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: vancomycin attending: chief complaint: occipital headache, incoordination in left hand, slurred speech, and a left cerebellar mass major surgical or invasive procedure: suboccipital craniotomy for mass resection history of present illness: is a 47-year-old right-handed woman, with no significant past medical history, who is seen in consultation as requested by dr. for occipital headache, incoordination, and a left cerebellar mass. her neurological problem began in mid- when she developed occipital headache. the headache usually occur when she is awaken in the morning, with an intensity of 8.5/10. on , she spoke with her partner, , on the phone and her partner noted slurred speech. the patient also noted incoordination in the left hand. she then went to see her primary care physician and blood work done at that time was normal. she was placed on antibiotics for presumed "lyme's disease". a head ct on revealed a mass in the left cerebellum; this was followed up with a gadolinium-enhanced head mri. she is scheduled to undergo a pet-ct tomorrow . she does not have nausea, vomiting, loss of consciousness, seizure, urinary incontinence, or fall. she started dexamethasone, at a dose of 2 mg every 6 hours, last night and this morning. but she has noted any improved in her morning headache today. past medical history: past medical history: she had asthma when she was a child. she has chronic low back pain. she does not have diabetes, hypertension, hypercholesterolemia, or copd. social history: she lives with her partner . she works as a field representative and consultant. she smoked cigarettes for less than 5 years and stopped more than 20 years ago in the 's. she has 3 to 6 alcoholic drinks per week, socially. she does not use illicit drugs. family history: her parents are alive; her mother has disease and breast cancer while her father is healthy. she has one sister and 2 brothers; her older brother has kidney failure and is a recipient of a transplanted kidney from her sister. the brother is healthy. she does not have children. physical exam: physical examination: temperature is 96.8 f. pulse is 72. blood pressure is 120/80. respiration is 18. her skin has full turgor. heent is unremarkable. neck is supple. cardiac examination reveals regular rate and rhythms. her lungs are clear. her abdomen is soft. her extremities do not show clubbing, cyanosis, or edema. neurological examination: her karnofsky performance score is 70. she is a awake, alert, and oriented times 3. her language is fluent with good comprehension, naming, and repetition. cranial nerve examination: her pupils are equal and reactive to light, 4 mm to 2 mm bilaterally. extraocular movements are full; there is no nystagmus or square wave jerks. visual fields are full to confrontation. funduscopic examination reveals sharp disks margins bilaterally. her face is symmetric. facial sensation is intact bilaterally. her hearing is intact bilaterally. her tongue is midline. palate goes up in the midline. i do not appreciate scanning speech (but according to her partner her speech is off). sternocleidomastoids and upper trapezius are strong. motor examination: she does not have a drift. her muscle strengths are at all muscle groups. her muscle tone is normal. her reflexes are 2- and symmetric bilaterally. her ankle jerks are absent. sensory examination is intact to touch and proprioception. coordination examination reveals dysmetria in the left upper extremity with overshoot and tremor on intention. her gait is unsteady slightly with sway to her left side. she can do tandem gait though. she does not have a romberg. exam on discharge: alert and oriented x 3 neurologically non focal ambulating independently with good balance and coordination. pertinent results: mri brain with and without contrast: impression: 1. a 2.7 x 3.0 cm heterogeneously enhancing lesion in the left cerebellar hemisphere with moderate to marked surrounding edema and mass effect on the left side of the fourth ventricle and distortion of the brainstem with hydrocephalus involving the dilatation of the lateral ventricles and the third ventricles. a smaller satellite nodule noted posterior to this lesion, measuring approximately 4 mm. another small ring enhancing lesion, postero-inferiorly, more conspicuous, like ly related to the technique. given the multiplicity of the lesions, these are concerning for metastatic lesions; vs multifocal primary. 2. a cystic focus on to the right side of the third ventricle with indentation on the third ventricle, 1.4 x 1.3 cm. it is unclear if this is located in the adjacent parenchyma/related to an outpouching from the third ventricle versus an arachnoid cyst. mri post operatively: 1. post-operative status with resection of the largest lesion in the left cerebellar hemisphere with residual mass effect on fourth ventricle. mild enhancement of the periphery of the resection cavity on post-contrast images, this likely represents post operative change. close follow up is advised to rule out residual neoplasm. assessment for ishemic chages is limited given the confounding effect of bllod products on diffusion seq. nodular enhancement is noted in the overlying soft tissues in the subgaleal location, which needs attention on followup. 2. two small lesions in the left cerebellar hemisphere, which are unchanged as compared to the prior study. 3. stable ventricle size. 4. stable nonenhancing cystic lesion adjacent to right side of third ventricle. brief hospital course: ms. was admitted to the neurosurgical service to undergo an elective posterior fossa craniotomy for tumor resection. she was extubated and transferred to the icu post operatively. she was stable on post operative day one and transferred to the floor. she was ambulating independently. we began a steroid taper, she was seen by oncology and discharged home with scripts on with outpatient follow up. medications on admission: dexamethasone, lorazepam, famotidine 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. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 3. methocarbamol 500 mg tablet sig: 1.5 tablets po q6h (every 6 hours) as needed for spasm. disp:*60 tablet(s)* refills:*0* 4. dexamethasone 2 mg tablet sig: one (1) tablet po q8hrs (): 3mg today 2mg q8hrs 1mg q8h 1mg q12h 1mg qd stay on 1mg daily. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: left cerebellar mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. 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 after 3 days, you have dissolving sutures. ?????? 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. ?????? 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/or 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, . 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: secondary malignant neoplasm of brain and spinal cord cerebral edema other malignant neoplasm without specification of site 

Answer: The patient is high likely exposed to