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: large l frontal lesion w/ hemorrhagic extension major surgical or invasive procedure: none history of present illness: 62 m widely metastatic prostate ca now with large frontal bleed (probably tumor). had nausea/ha/blurry vision/aphasia/mild confusion x 24 hours and new onset fever. neuro exam nonfocal past medical history: pmh: 1. prostate cancer - s/p radical prostatectomy - s/p hormonal therapy with lupron, casodex, ketoconazole/hydrocort - taxotere/extramustane/decadron - most recently mitoxantrone/prednisone with cross over to epothilone 2. right knee surgery social history: retired, lives with wife in etoh, tob, drugs family history: sister with breast cancer father with liver cancer (unsure of wheter primary or mets to liver) meds: oxycontin 60mg , multivitamin, senna, oxycodone 5mg prn, promethazine 25 mg prn allergies: nkda physical exam: o: tc: 101.4 bp: 169/92 hr: 102 rr: 16 o2sat. 98% gen: wd/wn, comfortable, nad. heent: left frontal cranial deformity present nontender, nonerythematous . anicteric. mmm. neck: supple. b/l diffuse lad lungs: cta bilaterally. no r/r/w. cardiac: rrr. s1/s2. no m/r/g. abd: soft, nt, nd, +nabs. no rebound or guarding. no hsm. extrem: warm and well-perfused. no c/c/e. neuro: mental status: awake and alert, cooperative, normal affect. somewhat slow to respond orientation: oriented to person, place, and date. registration intact. language: speech fluent with good comprehension. aphasic for basic words during conversation cranial nerves: i: not tested ii: pupils equally round and reactive to light. 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 throughout. no pronator drift sensation: intact to light touch, propioception, bilaterally. reflexes: + patellar toes downgoing bilaterally coordination: normal on finger-nose-finger, gait: not tested pertinent results: 12:10am blood wbc-4.5 rbc-2.65* hgb-8.6* hct-23.7* mcv-90 mch-32.5* mchc-36.2* rdw-19.5* plt ct-32* 01:35am blood wbc-3.8* rbc-3.16* hgb-9.5* hct-27.1* mcv-86 mch-30.2 mchc-35.2* rdw-20.3* plt ct-116* 01:35am blood glucose-148* urean-20 creat-0.8 na-136 k-4.3 cl-102 hco3-24 angap-14 12:10am blood alt-7 ast-47* alkphos-495* amylase-49 totbili-0.9 01:35am blood calcium-8.3* phos-3.0 mg-2.2 radiology final report ct head w/o contrast 12:49 am ct head w/o contrast reason: assess for mets, bleed, prior to tap medical condition: 62 year old man with fever, ha, n-v, and met prostate ca reason for this examination: assess for mets, bleed, prior to tap contraindications for iv contrast: none. indication: metastatic prostate cancer, presenting with fever, headache, nausea, vomiting. evaluate prior to tap. comparisons: head ct of . technique: axial mdct images through the brain without iv contrast. ct head findings: there is a large infiltrative sclerotic lesion in the left frontal calvarium, with an extensive extracranial soft tissue component, likely representing a metastatic lesion from the patient's known prostate cancer, more extensive than the prior study of . adjacent to this legion in the parenchyma of the left frontal lobe, there is an approximately 3cm ovoid region of hemorrhage. this may represent hemorrhage into the metastatic lesion extending into the left frontal lobe, or focal hemorrhage in the left frontal parenchyma itself. additionally, there may be a small subarachnoid component both at this level and higher up towards the vertex on the left, seen best on series 2, image 22-24. there is a small adjacent left parafalcine subdural hematoma. there is no discernible midline shift of the adjacent falx. there is at least one other suspicious area in the right superior parietal calvarium for an additional metastatic lesion, with an adjacent convex hypersenity, possibly a small extraaxial hematoma. this has also increased from the prior study. there is extensive vascular calcification in the cavernous carotids and vertebro-basilar arteries. impression: 1) large left frontal calvarium based metastatic lesion with hemorrhagic extension into the left frontal parenchyma, and extracranial soft tissue extension. there is mild surrounding vasogenic edema, but no shift of the adjacent midline falx. there appears to be a small component of subarachnoid blood within a sulcus adjacent to the metastatic lesion, and also higher up near the left vertex. mild surrounding vasogenic edema, without shift of the midline falx. 2) second metastatic lesion in the right superior frontoparietal calvarium, with probable adajcent small extraxial hematoma. radiology final report mr head w & w/o contrast 10:15 am mr head w & w/o contrast; mr contrast gadolin reason: need to assess for possible resection contrast: magnevist medical condition: 62 year old man with history of prostate ca, now with head bleed underlying mass reason for this examination: need to assess for possible resection clinical information: need to assess for possible resection. mri of the brain with gadolinium: exam was compared to prior head ct scans from . the lesion involving the left frontal bone has an extracranial and intracranial component. that intracranially has a somewhat irregular interface with the subjacent brain. there is some associated parenchymal hemorrhage in the subjacent location. there is also parafalcine subdural hemorrhage and some subarachnoid hemorrhage in the left frontal lobe. the lesion in the right parietal region does not clearly have a soft tissue component either extracranially or intracranially, although there is a small question whether there are prominent veins or a small intracranial extension on the medial aspect of the lesion on the coronal post-gadolinium study. there also appears to be a small degree of hemorrhage in the brain subjacent to this lesion. additional metastatic lesions are not identified. there is no evidence of abnormal diffusion to suggest the presence of acute infarction. impression: the lesion in the left frontal lobe has an intracranial extension which may involve the subjacent brain. the lesion in the right parietal lobe does not clearly extend into the brain but there does appear to be some subjacent hemorrhage. brief hospital course: , is a 62 year-old man presented with 24 hours of aphasia and mild confusion, 1 day of blurry vision and chills, sudden onset of severe ha with fever up to 102.2 patient seen and evaluated in ed and transferred to icu for neurologic monitoring. he was transfused with 1 unit of platelets and 3u prbc's for plt count of 32 and hct of 23.7, respectively. was started on decadron and dilantin. dph level 18.7. code status was addressed later that day and the decision made to be dnr/dni. patient was seen by heme-onc team, who recommended to keep platelets >100, no heparin, weaned his dilantin over to keppra due to possibility of dilantin interference with platelets since he presented with thrombocytopenia. mri of the brain showed left frontal lesion involving the bone has an extracranial and intracranial component. that intracranially has a somewhat irregular interface with the subjacent brain. there is some associated parenchymal hemorrhage in the subjacent location. there is also parafalcine subdural hemorrhage and some subarachnoid hemorrhage in the left frontal lobe. the lesion in the right parietal region does not clearly have a soft tissue component either extracranially or intracranially. patient evaluated by dr , radiation oncology, who recommended total body radiation to the lesion, and patient did not wanted to proceed with surgical treatment. in conversation with dr patient kept on decadron mg qid until seen in radiation oncology clinic on , then further dosing will be adjusted by him. patient was monitored closely with pain and other symptomatology improving over the next few days. was transferred to the step down unit on hospital day two, on day three patient transferred to floor. mr. has been seen by physical therapy who recommended home safety eval and home pt which is arranged by case manager. patient discharged home with a follow up appointments and discharge instructions. discharge medications: 1. oxycodone 20 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po q12h (every 12 hours). 2. dilantin 100 mg capsule sig: one (1) capsule po three times a day: dilantin 100mg . dilantin 100mg daily. stop dilantin comletely. disp:*20 capsule(s)* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed: for constipation. disp:*60 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): take while on decadron. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. dexamethasone 4 mg tablet sig: one (1) tablet po q6h (every 6 hours): dr to adjust your dose on . disp:*40 tablet(s)* refills:*0* 9. keppra 500 mg tablet sig: one (1) tablet po as directed: keppra 500mg keppra 500mg am, 1000mg pm for 3 days. keppra 1000mg . disp:*120 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: metastatic prostate cancer w/ l frontal intracranial bleed discharge condition: neurologically stable. discharge instructions: please seek medical attention if you experience fever > 101.5, severe nausea,vomiting,pain,dizziness, numbness,tingling any and all changes in neurological status as well as any falls or excessive bleeding from anywhere. please take medications as directed please go to your follow-up appointments followup instructions: follow-up with clinic on monday at 8:30am with dr. . hematology/oncology office number is . follow up appt w/ dr. re: total brain radiation on at 1100 building . dr will adjust your steroid dosing at the same day of treatment. dr office number is for any question or concerns. follow up with dr in 6 weeks with a noncontrast head ct. call dr office at for an appointment. procedure: transfusion of packed cells transfusion of platelets diagnoses: thrombocytopenia, unspecified anemia, unspecified malignant neoplasm of liver, secondary personal history of malignant neoplasm of prostate secondary malignant neoplasm of brain and spinal cord secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to