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: penicillins attending: chief complaint: mental status change right frontal sdh/iph major surgical or invasive procedure: : right frontal craniotomy for evacuation history of present illness: 73f who reported feeling more tired than usual last night, husband also noted slurred speech. patient went to bed early and in the am, husband felt she was more lethargic and speech remained slurred. she was taken to where a head ct showed a r iph/sdh. patient was on coumadin and received profilnine ix then transferred to . at the er, her inr was 2.0 and she received 2 units of ffp. past medical history: -hypertension -diabetes mellitus, type 2 (insulin-dependent) -paroxysmal atrial flutter on warfarin -hx gi bleed s/p coil embolization of sigmoid branch of -hx left breast invasive lobular carcinoma w/ +ln s/p breast-conserving surgery () w/ adjuvant chemotherapy -hypercholesterolemia -thyroid nodule s/p fna revealing benign path () psh: -left breast biopsy () -left breast needle-localized wide excision w/ slnb () -microcoil embolization of simgoid arteriolar branch of () social history: lives with husband, 2 children nearby, retired, no tobacco family history: non-contributory physical exam: on admission: physical exam: o: t: 98.8 bp: 153/69 hr: 67 r 14 o2sats 98% gen: lethargic but arouseable to voice. heent: no signs of trauma. neuro: mental status: lethargic, needs continued prompting to stay awake for exam. orientation: oriented to person, place, and date. language: speech slurred. naming intact. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. visual fields unable to assess given lethargy. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and mild l asymmetry. 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. physical exam upon discharge: non-focal incision c/d/i, staples removed before discharge. pertinent results: head ct : right frontal sdh/iph with midline shift. small r sah. head cta : impression: 1. moderate-sized acute subdural hematoma along the convexity on the right side, with a more focal rounded component medially. hypodense areas and fluid level representing ongoing hemorrhage. correlate clinically for coagulopathy. no obvious vascular abnormality in the vicinity allowing for the technical limitations and delayed acquisition. however, given the rounded appearance medially, mri if not ci, can be considered to exclude a neoplastic lesion although less likely. 2. mass effect on the right lateral ventricle and leftward shift of midline structures as described above. 3. patent major intracranial arteries without focal flow-limiting stenosis, occlusion or aneurysm more than 3 mm within the resolution of mr angiogram. head ct : impression: 1. post-evacuation of a large right subdural hematoma, resulting in near resolution of previously seen leftward midline shift.a small amount of residual blood products remains at the evacuation site. attention on f/u. 2. there is re-definition of the right insula. slight loss of the -white matter differentiation here may reflect mild ischemia from prior compression. head ct : impression: essentially unchanged right postsurgical changes with residual hyperdense subdural collection also unchanged. slightly dense appearance of right transverse sinus is unchanged. chest (pa & lat) study date of 1:06 pm there is cardiomegaly. there is moderate-to-severe pulmonary edema with prominence of the pulmonary interstitial markings. there are small bilateral pleural effusions. no focal confluent area of consolidation is seen. chest (portable ap) study date of 4:28 am there is unchanged cardiomegaly. there is mild improvement of the pulmonary edema since the prior study. small bilateral pleural effusions are present and stable. there are no pneumothoraces or focal areas of consolidation. cardiovascular report ecg study date of 11:30:46 am sinus rhythm. right bundle-branch block. compared to the previous tracing of there is st segment depression in leads ii, iii and avf, leads v3-v6 consistent with anterolateral and apical ischemic process. followup and clinical correlation are suggested. no previous tracing available for comparison. tracing #1 intervals axes rate pr qrs qt/qtc p qrs t 78 124 148 388/419 83 43 -66 cardiovascular report ecg study date of 10:36:04 pm atrial fibrillation with rapid ventricular response and right bundle-branch block. the st segment changes previously recorded on are more prominent. rule out active ischemic process. followup and clinical correlation are suggested. tracing #2 intervals axes rate pr qrs qt/qtc p qrs t 133 0 136 322/449 0 58 -86 radiology report ct head w/o contrast study date of 2:24 pm impression: slightly decreased pneumocephalus from . otherwise, little change from in postsurgical changes with residual hyperdense subdural collection and 4 mm leftward shift of normally midline structures. radiology report chest (portable ap) study date of 4:09 am impression: ap chest compared to and 28: previous pulmonary edema has resolved. moderate to severe cardiomegaly and central vascular engorgement persist. there is no appreciable pleural effusion. rightward deviation of the mid portion of the cervical trachea is a consistent finding on the only three chest radiographs currently available and suggests mass effect by either a nodule in the region of the left thyroid lobe, or alternatively a zenker's diverticulum. clinical correlation is advised. radiology report chest (portable ap) study date of 4:02 am findings: single portable semi-erect chest radiograph was obtained. since yesterday, central pulmonary vascular congestion has progressed to mild pulmonary edema which is not as severe as that seen on the 28. cardiomegaly is unchanged. a small left effusion may be present. no new consolidation or pneumothorax is present. impression: progression of central pulmonary vascular congestion to mild pulmonary edema. brief hospital course: this is a 73 year old female admitted to neurosurgery, neuro icu for close monitoring for a right frontal sub dural hemorhage and iph. her inr in the emergency room was 2.0 and she received 2 units of fresh frozen plasma. she became more lethargic but maintained her airway. surgical intervention was planned for. there was concern there was an underlying mass. her repeat inr was 1.7 and she received two additional units of fresh frozen plasma which resulted a inr of 1.6. she was taken to the or by dr for a right craniotomy for evacuation and possible tumor resection. she was given two additional units of fresh frozen plasma intraoperatively. open opening of the dura and evacuation of the clot- there was no abnormal tissue noted to suggest underlying mass. the clot was sent to pathology for testing. a subgaleal drain was in place. post-operatively, she was extubated and transferred back to the icu. her post-op head ct showed interval evacuation of blood with near resolution of midline shift. her exam remained unchanged. on am, she remained lethargic but followed commands and mae. her subgaleal drain was removed without difficulty and a stitch was placed. her mental status continued without improvement and repeat head ct was performed which showed no acute bleed and improved midline shift. a blood gas was sent which showed a high pco2 and a chest xray was done which showed fluid overload. she was given lasix 20mg without change. a repeat abg showed a lower pco2 but worsening po2. a bedside echo showed filled ventricles and an additional 40mg of lasix was given. she was started on bipap. a repeat abg art 108* 48* 7.47* 36* 9 on , the repeat cxr consistent with unchanged cardiomegaly. there is mild improvement of the pulmonary edema since the prior study. small bilateral pleural effusions are present and stable. there are no pneumothoraces or focal areas of consolidation. the patinet o2 sat on bypap is in the mid 90s off bypap the patient sesats to 90% quickly. on exam, the patient opens eyes to voice, pupils are reactive 3->2mm. the patient follows simple commands and moves all 4 extremities antigravity. the incision was well aproximated. on , patient was alert and oriented with full stength. overnight, she was in svt and was placed her on a diltiazem gtt. she was started on sqh and encouraged to be oob to chair. throughout the day, diltiazen gtt was weaned off and she was placed on a po regimen. on , she remained neurologically stable. she was still seen to be in svt despite po diltiazem 30mg. overnight, she remained in a-fib and was placed back on diltiazem gtt. on , patient was nonfocal on exam. she remains in icu for her a-fib. the diltiazem intravenous gtt was weaned and transitioned to oral diltiazem. on , the patient was off the diltiazem for greater than 24 hrs. in the early morning the heart rate was 130. the heart rate normalized and was stable at less than < 100. the patient was transferred to floor with telemetry when a bed is available. on she was again tachy to the 140's which was treated with lopressor and diltiazem. cardiology was consulted for assistance and her medications were adjusted. she remained rate controlled for the remainder of the day and through . she was seen and cleared by cardiology for home on . it is being recommended that she follow up with her cardiologist to discuss the need for restarting coumadin in the setting of a previous gi bleed and recent subdural hematoma. her medications were changed to once daily dosing and her staples were removed. medications on admission: lopressor 75mg daily, arimidex 1mg daily, lipitor 40mg daily, lisinopril 5mg, paxil 50mg, metformin 1000mg , cardizem 60mg , insulin novolog 70/30 45u , insulin humulin 70/30 ss, vitamin d, caclium carbonate 600mg discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 2. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 5. paroxetine hcl 20 mg tablet sig: 2.5 tablets po daily (daily). 6. anastrozole 1 mg tablet sig: one (1) tablet po qd (). 7. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. diltia xt 180 mg capsule,ext release degradable sig: two (2) capsule,ext release degradable po once a day. disp:*60 capsule,ext release degradable(s)* refills:*2* 11. toprol xl 200 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: right frontal sdh and iph cerebral edema and midline shift altered mental status respiratory distress fluid overload atrial fibrillation, tachycardia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general 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 staples 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 were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your injury, you may safely resume taking this after clearance from your neurosurgeon. ?????? you have been prescribed keppra (levetiracetam), you will not require blood work monitoring. ?????? 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, unless you have been instructed not to. 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, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: * please follow-up with dr in 4 weeks with a non-contrast head ct. this appt can be made by calling . * you had problems with your heart rhythm and rate while in the hospital and many medications were changed. please call to make an appt with your cardiologist for a followup visit. it is also being recommended that you speak to her about the need to restart coumadin. procedure: incision of cerebral meninges diagnoses: unspecified essential hypertension personal history of malignant neoplasm of breast atrial flutter intracerebral hemorrhage long-term (current) use of insulin cerebral edema long-term (current) use of anticoagulants diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled subdural hemorrhage other respiratory abnormalities other fluid overload 

Answer: The patient is high likely exposed to