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: patient recorded as having no known allergies to drugs attending: chief complaint: headache, nausea. major surgical or invasive procedure: : right sided craniotomy for mass resection history of present illness: 50 year old male with known gbm diagnosed with biopsy by dr. last year present with severe headache on the night of , which was associated with nausea. he went to his radiation appointment on in the morning and was sent for a stat head ct. the scan showed significant edema around the area of the mass. his wife also reports that he has had difficulty with depth perception recently. for example, when opening the cabinet to get a coffee cup, he would hit his head on the cabinet door. similarly, he runs into polls that are right in front of him. the patient was given 4 mg of decadron and sent to the er. past medical history: 1. recurrent left spontaneous pneumothoraces with left apical blebs, s/p left upper lobe bleb resection, pleurodesis, and sclerosis in ; had post operative air leak requiring exploratory thoracotomy 2. right tension pneumothorax, s/p bullectomy with mechanical pleurodesis in 3. childhood strabismus, s/p multiple corrective procedures, last at age 14 4. benign connective tissue nevus social history: lives with wife and two children. former smoker, 1-2 packs daily for 10 years but quit years ago. he denies a history of illicit drug use. he drinks "an occasional beer." family history: son had a febrile seizure at age eight. has a niece with generalized seizures, now ~age 27. no stroke, hemorrhage, or aneurysm. physical exam: on admission: t:97.9 bp:138/96 hr:89 rr:14 o2sats:100% ra gen: wd/wn, comfortable, nad. heent: pupils:perrl eoms-intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to 3-2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift. sensation: intact to light touch bilaterally. toes downgoing bilaterally on discharge: neuro exam is intact however he lists to the left when ambulating and has a bilateral homonymous hemianopsia on the left pertinent results: labs on admission: 12:10pm blood wbc-15.8*# rbc-4.67 hgb-14.9 hct-40.4 mcv-87 mch-31.9 mchc-36.9* rdw-13.4 plt ct-322 12:10pm blood neuts-86.7* lymphs-9.8* monos-2.0 eos-1.1 baso-0.4 02:19am blood pt-13.9* ptt-30.6 inr(pt)-1.2* 02:19am blood calcium-9.2 phos-3.5 mg-2.1 imaging: head ct : findings: while the known right parietal mass is suboptimally evaluated on this noncontrast head ct, it appears significantly larger than on . a hyperdense rim within the mass may indicate blood products. there is a marked increase in vasogenic edema surrounding the mass. there is a mild shift of the septum pellucidum and the third ventricle to the left. there is near-complete effacement of the atrium of the right lateral ventricle. the temporal of the right lateral ventricle is newly dilated, suggestive of trapping.a right parietal burr hole is again seen. the imaged portions of the paranasal sinuses and mastoid air cells are normally aerated. , k m 50 radiology report mr head w & w/o contrast study date of 10:06 am , tsicu sched mr head w & w/o contrast clip # reason: please evaluate for residual tumor burden. must be completed contrast: magnevist medical condition: 50 year old man with reason for this examination: please evaluate for residual tumor burden. must be completed within 36hrs post-op contraindications for iv contrast: none. provisional findings impression: dbh 4:20 pm pfi: status post resection of glioblastoma with no evidence of residual enhancing tumor. final report mr head without and with contrast history: evaluate for residual after tumor resection. sagittal and axial short tr, short te spin echo imaging was performed through the brain. after administration of 14 ml of magnevist intravenous contrast, axial imaging was performed with flair, gradient echo, long tr, long te fast spin echo, diffusion, and short tr, short te spin echo technique. sagittal mp-rage images were obtained and reformatted into axial and coronal orientations. comparison to a brain mr . findings: in the interval, the patient has undergone resection of the right temporal and deep white matter masses noted on the prior study. although there is a thin rim of enhancement surrounding the surgical site, the best radiologic evidence is that the enhancing neoplasm has been completely resected. again seen is high signal intensity on the flair images, extending across the splenium of the corpus callosum, presumably reflecting tumor infiltration. there is expected postoperative hemorrhage at the surgical site and a tiny fluid collection is noted. there is mild dural thickening, again presumably related to surgery. although the enhancing portion of the tumor appeared to reach the ependymal surface of the right lateral ventricle, there is no evidence of intraventricular enhancement to suggest seeding of the tumor. conclusion: status post resection of glioblastoma with no evidence of residual enhancing tumor. dr. . approved: sat 4:22 pm imaging lab , k m 50 radiology report ct head w/o contrast study date of 3:19 pm , tsicu sched ct head w/o contrast clip # reason: please evaluate for post-op bleeding; must be completed with medical condition: 50 year old man with reason for this examination: please evaluate for post-op bleeding; must be completed within 4hrs post-op contraindications for iv contrast: none. provisional findings impression: 7:56 pm no major vascular territorial infarction or other acute intracranial abnormality. final report history: 50-year-old male status post resection of mass. evaluate for postoperative bleed. technique: contiguous axial images were obtained through the brain. no contrast was administered. findings: the patient is status post right parietal craniotomy and resection of a right parietal mass. there is a small amount of expected post-surgical pneumocephalus and hemorrhage seen in the resection bed. in addition there is expected bifrontal pneumocephalus. there is persistent stable edema in the resection bed. subgaleal soft tissue edema is noted over the right parietal vertex. no acute major vascular territory infarction is noted. the visualized portion of the paranasal sinuses and mastoid air cells are well aerated. impression: expected post-surgical appearance with minimal post-surgical hemorrhage in the resection bed. no evidence of major vascular territory infarction or new shift of the normally midline structures. the study and the report were reviewed by the staff radiologist. dr. dr. . approved: 10:01 am imaging lab , pathology examination name birthdate age sex pathology # , k 50 male report to: dr. . gross description by: dr. . /dif specimen submitted: right temporal tumor, right temporal tumor. procedure date tissue received report date diagnosed by dr. /vf previous biopsies: 0 tp , -9, -10, -11, -12, -13, -14, -1, -2, -3, -4, -5, r buttock (1 jar). right apex upper lobe and posterior wedge right upper rt-lt vas/in. (and more) diagnosis: right temporal tumor, biopsies: 1. frozen section (a):malignant glioma with palisading necrosis and diffuse infiltration. 2. permanent (b-d):glioblastoma, who grade iv (see note). note: highly atypical glial cells are present, along with microvascular proliferation and necrosis. scattered mitotic figures are found. , k m 50 radiology report chest (portable ap) study date of 2:43 pm , tsicu sched chest (portable ap) clip # reason: please eval for cardio-pulm process medical condition: 50 year old man with gbm and mental status changes scheduled for or for resection reason for this examination: please eval for cardio-pulm process provisional findings impression: lcpc wed 7:08 pm no signs of acute cardiopulmonary process. final report chest portable ap reason for exam: 50-year-old man with gbm and mental status changes scheduled for or for resection. please evaluate for cardiopulmonary process. since , lungs remain clear. relative lucency of the left lung is only technical. scarring at the left apex is unchanged with prior wedge resection. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion. the study and the report were reviewed by the staff radiologist. dr. dr. approved: wed 7:53 pm brief hospital course: 50 year old male with known gbm diagnosed with biopsy by dr. last year present with severe headache last night which was associated with nausea. work up revealed tumor progression with increased vasogenic edema. he was brought the the or for tumor debulking. his neurologic examination remained unchanged relative to his preoperative neurologic status. he was in the pacu overnight and then transferred to the floor. his diet and activity were advanced. his steroids were tapered appropriately. he was seen by pt ot and deemed safe for discharge with services at home. he was neurologically non-focal at the time of discharge. medications on admission: fioricet - 50 mg-325 mg-40 mg tablet - 1-2 tablets by mouth q4-6 hrs as needed for for headaches. try not to take more than 2/day dexamethasone - 4 mg tablet by mouth three times a day levetiracetam - 500 mg tablet - 2 tablet(s) by mouth twice daily zofran - 8 mg tablet - 1 tablet(s) by mouth once a day take one hour before temodar propranolol - 60 mg capsule,sustained action 24 hr - start at one tab qd, then in 2 weeks increase up to 2 tabs qd if not enough effect sumatriptan succinate - 100 mg tablet - 1 tablets by mouth prn severe h/a take at onset of severe h/a. repeat x 1 in 2 hrs if not enough effect. not to exceed 2 tabs in a 24 hr period temozolomide - 140 mg capsule - 1 capsule(s) by mouth once a day take on empty stomach one hour before radiation. take 7 days/week ibuprofen - 200 mg tablet - 2 tablet(s) by mouth prn discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for headache: do not drive while on this medication. disp:*40 tablet(s)* refills:*0* 3. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. propranolol 60 mg capsule,sustained action 24 hr sig: one (1) capsule,sustained action 24 hr po daily (daily). 5. dexamethasone 2 mg tablet sig: three (3) tablet po tid (3 times a day) as needed for brain edema. disp:*90 tablet(s)* refills:*2* 6. colace 100 mg capsule sig: capsules po twice a day. disp:*60 capsule(s)* refills:*2* discharge disposition: home with service facility: partners discharge diagnosis: glioblastoma anxiety discharge condition: neurologically stable 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. ?????? you may wash your hair only after sutures and/or staples have been removed. if 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. 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. ?????? 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. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: increasing redness, increased swelling, increased tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for a wound check. 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. ??????the brain clinic will call you to assist in scheduling your appointment for follow up. 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. ??????you will not need an mri of the brain. provider: , md phone: date/time: 9:15 procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: anxiety state, unspecified malignant neoplasm of parietal lobe cerebral edema generalized convulsive epilepsy, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to