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: grass pollen-bermuda, standard / pet dander attending: chief complaint: bilateral hand weakness major surgical or invasive procedure: resection of c6-7 intradural tumor and c5-t2 fusion history of present illness: pt is a very pleasant 51-year-old woman who presents with bilateral hand weakness. she has been followed by neurology for some time with a benign tremor and some cognitive deficits and memory difficulty.she reports to me primarily difficulty opening jars and recent falls. she has had some episodes of urinary incontinence. she clearly has gait difficulty. she does not smoke. an mri reveals a c6-7 intradural mass and she presents for elective resection and instrumented fusion. past medical history: - bipolar disorder - meniere's, no attacks for years social history: lives with husband, has 3 biologic and 1 adopted child. works as executive assistant. smoked from age 16 to 29. no tobacco, no illicits. family history: negative for seizure, stroke, brain tumor physical exam: on examination, her motor strength is in the deltoid, biceps,triceps, and hand intrinsics bilaterally. there may have been some very slight weakness of the hand intrinsics, but it was clearly subtle. her reflexes were absent in the right triceps and 1+ otherwise throughout the upper extremities. her patellar reflexes were normal and symmetric and graded at 2- bilaterally. there was no clonus. babinski was downgoing bilaterally. there was no lhermitte's phenomenon. upon discharge: r deltoid otherwise throughout incision clean dry intact with , erythema around pertinent results: an mri of the cervical spine demonstrates a large right-sided intradural mass at c6-7 that appears to be extramedullary. it egresses the foramen there. there is significant paraspinal component. mri c spine : good resection of intradural tumor and placement of surgical hardware. c spine x rays : good placement of surgical hardware. brief hospital course: pt was admitted to neurosurgery service and underwent elective resection of c6-7 intradural tumor with c5-t2 fusion. she tolerated this procedure very well with no complications. post operatively she remained intubated and was transferred to the icu for further care including sbp control and q1 neuro checks. on post op exam she was following commands and moving all extremities with good strength. she remained flat and intubated overnight. on pod#1 she was seen and was doing well. her incision was clean and dry and she continued to move all extremities with full strength. she was extubated without difficulty and her hob remained at 30 degrees for 2 days with plan to mobilize her after that time. pt remained in the icu over the weekend for continued monitoring and she had no post surgical issues. her hob was increased as was her activity on but she was only able to sit upright in bed. she was seen on and was doing well. her pain was well controlled and her incision remained clean and dry. she was transferred to the floor in stable condition. pt was able to ambulate on her own to the bathroom and was seen by physical therapy on . physical therapy cleared the patient for discharge to home. medications on admission: 2. lamotrigine 100 mg tablet sig: two (2) tablet po bid (2 times a day). 3. buspirone 5 mg tablet sig: three (3) tablet po bid (2 times a day). 4. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. 5. methazolamide 50 mg tablet sig: one (1) tablet po bid (2 times a day). 6. fluticasone 50 mcg/actuation spray, suspension sig: one (1)spray nasal daily (daily) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on narcotics. disp:*60 capsule(s)* refills:*1* 2. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily): take while on narcotic. disp:*1 jar* refills:*2* 3. buspirone 5 mg tablet sig: three (3) tablet po bid (2 times a day). 4. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 5. lamotrigine 100 mg tablet sig: two (2) tablet po bid (2 times a day). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. methocarbamol 750 mg tablet sig: one (1) tablet po tid (3 times a day): take for muscle spasm. disp:*90 tablet(s)* refills:*2* 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for temp/pain. 9. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 10. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety. discharge disposition: home discharge diagnosis: c6-7 intradural tumor discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? do not smoke ?????? keep wound clean / no tub baths or pools until seen in follow up/ take daily showers including getting incision/ wet ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting for two weeks then increase to usual activities as tolerated. ?????? limit your use of stairs to 2-3 times per day ?????? have a family member check your incision daily for signs of infection ?????? you may wear soft cervical collar for comfort. ???????????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc. for 3 months to promote bony fusion. ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation followup instructions: please return to the office in days for removal of your please call to schedule an appointment with dr. to be seen in 6 weeks. you will need ap and lateral cervical/thoracic spine xrays prior to your appointment procedure: imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique other cervical fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae diagnoses: other and unspecified hyperlipidemia bipolar disorder, unspecified benign neoplasm of spinal meninges 

Answer: The patient is high likely exposed to