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: no known allergies / adverse drug reactions attending: chief complaint: electric shock like sensation major surgical or invasive procedure: : posterior cervical laminectomy c6-c7, t1-t2 for resection of intradural tumor at c7-t1. history of present illness: this is a 76 year old white male who reported that he has had feelings of pins and needles in his right arm for years. he had a ct in of his neck that he recalls being normal. this was done at / by his pcp . . two days ago he was shaving and he got an electric shock in the right side of this neck. the next day he was turning his head and he got an even bigger shock. this one was so sever that it caused him to lower himself to the ground. he reported this to his pcp who ordered cta. this was reported as normal. he then underwent an mri of the spine. he was told to come to the ed. past medical history: high cholesterol broken leg / non surgical social history: he lives with wife of 44 in . he is a retired engineer. he quit smoking 33 ago. he denies etoh use. family history: nc physical exam: on admission: gen: wd/wn, comfortable, nad. heent: ncat pupils: b/l eomis neck: supple. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: b t ip q h at g r 5 5 5 5 5 5 5 5 l 5 5 5 5 5 5 5 5 sensation: intact to light touch, reflexes: pa ac right 2 0 left 2 0 physical exam upon discharge: his wound was clean and dry with resorbable sutures. there were areas of mm cysts at the superior pole. they were not purulent. there was no drainage. he has full strength. he is in a collar. pertinent results: cxr: findings: the lung volumes are normal. flattening of the hemidiaphragms on the lateral film could suggest mild overinflation. borderline size of the cardiac silhouette with tortuosity of the thoracic aorta but without evidence of pulmonary edema. no pleural effusions. no lung nodules or masses. ct c-spine: impression: known intradural extramedullary mass at the level of c7-t1 does not appear to be associated with any calcifications on this non-contrast study.no expansion of neural foramina or bony erosion seen. cranio-cervical bony abnormality with spinal stenosis at c1. mri head: 1. no acute intracranial process. 2. no pathologic focus of enhancement; specifically, there is no finding to suggest meningioma in the intracranial compartment. 3. mild-moderate global atrophy, particularly bifrontal cortical, and sequela of chronic small vessel ischemic disease. 4. relatively mild chronic inflammatory changes in the paranasal sinuses. 5. markedly dysmorphic appearance to the atlas and axis; please see separately-dictated report of the concurrent mr examination of the cervical spine. mri c-spine: 1. re-demonstration of the extramedullary-intradural but dural-based lesion, occupying much of the right half of the spinal canal, centered at the c7-t1 level. this has imaging characteristics strongly suggestive of "typical" meningioma, with significant mass effect upon and compression of the subjacent spinal cord, without signal abnormality. 2. likely os odontoideum with likely associated fusion anomaly involving the anterior neural arch of c1; as above; these dysmorphic vertebrae significantly narrow the ventral spinal canal and, in combination with the resultant angulation of the spinal cord, as well as ligamentum flavum thickening, severely narrow the spinal canal, compressing the cord, which demonstrates intrinsic signal abnormality, likely representing myelomalacia. n.b. instability with abnormal motion at this level (which commonly accompanies such anomalies) cannot be excluded on this static study. 3. multilevel degenerative disease, most marked at the c5-6 level, where there is significant left anterolateral spinal canal and severe left neural foraminal stenosis with likely impingement upon the exiting left c6 nerve root. brief hospital course: mr. was admitted to the neurosurgery service on . he was placed in a hard collar when oob. from the patient remained neurologically stable. he ambulated frequently in the hallway without any difficulty. an mri of his neck and spine was obtained which revealed a extramedullary-intradural lesion occupying much of the spinal canal. findings were suggestive of a meningioma. his mri brain was unremarkable for tumor. he was prepped for surgery and radiation oncology was consulted for assistance with plan of care. on he was taken to the or with dr. and underwent a c6-t2 laminectomy and excision of intradural, extramedullary tumor. he tolerated the procedure well. he was kept flat for 48 hrs to prevent csf leak. he had a post-op mri on . he was elevated on without incident and transitioned oob minimally. his foley was removed and he was voiding well. he was tolerating a regular diet. his wound had running monocryl superficial sutures with some small areas of cyst formation but no sing of infection. he was cleared for discharge to home on . medications on admission: pravastatin 40 daily, aspirin 81mg qod discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain fever: max 4g/24 hrs. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*70 tablet(s)* refills:*0* 6. methocarbamol 500 mg tablet sig: 1.5 tablets po tid (3 times a day) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. dexamethasone 2 mg tablet sig: one (1) tablet po q8 () for 48 days: start at 4pm for 48hrs, then 1 tab q12 for 48hrs, then tab q12 for 48hrs then tab q24 for 48hrs, then stop. disp:*13 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: intradural, extramedullary spinal cord tumor discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? do not smoke. ?????? keep your wound clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? wear your cervical collar at all times when out of bed for one month. ?????? you may shower briefly whikle sitting in your shower chair. we have given you pads to change for your collar after the shower. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any medications such as aspirin unless directed by your doctor. ?????? you should take advil/ibuprofen 400mg three times daily. this is over the counter. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. followup instructions: follow up instructions/appointments ??????please return to the office in 10 days (from date of surgery) for a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . ??????you have an appointment in the brain clinic in 6 weeks. the brain clinic is located on the of , in the building, . their phone number is . please call to make this appointment. procedure: imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal diagnoses: pure hypercholesterolemia personal history of tobacco use spinal stenosis in cervical region myelopathy in other diseases classified elsewhere other unspecified back disorders personal history of traumatic fracture benign neoplasm of spinal meninges 

Answer: The patient is high likely exposed to