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: codeine attending: chief complaint: left leg weakness and focal left leg seizures major surgical or invasive procedure: brain biopsy history of present illness: 68 y/o right handed male with history of prostate ca diagnosed three years ago presents today to after several episodes of uncontrolled left leg shaking. patient provides history of approx 4 weeks ago when sitting on the couch uncontrollable left leg shaking that last aprox 15 seconds. he again experienced this same shaking this past sunday but multiple times in a row. he has also started to notice heavyness in his left leg with some difficulty completing a heal to toe step motion. past medical history: prostate ca treated with seeds htn mi in defibirlator and pacemaker placement social history: quit smoking ' no etoh retired, but works part time at sports club family history: nc physical exam: o: t:96.5 bp:140 /68 hr:56 r 16 o2sats 100% gen: wd/wn, comfortable, nad. heent: pupils: 5 to 3 b eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ 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 fluent 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, to 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 throughout, except left . no pronator drift unable to balance of toes or heals. sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: hyper reflix throuhout 2+ toes mute coordination: normal on finger-nose-finger exam on discharge: neurologically intact with exception of slight left facialy pertinent results: ct torso 1) 3-mm pulmonary nodule within the left upper lobe and 1-mm pulmonary nodule within the right middle lobe. given the patient's history of previous malignancy, followup chest ct is recommended in 12 months. 2) diverticulosis without diverticulitis. 3) area of faint patchy sclerosis of the right seventh rib (3:49 and 400a:11)which could represent metastatic focus in patient with history of prostate cancer. please correlate with psa levels. echo: the left atrium is markedly dilated. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is mild regional left ventricular systolic dysfunction with severe hypokinesis of the distal lateral, distal septal, and apical segments. there is mild hypokinesis of the remaining segments (lvef = 40 %). the estimated cardiac index is normal (>=2.5l/min/m2). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. trivial mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: left ventricular cavity enlargement with regional and global systolic dysfunction c/w diffuse process (multivessel cad, toxin, metabolic, etc.) mild aortic regurgitatio. brief hospital course: patient was admitted to after presenting to the er with cheif complaint of left shaking and heaviness felt to be secondary to seizure activity. head ct showed mutlipel intracranial lesions and he was admitted for workup. he had a ct torso which showed two lung lesions as well as a questionable rib lesion. an mri was not obtained secondary to the patients pacemaker. on he was transferred from the icu to the floor while awaiting further treatment decisions. a conversation was had with a colleague of his cardiologist who felt it was appropriate to hold his aspirin and plavix for a biopsy of his brain lesion early next week. on the evening on he had asymtomatic bradycardia to 38. telemetry was added. an ekg showed nsr at 45 bpm. external reports in omr allowed us to see his records from placement of pacer in and last interrogation in . the low rate was 35 bpm. ep fellow was paged. as a preoperative w/o patient had an echo performed that showed mild left ventricular dilatation and an ef of 40 %. he underwent a stereotactic brain biopsy on without complications. he will be discharged home w/o services and follow up in brain tumor clinic. medications on admission: asa, plavix, coreg, lisinopril, protonix, lipitor discharge medications: 1. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): please stay on this medication while on steroids. disp:*40 tablet, delayed release (e.c.)(s)* refills:*2* 5. levetiracetam 750 mg tablet sig: one (1) tablet po bid (2 times a day). 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 10. dexamethasone 2 mg tablet sig: one (1) tablet po as directed: take one pill tid s3 days, then 2 . disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: multiple brain lesions 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. you may put a dressing on your wound if it continues to ooz, when that stops you can leave it open to air. ?????? 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 and/or staples have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? 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. 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 . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????you have an appointment in the brain clinic on xxxxxxx. the brain clinic is located on the of , in the building, . their phone number is . please call if you need to change your appointment, or require additional directions. you should recieve a call from them with an appointment time with in the week, if you don't, please contact them. procedure: closed [percutaneous] [needle] biopsy of brain other immobilization, pressure, and attention to wound diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of malignant neoplasm of prostate personal history of tobacco use other specified forms of chronic ischemic heart disease other specified cardiac dysrhythmias secondary malignant neoplasm of brain and spinal cord old myocardial infarction automatic implantable cardiac defibrillator in situ malignant neoplasm of other parts of bronchus or lung other diseases of lung, not elsewhere classified localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, without mention of intractable epilepsy need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus] and influenza 

Answer: The patient is high likely exposed to