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: codeine / keppra attending: chief complaint: headache and nausea major surgical or invasive procedure: : r craniotomy for resection of the r parietal mass history of present illness: 63m dx'd with thyroid ca in on sutent p/w 24hr of headache and nausea without relief. went to osh with head ct showing r iph with ventricular extension.transferred to ed for further management. past medical history: thyroid cancer s/p thyroidectomy and currently taking sutent - 4 wk on the 2 week off - this week is week #4 social history: lives with wife, etoh, ppd physical exam: on admission: physical exam: o: t:98.6 bp: 167/84 hr:90 r18 o2sats98 ra gen: wd/wn, comfortable, nad. heent: pupils: eoms full extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. 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, 3to2 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. 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 bilaterally. upon discharge: nonfocal exam pertinent results: brain mri w/ and w/o contrast : 1. hemorrhagic mass or masses extending from the right occipital lobe into the atrium of the right lateral ventricle, suggesting metastatic disease. vasogenic edema with associated contrast enhancement extending from the atrium of the right lateral ventricle into the temporal lobe, likely reactive edema with a breakdown in the blood/brain barrier. recommend follow up as blood products resolve to more accurately assess the extent of disease. 2. hemorrhage expanding the right lateral ventricle, and also within the third ventricle. 3. 2 mm hemorrhagic lesion in the right superior paracentral lobule cortex, likely another hemorrhagic metastasis. 4. expansile erosive metastases in the right sphenoid bone (slightly smaller since ) and occipital bone (stable). nonexpansile small metastasis in the left parietal bone, stable. mri brain - 1. right parietal hematoma with hemorrhagic extension into the lateral ventricle and a likely solid enhancing component along the medial margin of the hematoma suggesting hemorrhagic metastasis. 2. lytic metastasis with enhancement in the right greater of sphenoid and occipital bone as seen on the recent study. cta head: impression: 1. status post resection of right cerebral hemisphere hemorrhagic lesion with residual blood products within the resection bed, similar amount of vasogenic edema and decreased intraventricular hemorrhage. 2. 6-mm leftward shift of normally midline structures, slightly increased from . 3. status post right craniotomy with expected post-surgical changes including pneumocephalus and adjacent blood products. 4. lytic destructive bone lesions in the right sphenoid and occipital bones again noted, consistent with metastases. mri brain +/-: impression: status post right parietal craniotomy, residual blood products are noted in the surgical bed along the right ventricular atrium with residual intraventricular hemorrhage, there is no evidence of acute ischemic changes. there is no evidence of mass effect or hydrocephalus. trace of blood is demonstrated in the surgical bed and subgaleal post-surgical changes. unchanged bone lesions involving the greater of the right sphenoid sinus and occiput, likely consistent with metastatic disease. brief hospital course: 63m admitted for a r iph and ivh. he was admitted to the icu for close monitoring. an mri brain was obtained which shows there may be an underlying mass and further lesions. as patient has a history of thyroid cancer, neuro-onc was consulted and recommended early evacuation and resection of lesion. on , patient was consent for a r craniotomy for resection of r lesion and pre-oped for the or on friday. his exam was intact. he remains in the step down unit for close monitoring. on pt underwent the above stated procedure. please review dictated operative report for details. frozex section introperatively was + for metastatic disease. he was extubated without incident and trasnferred to icu in stable condition. a post op ct demonstrated interval post-op changes. he remained overnight in the icu and remained stable. a post-op mri was obtained on showing residual blood products with a question a residual enhancement. he was transferred to the floor when a bed was available on . he was seen by pt and cleared for home discharge. patient was stable and comfortable and discharged home on . medications on admission: vitamin d 50,000u 2x/month, labetolol 100 , levothyroxine 275mcg qd, lorazepam prn, oxycodone prn, sutent 4wk on/2wk off discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever,ha. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 5. labetalol 200 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. levothyroxine 200 mcg tablet sig: one (1) tablet po once a day: takes 275 mcg daily. 7. levothyroxine 75 mcg tablet sig: one (1) tablet po once a day: 275 mcg total taken daily. 8. lorazepam 0.5 mg tablet sig: 1-2 tablets po q8h (every 8 hours) as needed for anxiety. 9. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 10. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 11. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours): continue until follow-up. disp:*60 tablet(s)* refills:*1* discharge disposition: home discharge diagnosis: right iph with intraventricular extension cerebral edema multiple brain lesions (hemorrhagic mets) thyroid cancer 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. ?????? your wound closure has dissolvable sutures, you must keep that area dry for 10 days. ?????? 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. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your injury, you may safely resume taking this only after receiving clearance from your neurosurgeon ?????? continue keppra until follow-up ?????? 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. followup instructions: please follow-up with dr. in the brain clinic. they will call you to make a follow-up appointment. please call to make this appointment if you do not hear from them. please call with any questions for dr. office. you should follow-up with your oncologist within two weeks from discharge. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: secondary malignant neoplasm of brain and spinal cord cerebral edema unspecified intracranial hemorrhage secondary malignant neoplasm of bone and bone marrow personal history of malignant neoplasm of thyroid 

Answer: The patient is high likely exposed to