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: dilantin / penicillins / dexamethasone / carbamazepine / dilaudid / doxycycline attending: chief complaint: headache major surgical or invasive procedure: none history of present illness: 43 yr old with hx of left frontal low-grade oligodendroglioma presenting with severe headache. she suffered at tumoral site and gross total resection on . disease free until this year with re emergence of mass diagnosed by stereotactic biopsy as anaplastic oligoastrocytoma. she was scheduled for debulking surgery on thursday and had an mri 3/ 26/ 09 without gross change. . reports intermittent low grade headache over the course of two weeks but with 10/10 throbbing diffuse non radiating headache since am unrelieved by hydromorphone. no improvement with increased gabapentin. given continued headache lp performed negative.given continued pain to hospital. there an ct non con performed with no new change. no focal neurological deficits. transferred to . . in ed, vital signs 96.4, 64, 109/66, 18 100%ra. complaining of severe headache. compazine 10 mg iv x 1, morphine 4 mg iv x 3, zofran iv x1 given. neurosurgery consulted. felt no acute change and potential for dc from ed. given continued pain patient was admitted. ros is negative otherwise. . ros: + headache, photophobia, phonophobia, mild blurry vision no neck stiffness, fever, chills, weakness, parasthesias, urinary or bowel incontinence past medical history: 1. low-grade oligodendroglioma (with secondary seizure disorder) s/p bleed at tumoral site and gross total resection of a left frontal low-grade oligodendroglioma by dr. on . it has recurred as an anaplastic oligoastrocytoma. the treatment options include surgical debulking followed by temozolomide chemo-irradiation, or temozolomide chemo-irradiation alone. she has received a functional head mri before making a debulking decision. 2. ibd. 3. hypothyroidism. 4. depression. 5. hysterectomy: menorrhagea 6. mr. social history: she lives alone in an apartment. she previously worked as a dietary aid, but she is no longer working. she does not use tobacco or drink alcohol. she is not married. she has no children. she is close with her parents and her brother. she lives in family history: her father has back pain and had a laminectomy. her mother has multiple sclerosis. her brother has "" muscular dystrophy. her maternal grandmother had dvt, coronary artery disease, and cancer. her maternal grandfather had cirrhosis of the liver and lung cancer. no hx of brain tumors. physical exam: vs: 96.3, 103/51, 64, 18, 95%ra gen: middle-aged man laying in bed whispering heent: eomi, perrl, sclera anicteric, conjunctivae clear, op moist and without lesion neck: supple, no jvd, no neck stiffness cv: reg rate, normal s1, s2. no m/r/g. chest: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, nt, nd, no hsm ext: no c/c/e skin: no rash neuro: alert, oriented x 3. able to relate history without difficulty. normal affect. speech fluent, cranial nerves ii-xii grossly intact. normal bulk, strength and tone throughout. no asterixis, sensation intact. no nystagmus, dysarthria, intention or action tremor. pertinent results: 04:50pm blood wbc-5.7 rbc-4.46 hgb-13.9 hct-38.8 mcv-87 mch-31.0 mchc-35.7* rdw-13.2 plt ct-170 04:50pm blood neuts-61.3 lymphs-31.2 monos-3.4 eos-3.6 baso-0.5 06:45am blood plt ct-171 04:50pm blood pt-14.0* ptt-25.0 inr(pt)-1.2* 04:50pm blood glucose-89 urean-11 creat-0.8 na-142 k-3.8 cl-111* hco3-23 angap-12 06:45am blood calcium-8.9 phos-3.9 mg-2.2 07:00am blood wbc-6.6 rbc-4.56 hgb-14.0 hct-38.8 mcv-85 mch-30.6 mchc-36.0* rdw-12.6 plt ct-193 07:00am blood glucose-86 urean-8 creat-0.7 na-146* k-3.8 cl-111* hco3-23 angap-16 07:05am blood calcium-8.8 phos-3.1 mg-2.2 ct head with and without contrast impression: post-surgical sequela at the left frontal lobe with no evidence of hemorrhage, abnormal enhancement or herniation. study is unchanged from that done two days earlier. brief hospital course: 43 yr old with resected low grade oligodendoglioma with recurrence (anaplastic oligoastrocytoma) presented with headache. . 1. headache: likely secondary to intracranial mass. no focal neurologic deficits. fmri on was unchanged from prior. scheduled for tumor debulking on . also with recent lp () with potential worsening post lp headache. no evidence of meningitis. patient was evaluated by neurosurgery, who agreed with pain control, and no further intervention. ct head with and without contrast showed no subdural hematoma or evidence of infection. pain was controlled with gabapentin, standing tyelnol, and ms contin. patient was continued on antiseizure medications. neurosurgery evaluated the patient. dr. , the patient's primary neurooncologist was also , who agreed with goal of pain control, and surgical plans on . medications on admission: gabapentin 300 mg tid- just increased from levetiracetam 1000 mg mouth twice a day zonisamide 400 mg qhs levothyroxine 100 mcg daily paroxetine 40 mg daily quetiapine 75 mg at bedtime hydromorphone - 2 to 4 mg every four (4) hours for ha calcium carbonate-vitamin d3: 500 mg (1,250 mg)-200 unit qd multivitamin discharge medications: 1. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 2. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 3. zonisamide 100 mg capsule sig: four (4) capsule po qhs (once a day (at bedtime)). 4. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 5. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 7. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) for 7 days. disp:*56 tablet(s)* refills:*0* 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*0* 9. morphine 15 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). disp:*30 tablet sustained release(s)* refills:*0* 10. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. disp:*30 tablet, rapid dissolve(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: 1. headache secondary to oligodendroglioma. discharge condition: stable discharge instructions: you were admitted with a severe headache. this is most likely due to the oligodendroglioma. you had no changes in your physical exam, or on recent imaging prior to admission. neurosurgery evaluated you and agreed that this pain is likely secondary to your brain mass. you had a head ct that was unchanged from prior. we started you on ms contin to control the pain, in addition to tylenol and gabapentin. should you develop any changes in your vision, incontinence, weakness or numbness in your arms or legs, or any other changes that concern you please call your primary care doctor or go to the emergency department. followup instructions: you have an appointment with dr. on at 3:35pm. the clinic phone number is . procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: mitral valve disorders unspecified acquired hypothyroidism dysthymic disorder other and unspecified hyperlipidemia epilepsy, unspecified, without mention of intractable epilepsy acquired absence of both cervix and uterus posttraumatic stress disorder malignant neoplasm of frontal lobe 

Answer: The patient is high likely exposed to