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: history of present illness: this patient is a 70-year-old white male, italian speaking, who presents with complaints that he feels he cannot remember anything; he states other than that he feels fine. he indicates he is comfortable with his family translating at the time of initial visit due to his italian speaking language barrier. family indicates that the reason he is seen was for the wife having noticed progressive deterioration of the patient's memory. for example, on the day that he was seen in the outpatient clinic he could not remember his daughters' names. review of systems: essentially unremarkable. the patient denied any fevers, chills, headache, sore throat, ear pain, earache, visual blurring, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea or constipation. he further denied any dysuria, focal numbness, weakness or rash. past medical history: coronary artery bypass graft x2 approximately one year prior to admission. admission medications: 1. lisinopril 2. metoprolol 3. aspirin allergies: he had no known allergies to medications. social history: he is married with a very supportive family. he has a positive past history of cigarette smoking. physical examination: general: well developed, well nourished italian speaking white male in no acute distress. he was alert and appropriate at the time of his physical exam and he did indeed exhibit memory loss both to recent and distant events. as an example, he did not know the president's name, the mayor of name or his daughters' names. vital signs: heart rate 66, blood pressure 166/89, respiratory rate 16, temperature 97.1?????? and o2 saturation was 98%. head, ears, eyes, nose and throat: unremarkable. extraocular movements were intact. pupils were equal, round and reactive to light and accommodation. neck: supple. heart: regular rate and rhythmic without murmurs, rubs or gallops. lungs: clear to auscultation bilaterally with no evidence of wheeze, rales, rhonchi or accessory muscle use. abdomen: nontender, soft with no guarding, rebound or mass appreciated. neurologic: cranial nerves ii through xii intact. muscle strength was in all four extremities. the exam was severely limited due to fairly poor patient cooperation and compliance with instructions. laboratory date at the time of initial assessment at on : essentially within normal limits and he was seen at the in consultation by dr. who made arrangements for the patient to be transferred and admitted to the hospital for a craniotomy on the . the patient had undergone an mri prior to transfer from the . an mri showed heterogeneously enhancing lesion in the left posterior frontal parietal lobe with a smaller satellite nodule at the left periatrial location abutting the left lateral ventricle. there was mild mass effect with effacement of the left lateral ventricle, but no significant midline shift. due to these findings and the history of decreased memory, the patient was admitted to the hospital on the morning of at which time he was taken to the operating room where, under a general endotracheal anesthetic, the patient underwent a craniotomy and subtotal excision of the enhancing lesion. the patient tolerated the procedure well, went to the post anesthesia care unit in stable condition and was subsequently transferred to the floor the morning following surgery and did quite well on the floor for the first several days. a repeat head ct scan on the showed a small amount of blood products in the area of the tumor bed and cavity of the tumor with some mild residual ring enhancement. however, there was no indication for further surgery. a neuro-oncology consult was obtained on the and the patient exhibited a brief episode of unresponsiveness with a deep drop in his blood pressure to systolics of 70s while he was sitting on the bed pan for bowel movement. his oxygen saturation at the time was 91% to 94%. he was placed supine and quickly became more responsive with the oxygen saturation returning to 98% to 99%. an electrocardiogram was done which showed t-wave inversions in lead avl. he was placed on telemetry. he otherwise did fine from this and there were no further electrocardiogram changes. on the 14th, he was seen in consultation by neuro-oncology and dr. who recommended external beam radiotherapy. on the morning of the 15th, the patient was noted to initially be afebrile with vital signs stable. he was awake, alert and oriented x3. he had a mild to moderate persistence of a right hemiparesis that was first noted after surgery. his lungs were clear, however a cta of the chest was obtained which did reveal a saddle embolus and therefore the interventional radiology department was consulted and this lead to a thrombectomy and ivc filter. the patient tolerated this procedure quite well, was returned to the floor that evening in stable condition. on the morning of the 16th, he had a brief episode of decreased responsiveness. a head ct was obtained, but showed no change in the tumor bed or condition of the brain and the patient became much more responsive later in the day and remained stable. he was seen in consultation in the x-ray therapy department on the for evaluation and initial planning and measurements for planned external beam radiotherapy to be begun in an outpatient manner. the patient remained hospitalized with mildly waxing and responsiveness and alertness. however, on the , due to bouts of respiratory failure, the patient was intubated urgently and readmitted to the neurosurgical intensive care unit in acute respiratory distress and after discussion with the family, the patient was then heparinized for prophylactic treatment to avoid further risk of deep venous thrombosis or embolus. he did quite well, was weaned from the intubation within 48 hours and was transferred to the floor on the . he was maintained on heparin until the with lovenox started on the to overlap for one day and did well throughout the remainder of his hospitalization. the patient had been given a peg tube for tube feedings and nutritional support prior to discharge and on the morning of the , he was noted to be awake, alert, afebrile with vital signs stable. pupils 3 mm, bilaterally reactive to 2 mm. he continued to show a right dense hemiparesis, had a slightly wet cough but with stable o2 saturations in the mid 90s. he responded with dysarthric speech and again was noted to speak only italian, so level of appropriateness was difficult to obtain without the presence of an interpreter. the telemetry was discontinued on the 4th and the patient was subsequently to be discharged to the rehabilitation center on the morning of the with plans for follow up appointment with dr. in the clinic in approximately three to four weeks time and instructions for the patient and/or family to call dr. office for scheduling of this and also plans were made for the patient to begin his x-ray therapy as an outpatient at the hospital with plans for the patient and family or rehabilitation staff to call and confirm the start date for the outpatient x-ray therapy. discharge condition: stable discharge diagnoses: 1. glioblastoma multiforme of brain 2. status post saddle emboli, status post embolectomy and inferior vena cava filter placement. discharge medications: 1. lovenox 60 mg subcutaneous q 12 hours 2. oxacillin 1 gm intravenous q 12 hours x10 days total which was begun on the . 3. he was also to take aspirin 81 mg po or per peg tube qd. 4. lopressor 50 mg per peg tube or po bid, but hold lopressor if systolic blood pressure less than 110 or heart rate less than 60. 5. reglan 10 mg po or peg tube tid 6. dilantin 200 mg po or peg tube 7. zantac 150 mg po or peg tube 8. colace 150 mg po or peg 9. he was also discharged on tube feedings to include promod with 5 or 75 cc per hour per the peg tube treatment frequencies at the rehabilitation center were to consist of aggressive physical therapy and occupational therapy, as well as outpatient x-ray therapy to be done at the hospital. anticipated goals were return to full activities of daily living and rehabilitation potential was considered good at the time of discharge. , md dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances arterial catheterization other gastroenterostomy without gastrectomy diagnoses: aortocoronary bypass status malignant neoplasm of brain, unspecified acute respiratory failure iatrogenic pulmonary embolism and infarction 

Answer: The patient is high likely exposed to