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: magnevist / optiray 160 attending: chief complaint: mechanical fall, hip pain. found on hospital work-up to have multiple lung masses, and 3 by 4 cm mass in right cerebellum. major surgical or invasive procedure: right hemiarthroplasty placement of r ivc filter bronchoscopy, 4 samples taken hemicraniotomy, for resection of cerebellar mass history of present illness: ms. is a 70 year old woman with a medical history of tobacco abuse, diabetes, hypertension who presents from home, initially to osh after mechanical fall this morning. she reports that for the past three weeks she has felt unsteady on her feet. she continued to ambulate without assistance. she made apt to see pcp, was supposed to be today. this morning she was walking in the kitchen when she tripped over the door sill and fell to the floor. she denies loc or amnesia about event. her husband witnessed the event. she noted pain in her right hip and difficulty ambulating so called ambulance. . she was brought to outside hospital and was found to have right hip and femur fracture on imaging. a head ct was obtained, which showed cerebellar mass with mild hydrocephalus. mri confirmed right cerebellar lesion with rim enhancement suggesting metastatic focus. cxr showed right upper lobe mass like opacity. she was transferred to for further management. . in the ed, initial vs: 99.4 70 132/70 16 99% ra. exam notable for normal mental status, mild r-sided dysmetria. orthopedics also consulted, and recommended that the patient be made npo after midnight for a hip fracture repair. neurosurgery evaled and felt that she would benefit from decadron 4 mg q8h, but did not rquire seizure prophylaxis. they also recommended that oncology be consulted upon admission. she received 500cc ivf, 1g tylenol for pain, and ct, mri, cxr, pelvis from osh were all uploaded into pacs. on transfer, hr 65 137/69 19 97% ra . on ros, patient denies cough, hemoptysis, chest pain, exertional dyspnea, patient reports intentional 5 pound weight loss over past month, less appetite, denies change in stool, denies bpbpr/melana, denies fever, chills, night sweats, denies vaginal bleeding, denies hematuria. has never had colonoscopy, last mammogram several yrs ago. past medical history: -htn -type ii diabetes -hyperthyroid -hyperlipidemia -tobacco abuse -s/p hysterectomy -s/p carpal tunnel release social history: -married, lives w/ children, three adult children -smoker, since age 30, 1ppd (1/2ppd for last couple years) -former etoh abuse, sober 17 years -denies drug use family history: -denies any familial history of cancer physical exam: vs: 98.2 128/63 64 18 95%ra general: caucasian female in no acute distress heent: sclera anicteric, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: s1, s2 regular rhythm, normal rate abdomen: soft, non-tender, bowel sounds present, no organomegaly, ext: right lower extremity shortened, externally rotated, distal pulses intact neuro: oriented x3, speech fluent, tongue midline, face symmetric, right lower extremity strength not assessed but moves toes, upper extremity strength grossly intact, mild right sided dysmetria on finger nose finger, gait not assessed. discharge exam: non focal. incision clean, dry and intact. no deurological deficits pertinent results: 02:05pm glucose-155* urea n-33* creat-1.0 sodium-135 potassium-3.8 chloride-96 total co2-25 anion gap-18 02:05pm alt(sgpt)-36 ast(sgot)-29 alk phos-122* tot bili-0.6 02:05pm lipase-30 02:05pm wbc-17.6* rbc-5.03 hgb-15.7 hct-44.8 mcv-89 mch-31.3 mchc-35.1* rdw-13.3 02:05pm wbc-17.6* rbc-5.03 hgb-15.7 hct-44.8 mcv-89 mch-31.3 mchc-35.1* rdw-13.3 02:05pm neuts-85.1* lymphs-8.9* monos-4.7 eos-0.6 basos-0.7 02:05pm plt count-292 02:05pm pt-12.3 ptt-23.1 inr(pt)-1.0 osh imaging: hip: minimally displaced transcervical fracture of right femur, distal right femor is minimally laterally displaced . ct head: mass lesion within right cerebellar hemisphere with adjacent mass effect and compression of 4th ventricle. evidence of mild non-communicating hydrocephalus. . mri brain: right cerebellar lesion with rim enhancement suggesting metastatic focus, creates a degree of compression upon medulla and pons, no other abdnormal gadolium enhancing foci are seen . cxr: irregularly marginated 2.8cm masslike opacity projecting over right upper lung. . ip bronch: abnormal mucosa in the upper airways. abnormal bronchial mucosa in the bronchial tree compatible with tumor infiltration. otherwise normal to tracheobronchial tree head ct: expected post operative change without acute hemorrhage or overt mass effect. brain mri: postoperative changes in the right cerebellum with hemorrhage in the operative bed precluding evaluation for residual neoplasm. restricted diffusion in the right lateral cerebellum lateral to the operative cavity suggesting acute ischemia. brief hospital course: medical hospital course: #metastatic carcinoma: initially presented with fall, found to have cerebellar lesion on ct head and multiple lung lesions on chest ct, so was thought to have primary lung lesion with mets. lung lesion biopsied with bronchoscopy on and showed adenocarcinoma on pathology. ct abd pelvis showed lesions in kidney and liver, however both benign on further evaluation with u/s. hip fx was repaired, as below, and neuro-oncology was consulted for cerebellar mass, below. heme/onc was consulted as well after tissue dx made, as well as rad onc. rad onc recommended radiation to cerebellum post-surgery (below) and heme/onc recommended outpatient pet scan and chemotherapy to start at least 6 weeks post-op. #cerebellar mass: measured roughly 3x4 cm, well-circumscribed, right cerebellum. thought to be most likely metastasis from unknown primary and likely contributed to unsteadiness leading to fall. patient was followed by both neurosurgery and neuro-oncology services, and was treated with iv decadron 4 mg q8h, transitioned to po decadron on . did not recommend anti-epileptics or other interventions. on , after tissue diagnosis of adenocarcinoma made, patient was taken to or for resection of mass and hemicraniotomy and transferred to neurosurgical service. surger was performed without complication. post operative head ct revealed no hemorrhage. she remained in the icu overnight for close neurological observation. on the patient was neurologically intact except for right dysmetria. her pain was controlled. she was worked with pt/ot and cleared for home with services. she was tolerating a regular diet and her family was instructed on how to care for her at home. #hip fracture/dvt prophylaxis: patient was s/p mechanical fall with right displaced femoral neck fracture, likely in the setting of unsteadiness considering her cerebellar lesion. initially surgery was delayed for one day because of concerns for starting anticoagulation with lovenox in setting of cerebellar mass with risk of possible hemorrhage, also with discussion of possible shunt. it was decided with orthopedics, neurosurgery and neuro-onc that an ivc filter would be appropriate for dvt prophylaxis considering risk for bleed. this filter was placed while in or for orif of r hip. pt tolerated procedure without complications on , bone was biopsied for concern for pathologic fx, and pathology negative for malignancy. patient began ambulating pod2, no further complications, was followed by orthopedic service . # leukocytosis: most likely secondary to trauma or margination from recent steroid administration. there are no focal signs of infection. she has a negative ua. she has a cxr with opacity but no respiratory sx to suggest infection. her white count was trended, stable. . #hypertension: stable, patient kept on home regimen of lisinopril, diazide, and atenolol. . #diabetes: patient's home glipizide and metformin were held, patient started on iss and lantus regimen, and was adjusted to include prandial insulin. goal blood glucose was less than 180. she will restart her home glipizide and metformin when she goes home. . #hyperlipidemia: stable, patient kept on home lovastatin 40mg daily. . medications on admission: metformin 500mg daily atenolol 50mg methimazole 10mg daily glipizide er 5mg daily lisinopril 5mg daily diazide 37.5/25mg daily lovastatin 40mg daily discharge medications: 1. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. methimazole 10 mg tablet sig: one (1) tablet po daily (daily). 4. calcium carbonate 500 mg (1,250 mg) tablet sig: one (1) tablet po tid (3 times a day). 5. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 6. multivitamin tablet sig: one (1) cap po daily (daily). 7. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily). 8. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 9. atenolol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 10. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 11. dexamethasone 1.5 mg tablet sig: two (2) tablet po q6h () for 2 days. disp:*16 tablet(s)* refills:*0* 12. dexamethasone 2 mg tablet sig: one (1) tablet po q6h () for 2 days. disp:*8 tablet(s)* refills:*0* 13. dexamethasone 1 mg tablet sig: one (1) tablet po q6h () for 2 days. disp:*8 tablet(s)* refills:*0* 14. dexamethasone 2 mg tablet sig: 0.5 tablet po bid (2 times a day) for 2 days. disp:*2 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: adenocarcinoma of the lung metastatic brain mass r hip fracture discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions/information resume your home diabetic medications. start checking your blood sugars twice a day for the next week. if blood sugar greater than 150 call primary care physician ?????? 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. ?????? 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. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your staples/sutures and/or 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 1:00pm . 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 please call ( to schedule an appointment with orthopedic surgery in 1 week for suture removal. oncology will contact you this week for an outpatient followup appointment with dr. onc after surgery procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain interruption of the vena cava partial hip replacement closed endoscopic biopsy of lung diagnoses: obstructive hydrocephalus tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia secondary malignant neoplasm of brain and spinal cord malignant neoplasm of upper lobe, bronchus or lung cerebral edema fall from other slipping, tripping, or stumbling other closed transcervical fracture of neck of femur 

Answer: The patient is high likely exposed to