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: confusion major surgical or invasive procedure: ct scan. mri scans. history of present illness: hpi: the pt is a 54 year-old right-handed man who presents with confusion and new left parietal mass. this morning, he was found in the lobby of his building by a neighbor confused and oriented to person only. he was taken to for further evaluation. head ct was done which shows left parietal mass with surrounding edema and intratumoral hemorrhage. he was loaded with 1 g of fosphenytoin. he was transferred to ed for further management. initially, neurosurgery was consulted, and it was determined that no emergent neurosurgical intervention was indicated at this time. therefore, neurology was consulted. of note, the patient has felt that there was "something wrong with his head" this past month. he has had poor sleep for the past month as well. on neuro ros, the pt denies headache, loss of vision, blurred vision, diplopia, dysarthria, dysphagia, lightheadedness, vertigo, tinnitus or hearing difficulty. denies difficulties producing or comprehending speech. denies focal weakness, numbness, parasthesiae. no bowel or bladder incontinence or retention. denies difficulty with gait. on general review of systems, the pt denies recent fever or chills. no night sweats or recent weight loss or gain. he has had cough for a few days. denies chest pain or tightness, palpitations. denies nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denies arthralgias or myalgias. denies rash. past medical history: patient unable to discuss past medical history. per the records, he has history of alcohol abuse, htn, copd, and aortic regurgitation social history: lives alone. he does not currently work. he does not interact with his family as he does not get along with them. he quit smoking 1 year ago. he has history of alcohol abuse. last drink was on . family history: patient unable to discuss physical exam: general: awake, nad, a bit unkempt. heent: nc/at, no scleral icterus noted, mmm, poor dentition neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. feet very dirty in appearance. skin: no rashes or lesions noted. neurologic: -mental status: awake, alert, oriented to self and "hospital." he cannot state month. he thinks it is . speech is fluent. unable to spell world forward or backward. poor calcualtion. difficulty naming low frequency objects. able to name high frequency objects. able to follow both midline and appendicular commands. difficulty with repitition. pt. was able to register 3 objects and recall 0/3 at 5 minutes. there was no evidence of apraxia or neglect. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm and brisk. vff to confrontation. iii, iv, vi: eomi without nystagmus. normal saccades. v: facial sensation intact to light touch. vii: no facial droop, facial musculature symmetric. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes in midline. -motor: normal bulk, tone throughout. no pronator drift bilaterally. no adventitious movements, such as tremor, noted. no asterixis noted. delt bic tri wre ffl fe io ip quad ham ta edb l 5 5 5 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 5 5 5 5 5 -sensory: no deficits to light touch, pinprick, cold sensation, vibratory sense, proprioception throughout. no extinction to dss. -dtrs: tri pat ach l 2 2 2 2 1 r 2 2 2 2 1 plantar response was flexor bilaterally. -coordination: no dysmetria on fnf bilaterally. -gait: not tested pertinent results: 05:55pm urine hours-random 05:55pm urine gr hold-hold 05:55pm urine color-amber appear-clear sp -1.022 05:55pm urine blood-sm nitrite-neg protein-25 glucose-neg ketone-50 bilirubin-sm urobilngn-8* ph-6.5 leuk-neg 05:55pm urine mucous-mod 01:20pm glucose-112* urea n-8 creat-0.9 sodium-133 potassium-3.6 chloride-96 total co2-29 anion gap-12 01:20pm estgfr-using this 01:20pm alt(sgpt)-23 ast(sgot)-22 ld(ldh)-174 alk phos-36* tot bili-0.5 01:20pm albumin-4.1 01:20pm wbc-5.3 rbc-4.68 hgb-14.2 hct-39.3* mcv-84 mch-30.3 mchc-36.1* rdw-12.7 01:20pm plt count-133* 01:20pm pt-12.4 ptt-25.6 inr(pt)-1.0 mri impression: 1. near-complete resorption of large left parietal hemorrhage, with residual cystic cavity and no evidence of underlying masses. the presumed etiology is either hypertensive bleed or a ruptured vascular malformation which has involuted, and is no longer visualized. 2. chronic opacification of right frontal sinus, with t1-hyperintense material suggesting inspissated secretions or fungal infection. mri impression: interval partial resorption of the left parietal hematoma and stable ventricular dimension without evidence of new hemorrhage or infarction. no evidence of a mass lesion. mri 1. 6.4x6.0cm area of mixed signal intensity in the left parietal lobe representing acute-subacute hematoma with mild-to-moderate surrounding edema noted. while there are no large areas of abnormal enhancement, underlying causes include small mass/vascular lesion within or hemorrhagic infarct or amyloid angiopathy(less likely given the patient's age and lack of micorhemorrhages elsewhere). consider close follow up to assess interval change and further workup to be based on inr consult. 2. decreased signal in the distal vertebral and the basilar artery as described above. a few tiny vessels in proximity to the superior part of the hematoma, liekly veins. cta and ctv can be considered for better assessment of the above findings. brief hospital course: neurology: mr. has been an inpatient since . he was admitted with a large left parietal hemorrhage requiring metoprolol and agressive blood pressure control. he also had seizures and was started on keppra. he only is oriented to person only, and was not clinically competent to make medical decisions for himself. guardianship though the court system was thus pursued. upon admission to 11 the patient has appeared clinically stable. patient has continued to have cognitive dysfunction regarding his overall orientation. he has remained oriented to self, but place and time has varied, but continued to improve. the patient was originally started on dexamethasone due to concern for mass underlying bleed. dexamethasone was tapered. metoprolol was started twice daily for blood pressure control. hctz was also started, however was switched to lisinopril due to hyponatremia. keppra was given for seizure prophylaxis. mr. had a period in the middle of when he had started to refuse medications, and he had a generalized tonic-clonic seizure along with a hypertensive episode into the 200's. he was transferred to the neuroicu for 2 days where he was soon extubated and sent back to the floor. he soon recovered on the floor, and continued to take his po medications, without further seizures or hypertension greater than 150's. there was no evidence of mass on initial and repeat mri. subsequent brain mri showed near-complete resorption of large left parietal hemorrhage, with residual cystic cavity and no evidence of underlying masses. mr. had transient hyponatremia thought to be due to primary polydipsia and hctz. his hctz was changed to lisinopril. fluid restriction was attempted, but logistically impossible. therefore, mr. was treated briefly with salt tabs. hyponatremia resolved. mr. was found to have thyroid nodules on chest ct scan. a thyroid ultrasound showed calcification of one left thyroid nodule. this was biopsied (fna) under anesthesia. the pathology was pending at discharge and will need to be followed outpatient. psychiatry was consulted and it was determined that the patient lacked capacity to make his own decisions. guardianship was pursued and assigned to attorney . medications on admission: none discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. cyanocobalamin (vitamin b-12) 250 mcg tablet sig: one (1) tablet po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). 11. hydralazine 25 mg tablet sig: one (1) tablet po every six (6) hours as needed for sbp >160. discharge disposition: extended care facility: - twin oaks - discharge diagnosis: intracranial bleed. hypertension. thyroid nodules presumed history of alcohol abuse. discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital due to altered mental status and found to have a left sided parietal hemmorhage though to be secondary to hypertension. you had several brain mris which did not show evidence of an underlying tumor. you had high blood pressure which was treated initially with metoprolol and hydrochlorothiazide. however, you developed low sodium. therefore, your blood pressure medication was switched to metoprolol and lisinopril. your sodium levels improved. psychiatry was consulted and it was determined that you require a guardian, which has been assigned - attorney , who will make medical decisions. you were found to have thyroid nodules. you had a biopsy of your thyroid on under sedation and results were pending at discharge. you were started on keppra to prevent seizures. you should continue keppra until instructed otherwise. followup instructions: please follow up with a local neurologist outpatient in months. please also follow up with your primary care physician in the next 1-2 weeks for follow up of the thyroid biopsy results. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [percutaneous] [needle] biopsy of thyroid gland diagnoses: unspecified essential hypertension hyposmolality and/or hyponatremia aortic valve disorders other convulsions personal history of tobacco use intracerebral hemorrhage alkalosis cerebral edema personal history of noncompliance with medical treatment, presenting hazards to health encephalopathy, unspecified other and unspecified alcohol dependence, unspecified malignant neoplasm of thyroid gland alcohol-induced persisting dementia polydipsia 

Answer: The patient is high likely exposed to