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: weakness major surgical or invasive procedure: : left frontal craniotomy for mass resection history of present illness: hpi: patient is a 60 yo man with pmh of metastatic lung ca,brain met s/p resection , sdh s/p evacuation by craniotomy,bilateral pulmonary emboli, bph and htn who is known to the service from his crani and mass resection . has been staying with his son and has been having fluctuating confusion and right sided weakness for the alst 1.5 weeks. was at its worst 2 days ago when he was drooling, confused and unable to lift his right hand of the bed. was able to speak appropriately,although confused. was taken to hospital where ct showed significant increase in edema with 1cm midline shift. transferred here for consideration of repeat crani for debulking. sons and patient report that he is much better today, and they attribute this to the steroids he received today. patient reports slight frontal right sided headache intermittently since yesterday. also some slight tingling of the right arm. past medical history: #hypertension #lung cancer dx in and was followed at the until when pt was found to have brains mets. pt presented with confusion and midline shift from assoc hematoma. now s/p l frontal craniotomy for subdural hematoma and metastatic dz. #bph social history: pt lived alone before surgery but has been living with his son. has a remote smoking and drinking history. family history: non-contributory physical exam: physical exam: o: t: 97.3 bp: 139/85 hr: 74 r 16 o2sats 99ra gen: wd/wn, comfortable, nad. heent: pupils: bilaterally 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. recall: objects at 30 sec with prompting, but cannot repeat 1 min later. does b in 25 secs. 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 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 with the exception of 5- weakness in the right fe. slight right pronator drift. sensation: intact to light touch throughout. reflexes: b t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 toes down left, up right coordination: normal on finger-nose-finger, heel to shin on discharge: alert, oriented to person, place and date. full strength and power throughout all extremities, with limited rom of the right ip. no pronator drift. pupils are equal and reactive. incision is clean, dry, intact without erythema, induration or exudate(uses dissolvable suture material) pertinent results: labs on admission: 08:53pm wbc-6.8 rbc-3.37* hgb-11.6* hct-33.4* mcv-99* mch-34.5* mchc-34.8 rdw-15.2 08:53pm plt count-222 08:53pm pt-14.5* ptt-33.5 inr(pt)-1.3* 08:53pm alt(sgpt)-69* ast(sgot)-36 alk phos-125* tot bili-0.4 08:53pm calcium-9.0 phosphate-4.0 magnesium-1.9 08:53pm glucose-131* urea n-17 creat-0.7 sodium-138 potassium-4.0 chloride-102 total co2-28 anion gap-12 10:48pm urine color-yellow appear-clear sp -1.026 10:48pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-6.0 leuk-neg labs on discharge: imaging: mri head : findings: the enhancing lesion in the left frontal lobe is enlarged in size, measuring 3.0 ap x 3.2 ml x 3.2 tv on today's study. there is increased surrounding edema, but the degree of mass effect is unchanged. there is approximately 9-10 mm of rightward shift of normally midline structures. of note, there is mildly increased central region of non-enhancement seen in the central regions of this lesion, suggesting increased necrosis, which may account for increasing size of the lesion. there are no new lesions identified. minimal adjacent dural enhancement likely secondary to recent surgery. it is not nodular, or otherwise concerning in appearance. impression: limited post-contrast t1 imaging performed for surgical planning purposes and demonstrates slightly increased size of surrounding edema in left frontal lobe enhancing mass. no new lesions are identified. head ct (post-op): findings: postoperatively, there is a small amount of pneumocephalus adjacent to the left frontal craniotomy. at the site of the prior soft tissue mass, there is a collection of low-density material mixed with air. this surgical bed is lined by a thin rim of hyperdense material, likely reflecting a small amount of perioperative hemorrhage. there is also a small amount of high-density material layering along the left frontal convexity adjacent to the craniotomy. extensive edema surrounding the surgical bed at the site of prior lesion is unchanged. a small amount of rightward subfalcine herniation (9 mm) is also unchanged. there are no new foci of intracranial hemorrhage. there is no new edema or shift of normal structures. ventricles and sulci are unchanged in appearance and configuration. the basilar cisterns are patent. the -white differentiation is unchanged. there is no fracture. the mastoid air cells and paranasal sinuses remain well aerated. impression: postoperative changes of the left frontal lobe with a small amount of pneumocephalus, and aerated low-density material in the surgical bed. small amount of acute blood lining the surgical bed and adjacent to the craniotomy. no change in extensive edema and small amount of rightward subfalcine herniation. no other acute abnormalities. mri head : sagittal and axial short tr, short te spin-echo imaging was performed through the brain. after administration of 20 cc of magnevist intravenous contrast, axial imaging was performed with long tr, long te fast spin-echo, flair, gradient-echo, diffusion, and short tr, short te spin-echo technique. sagittal mp-rage imaging was performed and reformatted into axial and coronal orientations. comparison to a brain mr . findings: the patient is status post resection of the left frontal lobe enhancing mass noted on the prior study. again identified is extensive left hemispheric edema with mass effect and midline shift. there is a small amount of hemorrhage within the surgical bed, compatible with recent surgery. there is minimal enhancement of the rim of the surgical cavity, best seen on the post-contrast gradient-echo images. although this is similar in configuration to the pre-op enhancing rim, in this location, it may represent post-operative change, rather than residual solid tumor. conclusion: status post resection of left frontal mass. minimal enhancement at the surgical margins may represent post-operative enhancement, but the possibility of a small amount of residual tumor cannot be excluded. brief hospital course: 60m with known metastatic lung cancer transferred from hospital after he presented with altered mental status. mri of head was done showing mass recurrence in the left frontal lobe with significant vasogenic edema. he was then taken to the or on for a craniotomy for mass resection. post-operatively, he was monitored in the icu overnight. on pod#1, he was transferred to the neurosurgical floor. on he was started on heparin infusion to bridge his treatment for pulmonary emboli(previously diagnosed), with a goal ptt 50-70. he was seen and evaluated by physical and occupational therapy who determined he would be safe for discharge to home without services. however, do to his previously known pulmonary embolus, he was kept in the hospital until until his warfarin therapy was instituted at a therapeutic level of . upon discharge, he was given instructions to follow up with his pcp or the by friday for monitoring of his inr. he was also given instructions to follow up in the brain tumor clinic. medications on admission: medications prior to admission: lovenox (last dose this am) mvi reglan 10mg qid ativan 0.5 prn riss decadron 2 iv q6 propecia 5 daily zoloft 50 daily syntrhoid 25 daily combivent puff q6 hrs prn mvi protonix 40 discharge medications: 1. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 2. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*15 tablet(s)* refills:*0* 3. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 4. levothyroxine 50 mcg tablet sig: 0.5 tablet po daily (daily). 5. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 7. dexamethasone 2 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*0* 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 9. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 10. warfarin 2.5 mg tablet sig: one (1) tablet po once a day: please have your inr drawn and monitored by friday at your pcp's office or . . disp:*5 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: left frontal mass 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. ?????? 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. ?????? 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. **you are also being discharged on coumadin(warfarin) for the treatment of your pulmonary embolus. you need to follow up with blood drawing to monitor your blood level inr by this coming friday () with you pcp or . 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. ??????you have an appointment in the brain clinic on at 10:30am. 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. ??????you will not need an mri of the brain as this was done during your acute hospitalization. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) pulmonary collapse secondary malignant neoplasm of brain and spinal cord malignant neoplasm of bronchus and lung, unspecified cerebral edema long-term (current) use of anticoagulants personal history of venous thrombosis and embolism personal history of irradiation, presenting hazards to health other specified hemiplegia and hemiparesis affecting dominant side 

Answer: The patient is high likely exposed to