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: motrin attending: chief complaint: headache major surgical or invasive procedure: bronchoscopy cranitomy with resection of brain mass history of present illness: 54 y.o. f. reporting a history of increasing headache which started in cervical spine and slowly progressed to occipital headache then described as a migraine with an intensity of . headaches worsen while laying down, sitting, valsalva, coughing. usually worse in the morning and in the evening. she developed ataxia at the same time, which slowly worsened, described as "walking like a drunk". she denies any nausea/vomiting, no changes or double vision, no photophobia, no phonophobia. no other symptoms have accompanied the headache and ataxia. today she presented to hospital via private vehicle after unable to tolerate symptoms. pt's last pcp 10 years ago, last mammogram and pap smear 10 years ago negative. past medical history: hearing loss r ear multiple right ear surgical procedures perforated r tympanic membrane, with multiple surgeries as a child. social history: smoker 35 years 1ppd, etoh 3-4 beers every other day family history: father: ca; mother: breast ca; brother: prostate ca; sister: uterine ca physical exam: o: t:98.3 bp: 173/113 hr: 85 r19 o2sats91% ra gen: wd/wn, comfortable, nad. heent: pupils: pinpoint, nonreactive eomf neck: supple. 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 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria. cranial nerves: ii: pupils equally round pinpoint 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. reflexes: b t br pa ac right 2 1 2 2 left 2 1 2 2 toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin, no dysmetria pertinent results: ct chest w/contrast 3:00 pm ct chest w/contrast; ct abdomen w/contrast reason: r/o met. ca field of view: 36 contrast: optiray medical condition: 54 year old woman with cerebellar mass, ? cerebellar mass and hydrocephalus reason for this examination: r/o met. ca contraindications for iv contrast: none. ct of the torso on clinical history: cerebellar mass, question primary. technique: helical acquisition of ct images were performed from the thoracic inlet through the ischial tuberosities following administration of both oral and approximately 130 cc of intravenous nonionic contrast. no prior studies available for comparison. findings: there is a large, approximately 5.9 x 4.3 cm right middle lobe enhancing mass medially, with occlusion of the distal bronchi. the mass is in direct contact with the adjacent pericardium, and there is massive lymphadenopathy extending from the subcarinal region cranially, encasing the trachea and the bifurcation of the pulmonary artery, extending to the prevascular, superior mediastinal regions, ap window, as well as bilateral supraclavicular regions. there is an adjacent satellite nodule in the right middle lobe parenchyma which measures approximately 1.7 cm. there is additionally a paraaortic and small retrocrural nodes at approximately the diaphragmatic hiatus. no adrenal lesions are appreciated. no focal bony lesions. there is no pericardial or pleural effusion. there is prominence of the interlobular septa of the lungs, likely due to fluid overload, however, lymphangitic spread of disease is a consideration. abdomen: the liver, spleen, and pancreas remain normal in appearance. gallbladder is present. there is no ascites. adrenal glands are unremarkable. there are focal hypodensities within the kidneys bilaterally, too small to thoroughly characterize, but likely benign cysts. pelvis: bowel loops are unremarkable. there are no dilated loops. no pelvic mass or lymphadenopathy. there is extensive atherosclerotic calcification of the aortoiliac system. no significant mesenteric or retroperitoneal lymphadenopathy. review of bone windows demonstrates degenerative changes without acute focal lytic or blastic lesion. impression: large right middle lobe mass with extensive ipsi- and contra- lateral mediastinal lymphadenopathy, extending to the supraclavicular regions bilaterally. mr head w & w/o contrast 12:50 am reason: evaluate cerebellar mass contrast: magnevist medical condition: 54 year old woman with progressive headache, ataxia x 20 days, ct scan at osh with cerebellar mass, obstructive hydrocephalus reason for this examination: evaluate cerebellar mass contraindications for iv contrast: none. exam: mri of the brain. clinical information: patient with cerebellar mass with obstructed hydrocephalus. technique: t1 sagittal and axial and flair t2 susceptibility and diffusion axial images of the brain were acquired before gadolinium. t1 sagittal, axial and coronal images were obtained following gadolinium. findings: an irregular rim-enhancing mass is identified in the right cerebellar hemisphere indenting and compressing the fourth ventricle. the mass measures approximately 3 cm in size. there is surrounding edema seen. there is somewhat downward displacement of the cerebellar tonsils identified due to mass effect. an additional small 8 mm enhancing node mass is identified in the left centrum semiovale with surrounding edema. there is mild-to-moderate prominence of ventricles with slightly increased signal in the periventricular region indicative of early obstructive hydrocephalus with mild periventricular edema. there is no midline shift seen. there is no definite meningeal enhancement identified. impression: 1. approximately 3 cm irregular rim enhancing mass in the right cerebellar hemisphere with mass effect on the fourth ventricle, surrounding edema and mild associated obstructive hydrocephalus. 2. small left centrum semiovale enhancing nodular mass. 3. the most likely diagnosis is metastatic disease. specimen submitted: rml endobronchial biopsies fs, cell block from fna/fragments...and cell block of bronchial brush. procedure date tissue received report date diagnosed by dr. . /mb???????????? diagnosis: a) right middle lung lobe, endobronchial biopsy: positive for non-small carcinoma. b) fragments of core biopsy: blood with scattered malignant cells consistent with poorly differentiated carcinoma. c) fragments from bronchial brushing: positive for non-small carcinoma. note: an immunostain for keratin cocktail is positive. s100 is negative. ct head w/o contrast 3:33 am ct head w/o contrast reason: eval for post op changes, bleeding - please perform at 4am s medical condition: 54f s/p suboccipital craniotomy, cerebellar mass excision reason for this examination: eval for post op changes, bleeding - please perform at 4am so that images can be evaluated on rounds. contraindications for iv contrast: none. indication: 54-year-old status post suboccipital craniotomy for cerebellar mass. also with recently diagnosed nonsmall cell lung cancer. comparison: . non-contrast head ct: there is again evidence of occipital craniotomy with a large bony defect over the right cerebellum and a moderate amount of subcutaneous air. within the resection bed, there is a persistent small focus of fluid and hypoattenuating material, likely blood. this area measures 1.1 x 1.4 cm with a 6 mm hypoattenuating focus of hemorrhage more superiorly, all stable compared to two days prior. there is moderate edema within the right cerebellum, also unchanged. no evidence of herniation. right ventriculostomy catheter enters via the right frontal approach, traversing the frontal of the lateral ventricle and terminating within the third ventricle. this catheter has been repositioned compared to two days prior when it terminated within the cerebral parenchyma. ventricular size has decreased slightly, and there is no evidence of hydrocephalus. the cerebral - white matter differentiation is preserved. pneumocephalus related to operative procedure has decreased along the posterior falx and frontal cortex. there is mild opacification of the ethmoid air cells. the right mastoid air cells are very poorly pneumatized. the left mastoid air cells are clear. impression: 1. status post repositioning of ventriculostomy catheter, now terminating within the third ventricle with slightly decreased size of the ventricles. 2. stable post suboccipital craniotomy changes with stable focus of pneumocephalus and hemorrhage within the right cerebellar hemisphere. 3. no new areas of hemorrhage. specimen submitted: cerebellar lesion, cerebellar lesion. procedure date tissue received report date diagnosed by dr. /mrr?????? neuropathology diagnosis: brain, cerebellum, resection: 1. "cerebellar lesion" (including intraoperative frozen and smear): metastatic epithelioid neoplasm (see note). 2. "cerebellar lesion-permanent": metastatic epithelioid neoplasm (see note). note: the tumor forms nodules within brain parenchyma and infiltrates leptomeninges. there are regions of extensive necrosis. immunohistochemistry is being performed on formalin-fixed, paraffin-embedded tissue with antibodies to ck7, ck20, mnf-116, ttf-1, cea, and cam 5.2. the results will be reported in an addendum. brief hospital course: ms was admitted to neurosurgery icu on for evaluation and treatment of cerebellar mass and hydrocephalus. torso ct showed large right middle lobe lung mass. she underwent bronchoscopy with lung biopsy showed non-small cell carcinoma. she underwent craniotomy for tumor resection and external ventrical drain placement on . no complication was encounted during surgery and she was successfully extubated post-op. her hydrocephalus has improved and evd was removed on . neurologically she remained stable and was tranferred to regular floor on . her diet and activity has been advanced and she is ambulating without assistance. pt was consulted and recommended patient to be discharge home. thoracic was consulted regarding her lung mass and recommended her to follow up in thoracic clinic on . radiology oncology was consulted and offered her wbrt or cyberknife protocol. she decided to have cyberknife protocol and will follow up with dr office to set up the protocol. she had hypertension during this admission and was started on metoprolol 25mg with good blood pressure control. she is recommended to follow up with her primary care physician for further management of her htn. medications on admission: tylenol prn aleve prn discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): take while on steroids. disp:*60 tablet(s)* refills:*2* 2. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on pain med. disp:*60 capsule(s)* refills:*0* 4. dexamethasone 4 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold for systolic blood pressure<100 or heart rate <60. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: metastatic brain mass obstructive hydrocephalus metastatic lung cancer discharge condition: neurologically stable discharge instructions: your blood pressure was elevated during this admission and you are started on metoprotol to lower your blood pressure. please follow up with your primary care physician 2 weeks of this discharge for management of your blood pressure. discharge instructions for craniotomy ?????? have a 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, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. 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: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please return to the office between and , for removal of your staples/sutures, please call for appointment. please set up further follow up appointment with dr when you come in for suture removal. please follow-up with thoracic dr. on at 1:00pm on the clinical center. dr office will contact you next week regarding radiation treatment. please follow up with your primary care physician for management of your hypertension. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain intravascular imaging of intrathoracic vessels closed [endoscopic] biopsy of bronchus closed endoscopic biopsy of lung diagnoses: obstructive hydrocephalus secondary malignant neoplasm of brain and spinal cord malignant neoplasm of middle lobe, bronchus or lung 

Answer: The patient is high likely exposed to