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: headaches x 1 week major surgical or invasive procedure: : right parietal craniotomy for tumor resection history of present illness: this is a 67 year old female with 55 year history of smoking 1 pack of cigarettes a day who presents with a week of headaches and difficulty "putting thoughts together". a head ct was performed consistent with significant right hemispheric edema and possible right sided brain mass. there was a chest xray that was consistent with a possible mass in the left lower lobe. the patient was transferred here for further treatment and evaluation. the patient states she has been experiencing headache a level on a pain that is on the right side and radiates posteriorly to the base of the skull.she states that she has been having difficulty with coordination and difficulty organizing her thoughts. the patient denies weakness, numbness, tingling, vision or hearing deficit, bowel or bladder dysfunction, nausea or vomiting. she states that she is not followed by a primary care physician and has no prior medical history. at the time of the consult that patient had received decadron 4 mg iv per the ed physician. past medical history: none social history: she lives with husband has five children. she is working part-time. smoked 1 ppd x 55 years, no alcohol or drug use. family history: denies family history of malignancy. reports that her siblings died from heart attacks. physical exam: on admission: o: t:97.1: 132/60 hr:110 r : 16 o2sats: 97% room air gen: comfortable, nad. heent: pupils: 4-3mm eoms:intact 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 is slow 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, 4 to 3 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 rue, lle, rle- lue limited due to fractures- deltoid otherwise unable to challenge the left grip/biceps/triceps . no pronator drift sensation: intact to light touch, proprioception bilaterally. toes mute bilaterally coordination: normal on finger-nose-finger on rue, rapid alternating movements on rue, heel to shin at discharge: exam in nonfocal. pertinent results: mri head right parietal mass in the subcortical region with extensive surrounding edema with the appearance most suggestive of metastatic disease. the post-gadolinium images are motion degraded and no obvious other lesions are seen. no acute infarcts. ct torso impression: 1. left lower lobe superior segment mass and a smaller left lower lobe spiculated-appearing lesion may represent synchronous or metachronous bronchogenic carcinomas or metastases in the proper clinical setting. 2. metastatic necrotic-appearing lymph nodes in the right paratracheal region. 3. right lower lobe superior segment 4 mm nodule likely represents a small metastasis. 4. no lytic, blastic or aggressive-appearing osseous lesions are appreciated. xray left wrist and forearm: findings: comparison is made to previous study from . there is an overlying cast which limits fine bony detail. there is again seen a fracture involving the distal radius with intra-articular extension. there is neutral alignment of the radial articular surface. degenerative change of the first cmc joint is noted. images of the forearm do not show any injury of the proximal radius or ulna. the elbow joint is grossly intact. chest xray: findings: in comparison with the outside study of , there is little overall change in the appearance of the large left lower lung mass laterally consistent with the opacification seen on the ct that was felt to represent both a left lower lobe superior segment and left lower lobe mass representing either bronchogenic carcinoma or metastases. l wrist xray: impression: nondisplaced distal radial fracture with largely unchanged from prior study. degenerative changes at 1st cmc and ip joints. ct head: impression: 1. expected post-surgical changes seen post right parieto-occipital craniotomy and tumor resection. 2. minimal blood within the surgical bed. expected amount of pneumocephalus is seen. persistent edema unchanged from before. stable minimal right-to-left shift of midline structure is seen. mri brain: impression: no evidence of residual mass in the right parietal surgical bed. continued follow-up is recommended when blood products resolve. brief hospital course: pt was admitted to the neurosurgery service for further workup of right parietal brain mass seen on ct scan. an mri was obtained and this showed an enhancing r parietal mass with surrounding vasogenic edema. a ct torso was obtained for further metastatic workup that demonstrated bilateral lung lesions, two in the left lower lobe and one small lesion in the right lower lobe, as well as necrotizing right paratracheal nodes. neuro-oncology, radiation oncology, hematology/oncology and thoracic surgery were consulted due to her metastatic disease. final tissue pathology is pending thus final recommendations from these teams are pending. orthopedics was consulted for a known left forearm fracture and she was recasted on and she will be non-weight bearing in left upper extremity. she will follow in hand clinic with dr. in weeks for this fracture. for a left 5th toe fracture she was put in a hard-sole shoe, weight bearing as tolerated. on , pt was scheduled for elective surgical resection, however, pt had blood that was difficult to crossmatch. as a result, surgery was postponed until in order to allow for optimum time to obtain appropriate blood products. patient was taken to the or on for a right parietal craniotomy for tumor resection. operative details can be found in the op note. operative course was uncomplicated, post operatively patient was extubated and transfered to the icu for observation. post operative ct revealed no hemorrhage, moderate post op pneumocephalus and moderate edema. she remained in the icu for monitoring and was transferred to the floor on . physical therapy evaluated the patient and cleared her for home. on she was discharged home. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 6. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. dexamethasone 1 mg tablet sig: three (3) tablet po every eight (8) hours: 3 tabs every 8hrs for 2 days then 2 tabs every 8hrs for 2 days then 2 tabs every 12hrs until follow-up. disp:*90 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: right parietal brain mass cerebral edema bilateral lung masses left wrist fracture left 5th toe fracture discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? 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 have been removed. ?????? 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 have been prescribed levetiracetam (keppra) for anti-seizure medicine, take it as prescribed and follow up with the brain clinic. ?????? 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 will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home. **** your steroid taper: - dexamethasone 3 mg (3 tabs) every 8 hrs for 2 days then; - 2 mg (2 tabs) every 8 hrs for 2 days then; - 2 mg (2 tabs) every 12 hrs until follow-up with the btc. followup instructions: follow-up appointment instructions ??????please return to the office in 10 days (from your date of surgery) for removal of your sutures. please make this appointment by calling . ??????you will need to be seen in the brain clinic. they will call you to make this appointment. the brain clinic is located on the of , in the building. their phone number is . - f/u in ortho hand clinic, dr. , in 2 weeks. please call to make this appointment. - you will need oncology follow-up to be scheduled once pathology has been finalized. the brain clinic can help coordinate this. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: tobacco use disorder secondary malignant neoplasm of brain and spinal cord cerebral edema secondary malignant neoplasm of lung fall from other slipping, tripping, or stumbling secondary and unspecified malignant neoplasm of intrathoracic lymph nodes malignant neoplasm of lower lobe, bronchus or lung other closed fractures of distal end of radius (alone) closed fracture of metatarsal bone(s) 

Answer: The patient is high likely exposed to