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: left occipital mass major surgical or invasive procedure: : left craniotomy and resection of mass history of present illness: 59 year old right handed man who presented recently to the btc for the evaluation of abnormal brain mri findings.patient reported sob on which prompted him to go to osh where chest x ray that showed a lung mass. confirmed by ct chest. on he underwent a ct guided biopsy of lung mass and pathology showed squamous cell carcinoma. he had a brain mri on which showed a contrast enhancing left occipital mass. he denies any seizures, headaches, weakness, numbness or tingling. the risks and benefits of undergoing surgical intervention were discussed with the patient who now electively presents for a craniotomy. past medical history: hl, copd, b/l hip replacements social history: patient is married with 2 children. he smoked 1ppd for 20 years but recently quit. he drinks occasionally. he denies any recreational drugs use. he is currently unemployed family history: non-contributory physical exam: admission physical exam: no focal neuro deficits discharge physical exam: -general: aaox3, pleasant and conversant, nad -heent: occipital sutures c/d/i -neuro: aaox3, cn ii-xii grossly intact, strength 5/5 all extrem, sensation intact pertinent results: head ct without contrast: expected post-surgical changes after resection of left occipital lesion. brain mri (pre-op): 2.1 x 1.6 x 1.7-cm lesion with broad-based dural enhancing lesion with broad-based dural tail within the left occipital lobe appears most consistent with meningioma. brain mri (post-op): 1. post-surgical changes after resection of left occipital lesion with blood prodcuts noted within the surgical bed as well as adjacent extra-axial hematoma and mild adjacent soft tissue hematoma. pneumocephalus layering along the left frontal lobe similar to the prior examination. 2. mild enhancement in the upper surgical bed may represent residual tumor. 3. slow diffusion along the periphery of the surgical bed may suggest post-op cytotoxic edema versus infarct. attention to these areas on followup imaging is recommended. brief hospital course: patient electively presented and underwent a left occipital craniotomy and resection of mass on . surgery was without complication and he tolerated it well. he was extubated and transferred to the icu. post op head ct on revealed expected post-operative changes with no evidence of hemorrhage. patient's diet was advanced and foley removed. he was started on subcutaneous heparin for dvt prophylaxis. mr. was subsequently transferred to the floor in stable condition. head mri on demonstrated post-operative changes with pneumocephalus of left frontal lobe, mild enhancement in upper surgical bed which could represent residual tumor, and post-op cytotoxic edema vs. infarct. patient will follow up in brain tumor clinic on for re-evaluation, particularly given possible residual tumor post-operatively. he was discharged with prescriptions for keppra 1000mg , dexamethasone taper (4mg tid x1 day -> 4mg bidx1 day -> 4mg daily until brain tumor clinic follow up), oxycodone, tylenol, and colace. home asa was discontinued for now given no absolute need for med (stents etc) and risk of bleeding. ============================ transition of care: 1. please consider restarting home asa 81mg at next follow-up if appropriate medications on admission: preadmission medications listed are correct and complete. information was obtained from webomr. 1. dexamethasone 4 mg po daily 2. doxazosin 2 mg po hs 3. lorazepam 0.5 mg po hs 4. paroxetine 20 mg po daily 5. simvastatin 10 mg po daily 6. tiotropium bromide 1 cap ih daily 7. aspirin 81 mg po daily 8. cetirizine *nf* 10 mg oral qday 9. codeine-guaifenesin *nf* 10-100 mg/5 ml oral unknown discharge medications: 1. dexamethasone 4 mg po bid duration: 1 days please follow up at brain clinic to determine future steroid dosing. rx *dexamethasone 2 mg 2 tablet(s) by mouth tapered dose disp #*40 tablet refills:*0 2. dexamethasone 4 mg po daily duration: 9 days start: after 4 mg tapered dose. please follow up at brain clinic to determine future steroid dosing. 3. doxazosin 2 mg po hs 4. simvastatin 10 mg po daily 5. tiotropium bromide 1 cap ih daily 6. levetiracetam 1000 mg po bid rx *keppra 1,000 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*0 7. oxycodone (immediate release) 5 mg po q6h:prn pain rx *oxycodone 5 mg 1 tablet(s) by mouth every six (6) hours disp #*40 tablet refills:*0 8. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 capsule(s) by mouth twice a day disp #*60 tablet refills:*0 9. acetaminophen 325-650 mg po q6h:prn fever/pain rx *acetaminophen 325 mg tablet(s) by mouth every six (6) hours disp #*60 tablet refills:*0 10. cetirizine *nf* 10 mg oral qday 11. codeine-guaifenesin *nf* 10-100 mg/5 ml oral unknown 12. lorazepam 0.5 mg po hs 13. paroxetine 20 mg po daily discharge disposition: home discharge diagnosis: left occipital mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: craniotomy for tumor excision dr. ??????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 have nylon sutures you may wash your hair and get your incision wet day 7 after surgery. 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) & senna 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. ??????if you are being sent home on steroid medication, make sure you are taking a medication to protect your stomach (prilosec, protonix, or 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 home. we made the following changes to your medications: 1. stopped aspirin (increases risk of bleeding - please discuss whether to restart this at your brain tumor clinic follow up) 2. increased dexamethasone to 4mg three times daily for today (), then two times daily tomorrow (), then back to once daily ( until brain tumor clinic follow up) 3. started levetericetam (keppra) 1000mg twice daily (to prevent seizures) 3. started oxycodone 5mg every 6 hours as needed for pain 4. started acetaminophen (tylenol) 325-650mg every 6 hours as needed for pain 5. started docusate (colace) 100mg twice daily as needed for constipation followup instructions: ??????you have an appointment in the brain clinic on @ 9:30am. 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: chronic airway obstruction, not elsewhere classified personal history of tobacco use other and unspecified hyperlipidemia secondary malignant neoplasm of brain and spinal cord malignant neoplasm of bronchus and lung, unspecified cerebral edema hip joint replacement other conditions of brain 

Answer: The patient is high likely exposed to