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 temporal mass major surgical or invasive procedure: left temporal craniotomy for bx and resection of mass history of present illness: 78 yo m with new finding of left temporal lesion. pt was recently hospitalized after he awoke on with shoulder pain without recollection of trauma. workup led to mri revealing lesion. he denies any headaches, word finding difficulty, memory difficulties, seizure activity. he does daily word puzzles past medical history: a fib in coumadin htn hl recently dx b12 deficiency s/p 3 injections b12 s/p bilat tkr prostate ca s/p radiation bph oa chronic nasal congestion s/p septoplasty ~ inguinal hernai repair ~ alcohol overuse hard of hearing obesity ileus s/p general anaesthesia for both tkrs social history: per pcp notes, pt does drink etoh heavily. per his dtr, he drinks 10 beers/day but per wife he has added a glass of water btwn beers recently which helps cut down on etoh intake. pt states 1-2 beers daily- dtr states he has minimizes his drinking for yr. no h/o withdrawl incl with prior knee surgeries. no etoh since . lives with wife spending half the yr in . quit smoking about 25 hrs ago after 75 pack yrs. retired. no drug use. family history: father died of a fall at about 85 yo, mother passed at 82 of melanoma. son died of cystic fibrosis. daughter alive and healthy physical exam: gen: wd/wn, comfortable, nad. left arm in sling heent: pupils: equal and brisk eoms full neck: supple. lungs: no audible wheeze, no cough. cardiac: rrr. abd: soft, nt/nd extrem: warm and well-perfused. no c/c/e. 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 or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 mm to 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 finger rub bilaterally. 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 on right upper and bilateral lowers left arm in sling and not fully tested for strength due to humerus fx and pain. left grip is . no pronator drift sensation: intact to light touch bilaterally. toes downgoing bilaterally coordination: normal on finger-nose-finger physical exam upon discharge: non focal, incision c/d/i dissolvable sutures pertinent results: mri head left temporal enhancing mass with no midline shift or hydrocephalus wand study 2.5-cm enhancing microcystic mass expanding the temporal of the left lateral ventricle; the differential diagnosis includes such unusual entities as choroid plexus papilloma/carcinoma sequence, subependymoma or ependymoma, or ependymal metastasis. glial neoplasms such as ganglioglioma would be most unusual in a patient of this age. post-op ct head status post removal of a left temporal lobe mass via a left craniectomy, with expected postoperative changes and no evidence of large territorial infarction, new mass effect, or large postoperative bleed. mri brain: impression: status post left temporal craniotomy and resection of the previously seen enhancing lesion in the left temporal . there is a hematoma in the resection cavity that limits evaluation for possible residual tumor. postoperative changes are seen in the left temporal region with dural enhancement, small extra-axial fluid and blood products. subependymal enhancement in the posterior of left lateral ventricle is again demonstrated suggesting residual tumor in this location. to assess any residual disease in the left temporal , a mr perfusion study could be performed if required. brief hospital course: pt was admitted to neurosurgery service on for elective craniotomy for resection of left temporal mass. the patient tolerated this procedure very well with no complications. post operatively he was transferred to the icu for further care including q1 neuro checks and strict blood pressure control. on post op exam he was noted to have a very slight left facial droop which was resolved on morning rounds on 6.23. he underwent mri brain and his bp goals were liberalized. upon ot and pt working with him on 6.23 he had lue pain. given his history of humeral fracture s/p fixation an xrya was done to assess healing which showed interval healing since his fixation. he remained stable in the icu overnight into 6.24 and he was deemed fit for transfer to the floor. he was sent to the floor on the afternoon of 6.24 where he remained stable and worked with pt and ot. on the patient remained neurologically stable and was seen again by pt and ot. he was cleared for discharge home, but wished to stay additional night for safety. after remaining stable overnight, he was discharged home on . medications on admission: coumadin, nefedipine, oxycodone, lasix, pravastatin, finasteride, tamusolin discharge medications: 1. dexamethasone 1 mg tablet sig: tapered tablet po as directed: 2mg po q6hrs on , 2mg po bid on and cont til f/u. disp:*80 tablet(s)* refills:*2* 2. dilantin extended 100 mg capsule sig: one (1) capsule po three times a day. disp:*90 capsule(s)* refills:*2* 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*20 tablet(s)* refills:*0* 5. multivitamin tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: cape code vna discharge diagnosis: left temporal mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? ** you may resume taking your coumadin at your previous dosing on . please contact your pcp/cardiologist regarding level monitoring to ensure adequate dosing 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 prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . ?????? 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. ??????you have an appointment in the brain clinic on at 330pm. 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 before these appointments. * please follow up with the clinic, dr . this appointment can be made by calling . procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: obstructive hydrocephalus unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate other b-complex deficiencies other and unspecified hyperlipidemia long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified neoplasm of unspecified nature of brain aftercare for healing traumatic fracture of upper arm 

Answer: The patient is high likely exposed to