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: erythromycin base / pollen extracts / grass pollen-bermuda, standard attending: chief complaint: increase word finding difficulty major surgical or invasive procedure: : placement of external ventricular drain : ventriculo-pleural shunt history of present illness: 44-year-old woman with a diagnosis of oligoastrocytoma with 1p19q deletions in . she was maintained on two years of monthly temodar, which was discontinued in . she then had a significant recurrence in with a near total resection of the left temporal lobe on . she was started on involved field radiation on , which she completed on . two weeks after completion of involved field radiation, the patient had suffered worsening mental status. mri revealed tumor progression. the patient was therefore started on cpt-11 and avastin on . her tumor responded well to this therapy. however, she had suffered a bowel perforation while on avastin (one of the known complications of avastin). consequently, avastin was held and on she underwent end colostomy. the postop course was complicated by wound infection evisceration , s/p exlap, loa, repair w/ alloderm ( hosp). the patient then went on to develop progressive ha's, aphasia, and gait instability which is consistent with hydrocephalus. ct imaging confirmed ventriculomegally, and the patient presented for evaluation of hydrocephalus. past medical history: seasonal allergies migraine headache gerd s/p lt craniotomy for mass() social history: she lives with family and 3 children (ages 9, 6, and 2 yrs old). used to work as nurse diagnosis family history: her father died suddenly when he was hit by a bus. mother has had basal cell ca of the skin removed and has gerd. her paternal grandfather had brain cancer (?type) and died at the age of 60. her maternal grandfather had renal cell cancer. a maternal uncle had biliary cancer. her sisters both have hypercoagulability (factor v leiden)-the patient has been tested and was negative. physical exam: afebrile bp:136/84 hr:70 rr:20 o2sats 96 gen: wd/wn, comfortable, nad. heent:atraumatic pupils: perrl eoms full neck: supple. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person and place language: speech fluent with good comprehension and repetition. naming intact. sl. dysarthria or paraphasic errors and word finding difficulty. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 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, propioception, pinprick and vibration bilaterally. toes downgoing bilaterally pertinent results: labs on admission: 07:40pm blood wbc-10.0 rbc-4.24 hgb-14.7 hct-41.6 mcv-98 mch-34.7* mchc-35.4* rdw-15.8* plt ct-285# 07:40pm blood neuts-79* bands-3 lymphs-4* monos-7 eos-0 baso-0 atyps-1* metas-1* myelos-5* 07:40pm blood hypochr-normal anisocy-1+ poiklo-normal macrocy-1+ microcy-normal polychr-normal 07:40pm blood pt-11.8 ptt-22.0 inr(pt)-1.0 07:40pm blood glucose-114* urean-14 creat-0.9 na-138 k-4.1 cl-99 hco3-28 angap-15 07:40pm blood ck(cpk)-17* 07:40pm blood ctropnt-<0.01 07:40pm blood calcium-9.7 phos-4.2 mg-2.4 labs on discharge: glu-92 bun-6 cre-0.4 na-134 k-4.3 cl-95* wbc-10.4 hct-37.6 hgb-14.0 plt 308 imaging: ct head : findings: post surgical changes in the calvarium and brain related to left temporal lobe mass resection is again noted. since of , there has been an interval decrease in size of a left sided subdural hypodense fluid collection, with resolution of pneumoperitoneum. the underlying cerebral convexity demonstrates multiple foci of high-density material, which likely represent calcification and post-op changes in the dura. the parenchyma in the left temporal lobe is somwhat heterogeneous in appearance and recurrent tumor in this region is likely present given the findings on prior mri. there is no acute hemorrhage. the left cerebral white matter is hypodense compared with the contralateral side, which may relect radiation changes. there is no associated mass effect to suggest edema. this is increased compared to the ct, but similar to the more recent mr. are patent. there is no new bony abnormality. right mastoid air cells and paranasal sinuses (where visualized) are well aerated. the inferior tip of the left mastoid air cells are sclerotic. soft tissues are unremarkable. impression: 1. post-surgical changes of the left temporal lobe following mass resection. evaluation for recurrent disease is limited on this noncontrast exam and correlation with mri is advised to further assess. 2. no new intracranial hemorrhage. chest x-ray : clinical history: 44-year-old woman with altered mental status, on chemotherapy for brain mass. evaluate for pneumonia. findings: pa and lateral views of the chest are obtained. low lung volumes limit evaluation. areas of plate-like atelectases are seen at the lung bases bilaterally. there is no pleural effusion or pneumothorax. there is no evidence of pneumonia or chf. cardiomediastinal silhouette is grossly unremarkable. bony structures appear intact. no free air is seen below the diaphragm. impression: bibasilar plate-like atelectasis, without evidence of pneumonia. mri head : comparison: comparison is made to mr of the head from , , and a ct of the head from . technique: sagittal and axial t1-weighted images as well as axial t2, flair, t2 star images were also obtained prior to administration of contrast. following administration of intravenous gadolinium contrast, axial t1, sagittal and coronal t1-weighted images were all obtained through the brain. diffusion images were also reviewed. findings: surgical changes from a left frontal/parietal/temporal craniotomy are again noted. new from previous examinations is nodular diffuse leptomeningeal enhancement, concerning for spread of neoplasm on the leptomeninges. also, new from previous mr examinations is hydrocephalus presumably related to the aforementioned finding. post-contrast images were also notable for area of solid tumor enhancement, similar to that seen on examination from , including the left temporal lobe and left insula. as on the previous exam, there is no significant shift of normal midline structures. unchanged from the most recent ct exam is a thin rim of extra-axial fluid along the left cerebral hemispheres. limited visualization of the paranasal sinuses is unremarkable. fluid at the left mastoid air cells is again noted, unchanged since . impression: similar appearance to enhancing tumor on the left as detailed above, and new leptomeningeal enhancement and hydrocephalus, concerning for neoplastic spread. head ct : impression: status post placement of ventricular catheter. no evidence of acute hemorrhage. small amount of pneumocephalus. otherwise, no significant change. brief hospital course: ms. was admitted to dr. service on with new hydrocephalus. pt had an evd placed. the opening pressure during evd placement was >25 cm. she was empirically drained for 5 days without significant improvement in her neurologic status. given the high icp, csf diversion is warranted. given abdominal wound dehiscence, the patient underwent ventriculo-pleural shunt placement on . the patient's post-operative course was notable for two seizures with protracted post-ictal examinations. serial head cts revealed no evidence of ventricular dilatation or ich. given the extremely poor prognosis associated with her clinical course, palliative care was consulted. after detailed discussion with the family, the patient was discharged home with hospice care.. by the time of discharge, the patient had regained her pre-hospitalization neurologic examination. medications on admission: azelastine - 0.05 % drops - 1-2 drops both eyes twice daily as needed 3 month supply dexamethasone - 1 mg tablet - 4 (four) tablet(s) by mouth 4mg in the am 3 mg in the pm taper as directed fexofenadine-pseudoephedrine -d 12 hour] - (dose adjustment - no new rx) - 120 mg-60 mg tablet sustained release 12 hr - 0.5 tablet(s) by mouth twice daily lamotrigine - 25 mg tablet - 1 tablet(s) by mouth twice daily lamotrigine - 100 mg tablet - 1 tablet(s) by mouth twice daily levetiracetam - 500 mg tablet - 3 tablet(s) by mouth 3 times daily methylphenidate - 10 mg tablet - 1 tablet(s) by mouth 1-2 tabs twice a day oxycodone-acetaminophen - 5 mg-325 mg tablet - tablet(s) by mouth every 4-6 hours as needed for pain pantoprazole - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth at bedtime prochlorperazine edisylate - (prescribed by other provider) - 10 mg tablet - 10mg tablet(s) by mouth every 8hours prn nausea discharge medications: 1. morphine concentrate 20 mg/ml solution sig: one (1) 5-20mg po q2h (every 2 hours) as needed. disp:*1 bottle* refills:*0* 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 3. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush: per picc line care protocol. disp:*120 ml(s)* refills:*4* 4. lorazepam 2 mg/ml syringe sig: one (1) mg injection q2h prn () as needed for seizure activity. disp:*5 mg* refills:*2* 5. dexamethasone sig: three (3) mg transdermal at bedtime. disp:*30 patches* refills:*4* 6. dexamethasone sig: one (1) 4mg transdermal once a day. disp:*30 patches* refills:*2* 7. sodium chloride 0.9 % 0.9 % syringe sig: one (1) injection prn (as needed) as needed for line flush. disp:*120 syringes* refills:*2* 8. keppra 500 mg/5 ml solution sig: one (1) 1500mg bolus intravenous three times a day: to continue approx. 60 days. disp:*84 doses* refills:*2* discharge disposition: home with service facility: old hospice discharge diagnosis: hydrocephalus 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 and/or staples have been removed. if your wound closure uses 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. ?????? 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. procedure: venous catheterization, not elsewhere classified intravascular imaging of intrathoracic vessels other immobilization, pressure, and attention to wound ventricular shunt to thoracic cavity restoration of tooth by inlay diagnoses: esophageal reflux abnormality of gait encephalopathy, unspecified aphasia migraine, unspecified, without mention of intractable migraine without mention of status migrainosus disruption of external operation (surgical) wound communicating hydrocephalus malignant neoplasm of temporal lobe attention to colostomy generalized convulsive epilepsy, without mention of intractable epilepsy surgical operation with formation of external stoma causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to