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: indocin attending: chief complaint: brain mets. major surgical or invasive procedure: right frontal craniotomy history of present illness: pt is a 59 y.o female with h.o nsclc s/p chemo and resection, s/p breast cancer, s/p bladder cancer who originally presented to her pcp with reports of a headache. pt also presented to heme/onc on with reports of this headache. ed eval on for sob. she presented to heme/onc clinic again -unscheduled and an outpt brain mri was arranged. pt unable to perform mri on . pt presented to sw appt today. she reports insomnia, intense headache (erx3 in past week). she then stood to retrieve her phone and collapsed. per note, she did not hit her head, any part of her body, nor lose consciousness. her vs were noted to be 126/71, hr 63, o2 sat 98%. she was sent to the ed for admission to omed. . general weakness x1 wk, presyncopal episodes. pt states that she has had a constant dull/pressure frontal headache above her eyebrows x1 wk. pt denies relation to position, sleep, nausea, photophobia, eye pain, blurred vision. she does report gait instability x1 month, incontinence of bowels/bladder x~1wk, and finger tip paresthesias, decreased mobility, weight loss of 15lbs over 1 month, memory difficultiesx 1month. she otherwise denies fever/chills/st/uri/cp/palp/sob/abd pain/n/v/d/c/melena/dysuria/ hematuria/joint pain/skin rash. . in the ed, vital signs were initially: 12:06 0 100.4 92 134/79 16 100 afeb, hr 60, bp 135/77, rr 20, 99% on ra. she was given dilantin (not yet), dexamethasone 10mg, and tylenol. neurosurg was consulted who recommended steroids and dilantin. pt being admitted to unit for q1hr neuro checks. ed found pt to be somnolent and to have l.sided neuro deficits. ct scan showing likely brain mets. past medical history: breast cancer s/p bil mastectomy,multifocal infiltrating lobular ca of the left breast; there were no positive nodes, no lvi; er +, her2 -; she underwent bilateral mastectomies (prophylactic on right) with immediate reconstruction-s/p chemo and radiation. . bladder cancer- -superficial, resected. . non-small cell lung cancer status post left upper lobe lobectomy in with induction chemo. right upper lobe lung lesion. stage iiia nsclc. social history: lives with son. did work as a coordinator for hms. was a smoker but quit about a year ago- did smoke 1 ppd x30yrs. she also reported ahistory of etoh, but not now. no recreational drug use. family history: reports mother with lung ca died at 79 father with stroke at 53 physical exam: vs: t. afeb, bp 146/74, hr 75, rr 21, sat 96% on ra gen:the patient is in no distress and appears comfortable, thin, cooperative, slow speech skin:no rashes or skin changes noted heent: perrla, 2mm, eomi, anicteric, dry mm, neck-no jvd, neck supple, no lymphadenopathy in cervical, posterior, or supraclavicular chains noted. chest:lungs are clear without wheeze, rales, or rhonchi, absent breath sounds in the l.upper lung. r.sided horizontal scar across back-well healed. cardiac: regular rhythm; no murmurs, rubs, or gallops. abdomen: +bs, soft ,nt, nd extremities:no peripheral edema, warm without cyanosis neurologic: alert and appropriate. cn ii-xii grossly intact. rue , lue , rle , lle 3+/5. no tremor, sensation intact to lt. pertinent results: 02:10pm urine rbc-* wbc-0-2 bacteria-few yeast-none epi-0-2 02:10pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 02:10pm urine color-straw appear-clear sp -1.008 02:10pm urine gr hold-hold 02:10pm urine hours-random 04:45pm pt-12.9 ptt-25.4 inr(pt)-1.1 04:45pm plt count-322 04:45pm neuts-76.5* lymphs-17.0* monos-5.3 eos-1.0 basos-0.2 04:45pm wbc-7.3 rbc-4.01* hgb-10.7* hct-32.9* mcv-82 mch-26.6* mchc-32.4 rdw-16.8* 04:45pm tsh-2.1 04:45pm lipase-8 04:45pm alt(sgpt)-11 ast(sgot)-16 ld(ldh)-191 alk phos-95 tot bili-0.2 04:45pm estgfr-using this 04:45pm glucose-113* urea n-11 creat-0.6 sodium-138 potassium-3.5 chloride-100 total co2-30 anion gap-12 04:54pm glucose-113* k+-3.4* . ct head: 1. 16 x 16 mm rounded slightly hyperattenuated mass lesion seen centered about the right frontal lobe concerning for neoplasm (likely metastasis given history). 2. area of confluent vasogenic edema predominantly centered about the right frontal lobe white matter, with associated mass effect with complete obliteration of the frontal of the right lateral ventricle and near-complete obliteration of the frontal of the left lateral ventricle. associated leftward midline shift of likely greater than 1cm with subfalcine herniation. . cxr: stable chest x-ray examination consistent with prior lung resection and likely radiation therapy. no superimposed acute process identified. brief hospital course: pt is a 59 y.o female with h.o breast cancer, bladder cancer, recent lung cancer s/p surgery and chemo who presents with weakness, headache found to have new brain mets. she was initially admited to the oncology team and montiored in the . her mental status appeared to be waxing/. a ct of the head was done and notable for 16 by 16mm mass in r frontal lobe w/ associated edema and leftward midline shift of 1cm with subfalcine herniation. she was started on dexamethasone 6mg q4hours, she was loaded w/ dilantin for seizure ppx, her wellbutrin held due to increase seizure threshold. an mri of the head on showed: right frontal lobe enhancing mass at grey and white matter junction, measuring 1.5 x 2.4 cm, could represent metastasis given location. 1.8 cm leftward subfalcine herniation. no evidence of acute infarction or hemorrhage. dr from neuro-oncology saw the patient and recommended surgical evacuation of the mass. she underwent a right frontal craniotomy on . she remianed stable post-operatively. on her mri imaging was reviewed, this was stable. she was seen by pt who evaluated her and worked with her daily in her hospitalization. at the time of discharge the patient was cleared to go home with pt. medications on admission: senna 8.6 mg cap morphine sr 15 mg tab morphine 15 mg tab lorazepam 0.5 mg tab q6hrs nausea paroxetine 40 mg tab daily docusate sodium 100 mg cap trazodone 100 mg tab qh dronabinol 5 mg cap q 3-4 for appetite oxycodone 5 mg cap-2 capsule(s) by mouth 4 hours as needed for pain oxycodone 5 mg tab q6hrs gabapentin 300 mg cap 2 capsule(s) by mouth three times a day start taking 2 tab po qhs x 5 days then take 2 tab po at 12pm and 2 tab po qhs x 5 days; after first 10 days take 2 tab po tid bupropion hcl 100 mg tab 3 tabs daily ondansetron hcl 8 mg tab q8hrs discharge medications: 1. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po qhs (once a day (at bedtime)) as needed for insomnia. 6. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. 7. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po tid (3 times a day) as needed for agitation. 8. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety, agitation. 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 10. dexamethasone 2 mg tablet sig: one (1) tablet po refer to other instructions: 4mg every 8 hr on , take 3mg every 6 hrs on , take 2mg every 6 hrs on , take 2mg every 8 hrs on , take 2mg two times a day on and continue 2mg twice a day until seen in follow up. disp:*60 tablet(s)* refills:*1* discharge disposition: home with service facility: discharge diagnosis: non small lung caricioma with metatisis to the brain depression bladder and breast ca discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge 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 lightly. ?????? 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 have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . if you haven 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. to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for removal of your staples and/or a wound check. this appointment can be made with the physician . please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. up in the brain tumor clinic on @1030 provider: , md phone: date/time: 10:30 provider: , md phone: date/time: 10:30 provider: scan phone: date/time: 11:15 procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: coronary atherosclerosis of native coronary artery personal history of malignant neoplasm of bronchus and lung personal history of malignant neoplasm of breast depressive disorder, not elsewhere classified compression of brain secondary malignant neoplasm of brain and spinal cord cerebral edema personal history of malignant neoplasm of bladder retention of urine, unspecified chronic obstructive asthma, unspecified personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health adult failure to thrive anemia in neoplastic disease 

Answer: The patient is high likely exposed to