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: brain mass major surgical or invasive procedure: : right craniotomy and mass resection history of present illness: this is a 65 year old female with no past medical history who noticed she had difficulty typing at her job early this week. she felt as if her hands were clumsy and she could not find the right keys. she went to the outside hospital where workup included a ct head and this was consistent with right frontal mass and surronding vasogenic edema. an mri confirmed an enhancing mass and per reports her ct torso was free of metastatic disease. she says her family thinks she has some slurred speech but she does not think so. she underwent a stereotactic biopsy on . after being seen in follow up with neuro-oncology she decided to proceed with craniotomy and resection for which she know electively presents. past medical history: none social history: works as an executive assistant, lives alone and has three sisters. family history: nc physical exam: t97.8 bp120/70 p80 r16 kps 80. mental status is satisfactory in areas of alertness, orientation, concentration memory and language. optic discs are sharp. on cranial nerve examination, eye movements are full, pupils are equal and reactive. full visual fields. there is left facial weakness, mild. no dysarthria. no tongue weakness. face sensation is reported as reduced on the left side. on motor examination, there is no weakness. coordination is normal. fine movements are satisfactory. reflexes are brisk but symmetric. the finger-nose-finger and heel-to-shin tests are performed accurately. gait and station are satisfactory, and she can do tandem walk. she has extinction to double sided stimulus on the left. she has graphesthesia in her left hand. vibration sense is intact. position sense is inaccurate in her left big toe. on general examination, the oropharynx is clear, the lungs are clear, the heart is regular, the legs are without edema or tenderness. right frontal surgical site is benign, no redness swelling or discharge. sutures are in place. on the day of discharge: the patient was alert and attentive. oriented to person place and time. the incision was well approximated with disolvable sutures.left flaccid hemiparesis and left hemineglect. right upper and lower extremity antigravity. bowel sounds bresent, abdomen soft non tender. pertinent results: wand unchanged heterogeneous mass lesion on the right frontal lobe, consistent with the provided diagnosis of glioblastoma, again prominent vessels are noted within this mass lesion, causing moderate mass effect and associated vasogenic edema. no new lesions are demonstrated in the interval. ct head post-operative 1. postoperative appearance to the right frontal lobe with minimal amount of hyperdense material in the postoperative bed. several locules of air in the postoperative bed may reflect surgical packing material. 2. bifrontal moderate pneumocephalus with posterior dispalcement of the frontal lobes. correlate clinically and follow up for tension pneumocephalus. 3. persistent right sided edema and mass effect on the right lateral ventricle with possible minimal increase of mass effect upon the right frontal . 11:19am freeca-0.99* 11:19am hgb-11.3* calchct-34 11:19am glucose-103 lactate-2.3* na+-133* k+-2.9* cl--102 11:19am type-art po2-212* pco2-33* ph-7.46* total co2-24 base xs-1 intubated-intubated vent-controlled 01:04pm freeca-1.09* 01:04pm hgb-11.3* calchct-34 01:04pm glucose-114* lactate-4.5* na+-134* k+-3.6 cl--101 01:04pm type-art po2-209* pco2-32* ph-7.50* total co2-26 base xs-2 intubated-intubated vent-controlled 03:09pm pt-12.3 ptt-22.2 inr(pt)-1.0 03:09pm plt count-291 03:09pm wbc-15.5* rbc-3.81* hgb-12.1 hct-33.2* mcv-87 mch-31.7 mchc-36.3* rdw-13.3 03:09pm calcium-8.5 phosphate-5.0* magnesium-1.9 03:09pm glucose-169* urea n-17 creat-0.6 sodium-137 potassium-4.3 chloride-101 total co2-27 anion gap-13 05:55am blood wbc-16.3* rbc-3.45* hgb-10.8* hct-31.1* mcv-90 mch-31.2 mchc-34.7 rdw-13.5 plt ct-209 05:55am blood plt ct-209 05:55am blood pt-12.6 ptt-28.4 inr(pt)-1.1 05:55am blood glucose-98 urean-14 creat-0.4 na-138 k-3.6 cl-102 hco3-28 angap-12 05:55am blood calcium-8.1* phos-2.5* mg-2.1 mr head w & w/o contrast study date of 4:21 pm findings: the patient is status post excision of the enhancing right frontal mass with residual blood products in the surgical cavity and postoperative changes of pneumocephalus, dural enhancement and a shallow extra-axial fluid approximately 8 mm. the extent of midline shift through the left by 8 mm is slightly increased from 6 mm on the previous study. there is continued effacement of the right lateral ventricle and partial effacement of the left lateral ventricle. the basal cisterns are patent. there is residual tumor along the surgical margins. there is vasogenic edema surrounding the surgical cavity. diffusion images demonstrate slow diffusion along the resection margins suggestive of ischemia. impression: status post right frontoparietal craniotomy with post-surgical changes and partial resection of the right frontal tumor. residual tumor is seen at the medial and posterior aspect of resection margin with increased gyral swelling, which may reflect a combination of ischemia. diffusion study demonstrate ischemia surrounding the resection margin. the degree of midline shift to the left is minimally increased, likely related to post-surgical changes. , a f 65 pathology report tissue: right sided tumor. study date of report not finalized. assigned pathologist ,hasini please contact the pathology department, pathology # right sided tumor. brief hospital course: pt electively presented on . she underwent a craniotomy and resection without complication. she was transferred to the icu for close neurological observation. post operative head ct revealed minimal amount of hyperdense material and bilateral pneumocephalus consistent with post-operative change. she underwent an mri scan of the brain on which showed status post right frontoparietal craniotomy with post-surgical changes and partial resection of the right frontal tumor. . she was deemed fit for trasnfer to the floor on 4.14 as well and she remained stable there while working with physical and occupational therapy. on the patient was deemed appropriate for rehab. the patient was tolerating a regular diet but her by mouth intake did not improve until am. dr , of neuro-oncology saw the patient and recommends rehabilitation wit furter therapy including chemoradiation planned pending functional improvement. on , the patient required max assist for trasnfers to get out of bed to the chair and will be kept on subcutaneous heparin upon transfer to rehab. the foley catheter was discontinued this morning at 0900 and she will be due to void between pm. the patient had bowel sounds, abdomen is soft-not distended, non tender, but has not had a bowel movement since , the patient will be discharged on a triple bowel regimen of colace, senna, and ducolax. the patient was written for a decrdron steroid taper and will require pecid while on decadron. the decadron was written to be slowly tapered to decadron 2 mg three times daily until radiation begins. the fingerstick glucose levels have been with in normal limits and has not required sliding scale insulin. the patient was discharged to rehab. medications on admission: 1. dexamethasone 4 mg by mouth every six hours 2. levetiracetam 500 mg tablet by mouth twice a day 3. omeprazole 20 mg by mouth daily 4. docusate 100 mg by mouth twice a day discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 2. hydralazine 20 mg/ml solution sig: ten (10) mg injection q4h (every 4 hours) as needed for bp>160. 3. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed for nausea. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily): no bm since . 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation: no bm since . 7. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain: hold for rr < 12, hold for lethargy. 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): please reevaluate when patient more mobile- dvt prophylaxis. 9. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 10. dexamethasone 4 mg tablet sig: one (1) tablet po 8 () for 6 doses: please take this until over a 48 hour period. 11. dexamethasone 1 mg tablet sig: three (3) tablet po 8 () for 6 doses: please take this dose until . 12. dexamethasone 2 mg tablet sig: one (1) tablet po 8 (): please continue to take this dose until radiation begins. discharge disposition: extended care facility: hospital - discharge diagnosis: brain lesion discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: general instructions/information ?????? 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 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. you have not had a bowel movement since , please take an over the counter stool softener, such as docusate (colace)and stimilants such as senna/bisacodyl 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. ?????? you are being sent home on steroid medication, taking a medication to protect your stomach (pepcid), as these medications can cause stomach irritation. make sure to take your steroid medication with meals, or a glass of milk. ?????? 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 rehab. please have your finger stick to follow your glucose levels while on decadron. you did not require any insulin for elevated glusose levels, therefore you are not being discharged to rehab with a insulin sliding scale. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery ) for and a wound check your sutures do not need to be removed as they are disolvable. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call the brain clinic on monday for an appointment. the brain clinic is located on the of , in the building, . their phone number is . please call if you need to change your appointment, or require additional directions. please call dr office for a follow up appointment in 4 weeks with a follow up non contrast head ct. please call the office on monday to make an appointment procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: cerebral edema delirium due to conditions classified elsewhere homonymous bilateral field defects malignant neoplasm of frontal lobe flaccid hemiplegia and hemiparesis affecting nondominant side 

Answer: The patient is high likely exposed to