. right mastoid opacification is again noted. impression: stable right occipital craniectomy changes, without evidence of new intracranial hemorrhage or mass effect. lenis : findings: -scale and doppler son of the bilateral common femoral, superficial femoral, and popliteal veins were performed. there is normal compressibility, flow, and augmentation. impression: no evidence of dvt. brief hospital course: 67f s/p radiation for brain mass with progressively worsening weakness and headaches. an mri shows small area within tumor suspicious for abscess. she was admitted to the neurosurgery service for close observation. her anticoagulation was reversed. she was placed on decadron. neuro-oncology was consulted and recommended a biopsy/resection. prior to surgery she underwent a lenis which were negative for dvts this was follow up her prior dvts and had been placed on coumadin. on she underwent wand mri for surgical planning. on , she went to the or for occipital craniotomy for mass resection. post-operatively, she was returned to the icu for routine post-crani monitoring. on , she had a one time event of confusion, and a head ct was done(stable). she also had mri of the head done to evaluate extense of surgical resection. on the foley catheter was removed. she failed to sucessfully void after this and the catheter was replaced. she was also seen and evaluated by neuro and radiation oncology for her follow up oncologic plan. she was discharged to an appropriate rehab facility on medications on admission: dexamethasone 2mg, , fluoxetine 20mg qd, percocet 5/325mg q6h prn, warfarin discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for . 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. hydromorphone 4 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for headache. 6. cyclobenzaprine 10 mg tablet sig: 0.5 tablet po tid (3 times a day) as needed for posterior neck pain. 7. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po bid (2 times a day) as needed for anxiety. 8. acetaminophen-codeine 300-30 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for severe headache. 9. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 10. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). 11. olanzapine 5 mg tablet sig: one (1) tablet po hs (at bedtime). discharge disposition: extended care facility: - discharge diagnosis: metastatic lung ca discharge condition: neurologically stable 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 staples 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. ??????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. 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?????? f. followup instructions: follow-up appointment 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 . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????you have an appointment in the brain clinic on at 11:30. the brain clinic is located on the of , in the building on the . 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: personal history of malignant neoplasm of bronchus and lung personal history of malignant neoplasm of breast personal history of tobacco use secondary malignant neoplasm of brain and spinal cord long-term (current) use of anticoagulants personal history of venous thrombosis and embolism delirium due to conditions classified elsewhere personal history of irradiation, presenting hazards to health acquired absence of breast and nipple 

Answer: The patient is high likely exposed to