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: increasing headache major surgical or invasive procedure: right craniotomy for partial tumor resection history of present illness: 29f 3yr s/o bilat radical mastectomy for breast ca; has been well since, on po tamoxifen; p/w 4 weeks of post. h/a, nausea, occasional vomitting in the beginning, and progressive apparition of diff. walking, unsteadiness, tendency to fall to lt, occasional blurry or double vision, eye irritation, decreased hearing on rt w/pulsatile tinnitus, vertigo, slight voice hoarseness; ct neck and mrv head showed rt occipital/temporal bone lesion w/ mass effect into the post fossa. she was then transferred to for definitive care. past medical history: s/p bilat radical mastecomy ; chemo + xrt social history: independent; resides at home in . family history: family history of ovarian cancer physical exam: on admission: 97.6 108/70 80 18 96% mental status: sleepy but arousable, attentive, alert, ox3; (claims was more alert prior to pain medication) language: speech fluent with good comprehension. ii: pupils equally round and reactive to light, to mm bilaterally. could not complete fundoscopic exam. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. : 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: b t br pa ac right tr tr tr tr tr left tr tr tr tr tr toes downgoing bilaterally coordination: slight dysmetria on finger-nose-finger, rt>lt; rapid alternating movements intact, heel to shin intact pertinent results: labs on admission: 01:00am blood wbc-12.7* rbc-3.92* hgb-11.7* hct-34.7* mcv-89 mch-29.9 mchc-33.7 rdw-13.1 plt ct-328 01:00am blood neuts-64.5 lymphs-29.3 monos-5.4 eos-0.3 baso-0.5 01:00am blood glucose-128* urean-9 creat-0.5 na-139 k-3.9 cl-108 hco3-23 angap-12 labs on discharge: xxxxxxxxxxxxxxx ------------------ imaging: ----------------- brief hospital course: patient was admitted via the ed from hospital transfer to the intensive care unit for a newly identified cerebellar mass in the setting of breast cancer history. neuro-oncology, radiation oncology consults were requested. cta/ctv/ct torso were performed for surgical planning and cancer staging. she was also started on decadron to treat mass effect from tumor presence. she also had a pet scan which showed the known cerebellar mass with invasion of the adjacent skull. there were no other areas of concern seen on the pet scan. the patient remained neurologically stable in the icu. she had a craniotomy for partial tumor resection on . the procedure went well and the patient was able to be extubated afterwards. she was then transferred back to the icu for close monitoring overnight. the following day the patient was doing well and was transferred to the neuro step-down unit for q2 neuro checks. she had an mri which showed slow diffusion seen at the margin of the lesion and medially could be secondary to surgical procedure or to an associated small infarct. there remains mass effect on the fourth ventricle which is deformed appearance. there remains flow identified within the right transverse sinus. there has been a cranioplasty at the previously noted bony erosion changes. no definite area of residual enhancement identified. her steroids were not tapered at that time. she progressed quickly was tolerating a regular diet, cleared by physcial therapy. she was neurologically intact on discharge. medications on admission: tamoxifen 20mg daily, prednisone discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. colace 100 mg capsule sig: one (1) capsule po twice a day: take while taking percocet. disp:*60 capsule(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: do not take additional tylenol with this medication. disp:*60 tablet(s)* refills:*0* 4. dexamethasone 2 mg tablet sig: 2 tabs x 3 days; 1 tab tid x 3days; 1 tab until follow up tablets po see previous instructions. disp:*60 tablet(s)* refills:*2* 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day): use while on decadron. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: right cerebellar mass discharge condition: neurologically stable discharge instructions: 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. ??????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 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 . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ??????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 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: ??????please return to the office in days (from your date of surgery) for removal of your staples/sutures and/or a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . ??????you have an appointment in the brain clinic with dr. on at 3:00pm. the brain clinic is located on the of , on 8. their phone number is . please call if you need to change your appointment, or require additional directions. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain excision of lesion or tissue of cerebral meninges other cranial osteoplasty other repair of cerebral meninges other craniectomy diagnoses: secondary malignant neoplasm of other specified sites personal history of malignant neoplasm of breast personal history of tobacco use secondary malignant neoplasm of brain and spinal cord cerebral edema secondary malignant neoplasm of bone and bone marrow secondary malignant neoplasm of other parts of nervous system acquired absence of breast and nipple secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb 

Answer: The patient is high likely exposed to