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: cc: major surgical or invasive procedure: -bilateral burr hole evacuation history of present illness: hpi: mrs. is known to the neurosurgery service. briefly, she is a 52 year-old female who initially presented in with headaches without findings on ct scans. she was eventually diagnosed with migraines after a neurology evaluation and placed on amitriptyline. she reports that she had continued to have headaches since that time. she presented to hospital today per report confused with difficulty walking. a ct scan of her head there revealed symmetrical bilateral subdural hematomas with approximately 1 cm thickness in the frontal and parietal regions, sparing the vertex, with effacement of sulci and slight compression of the lateral ventricles and possible evidence of subtentorial herniation. at this time, she was transferred to for further management. currently, she reports to have a continued headache bilaterally located behind her eyes. she has never had nausea or vomiting and denies any trauma in the past. she denies chest pain, shortness-of-breath, fevers, or chills. past medical history: 1. recent hospitalization (, for ruq pain. starting in , patient reports "squeezing" pain in abdomen, which increased in intensity up to prior to the admission. no specific diagnosis was made, and the pain significantly subsided prior to discharge.) 2. obesity 3. gerd (diagnosed) 4. ventral hernia (s/p surgical repair) . past surgical history: 1. open roux-en-y gastric bypass () 2. panniculectomy, brachioplasty 3. repair of ventral hernia 4. excision of 4 cm right knee lymphocele() 5. cholecystectomy () social history: patient lives at home with her son. she works as a business manager at a group home for kids, and manages the financing and staff. smoking: hx 1.5 ppd x 10 yrs (patient quit smoking 30 years ago). etoh: patient drinks 2 glasses of wine every other night. recreational drugs: denies. family history: mother: cad, htn father: diabetes (type ii) 2 sisters: diabetes (type ii) physical exam: on admission:physical exam: o: t: bp:111/66 hr:86 rr:20 o2sats:98% on room air gen: wd/wn, comfortable, nad. heent: pupils:perrla, 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. does not know why she is in the hospital. mile word finding difficulty. 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, 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, proprioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 2+ 2+ 2+ 2+ 2+ left 2+ 2+ 2+ 2+ 2+ toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin on the day of discharge: she was avss, a&ox3, full motor, no drift and no neurological deficits. pertinent results: 03:44am pt-11.1 ptt-24.5 inr(pt)-0.9 03:44am plt count-271 03:44am neuts-59.2 lymphs-32.2 monos-6.3 eos-1.7 basos-0.7 03:44am wbc-6.1 rbc-4.13* hgb-13.0 hct-38.4 mcv-93 mch-31.4 mchc-33.8 rdw-13.6 03:44am calcium-9.3 phosphate-4.6* magnesium-2.0 03:44am estgfr-using this 03:44am glucose-99 urea n-30* creat-0.8 sodium-141 potassium-3.7 chloride-105 total co2-26 anion gap-14 04:56am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 04:56am urine color-yellow appear-hazy sp -1.029 04:56am urine gr hold-hold 04:56am urine hours-random 09:13am ck(cpk)-35 radiology report ct head w/o contrast study date of 4:53 am 1. bilateral subacute subdural hematomas and diffuse cerebral edema with resultant effacement of the sulci, fissures and basal cisterns and slightly low lying cerebellar tonsils. in the setting of multiple prior lps, these findings may be secondary to intracranial hypotension. mri could be considered for further evaluation, including dural venous sinuses. radiology report chest (portable ap) study date of 5:05 am final report portable ap chest radiograph was compared to . cardiomediastinal silhouette is stable. lungs are essentially clear except for the left cardiophrenic angle that was not included in the field of view. there is no appreciable pleural effusion. there is no pneumothorax. head ct 1016 1. bifrontal hypodensities may represet artifact, but infarct cannot be excluded. findings are otherwise in the spectrum of post- surgical change. there is minimal residual subdural hematoma. 2. the brain parenchyma remains separated from the inner table, which suggests the subdural hematoma was chronic. brief hospital course: this is a 52 year-old female who initially presented in with headaches without findings on ct scans. she was eventually diagnosed with migraines after a neurology evaluation and placed on amitriptyline. she reports that she had continued to have headaches since that time. she presented to hospital today per report confused with difficulty walking. a ct scan of her head there revealed symmetrical bilateral subdural hematomas and she was transferred to for further management on . she was admitted to the icu and pre-operaticvely was reportaed to have short term memory loss x 1 week per her family's reports. on exam, she exhibited a slight right sided drift. consent for the procedure was signed by the patient and her son as the patient has had recent memory issues. she underwent bilateral burr holes post op ct showed good expansion of the brain. on she was transferred to the floor and was neurologically intact. while on the floor she tolerated a regular diet was seen by pt who determined she was safe to go home. medications on admission: protonix40 mg , allegra180 mg qd,diovan 160mg qd, amitriptyline 10 mg qd, lunesta qd, retin-a, veramyst, lorazepam 0.5qd, hydrocodone prn headache, bentyl 10 mg qd, vitamin b12. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*100 capsule(s)* refills:*0* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 3. fexofenadine 60 mg tablet sig: three (3) tablet po qd (). 4. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 5. amitriptyline 10 mg tablet sig: one (1) tablet po hs (at bedtime). 6. lorazepam 0.5 mg tablet sig: one (1) tablet po daily (daily). 7. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 8. dicyclomine 10 mg capsule sig: one (1) capsule po daily (daily). 9. tretinoin 0.025 % cream sig: one (1) appl topical qhs (once a day (at bedtime)). 10. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 months. disp:*120 tablet(s)* refills:*1* 11. lunesta 3 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). discharge disposition: home discharge diagnosis: bilateral subacute subdural hematomas 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. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? 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, 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: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for removal of your 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. ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast. procedure: incision of cerebral meninges diagnoses: esophageal reflux unspecified essential hypertension personal history of tobacco use compression of brain subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness personal history of malignant melanoma of skin migraine, unspecified, without mention of intractable migraine without mention of status migrainosus iatrogenic cerebrovascular infarction or hemorrhage bariatric surgery status aspiration of fluid as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure memory loss 

Answer: The patient is high likely exposed to