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: headache major surgical or invasive procedure: : left occipital craniotomy for biopsy and debulking of brain mass history of present illness: this is a 56 year old gentleman without significant pmh with complaint of 3 weeks of headache. he was evaluated by his pcp. was given ativan for headache and anxiety without relief. ct done revealed a left parietal mass. he was instructed to go to the ed ( hitchcock). was evaluated there and given dilaudid for pain. his mental status was declining so patient given decadron x10 and medflighted to . neurosurgery consult requested for evaluation. past medical history: hl s/p appy s/p vasectomy social history: he is married. he lives with wife in , . he works in a chemical comapny. he does not smoke cigarettes or use illicit drugs. he drinks alcohol occasionally. family history: his parents are alive and well. his mother has memory problems while his father has a history of coronary artery disease and underwent bypass surgery. his sister died in her 40's with a glioblastoma. he has 2 other siblings and they are healthy. he has 3 children; one was born premature and has cerebral palsy while the other two are healthy. physical exam: admission examination: physical exam: o: t: 97 bp: 127/65 hr: 60 r 12 o2sats 99%ra gen: laying on stretcher, asleep heent: pupils: 2.5-2mm neck: supple. extrem: warm and well-perfused. neuro: mental status: lethargic. arouses to voice/light stimuli orientation: oriented to self only cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2.5 to 2 mm bilaterally. 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. physical exam upon discharge- awake, alert to self, hospital. perrl, eomi face symmetric, tongue midline full strengths x4 incision- staples intact, well healing pertinent results: admission labs: 12:35pm blood wbc-10.3 rbc-4.50* hgb-14.4 hct-42.5 mcv-95 mch-32.1* mchc-33.9 rdw-12.4 plt ct-298 12:35pm blood neuts-90.8* lymphs-6.8* monos-1.9* eos-0.4 baso-0.2 12:35pm blood pt-13.4 ptt-21.4* inr(pt)-1.1 12:35pm blood glucose-123* urean-16 creat-0.9 na-137 k-4.4 cl-102 hco3-23 angap-16 12:35pm blood calcium-9.0 phos-3.1 mg-2.0 12:35pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg radiology: ct head w/o contrast study date of 12:40 pm impression: large ill-defined left occipitoparietal mass with associated vasogenic edema and hemorrhage exerting mass effect including subfalcine and uncal herniation. early signs of hydrocephalus. . mr head w & w/o contrast study date of 4:37 pm impression: left occipital irregularly enhancing mass with chronic blood products and several low-signal areas indicative of areas of necrosis. the findings are suggestive of an infiltrative primary neoplasm such as glioma. there is extensive surrounding edema seen with left-sided uncal herniation and distortion of the midbrain resulting in moderate obstructive hydrocephalus. no restricted diffusion is seen. . cta head w&w/o c & recons study date of 12:56 am impression: left occipital mass demonstrates no evidence of acute hemorrhage. increased vascularity is seen predominantly from the left posterior cerebral artery with no large draining veins identified or arteriovenous malformation is seen. vascular displacement is seen but no aneurysm is identified. . ct head w/o contrast study date of 5:08 pm findings: there has been interval left parieto-occipital craniotomy, with overlying skin staples and mild pneumocephalus. changes of tumor debulking are noted in the left parietal region, with adjacent hyperdense material representing hemorrhage and/or post-surgical changes. just inferior to this region, there is evidence of residual hyperdense tumor involving the left occipital lobe, temporal lobe, and splenium. persistent surrounding vasogenic edema extends superiorly into the left parietal and posterior frontal lobes, and inferiorly into the left temporal lobe. left cerebral sulci are diffusely effaced, and the left lateral ventricle is compressed. there is continued 9-mm rightward subfalcine herniation, and 8-mm rightward shift at the level of the third ventricle. continued slight widening of the left ambient cistern relative to the right is suggestive of impending uncal herniation. coarse calcifications are noted in the bilateral cavernous carotid arteries. middle ear cavities and mastoid air cells are clear. paranasal sinuses are well aerated. the orbits and intraconal structures are intact. impression: tumor debulking, with stable rightward mass effect and subfalcine herniation. . mr head w & w/o contrast study date of 10:22 am impression: status post left occipital craniotomy and tumor resection with expected postoperative changes. areas of enhancement within the left occipital and left temporal lobes are consistent with residual tumor. rightward shift of midline structures and left uncal herniation is unchanged. brief hospital course: this is a 56-year-old left handed man, with no significant past medical history with progressive forgetfulness, confusion, right parietal headache and nausea and voomiting who eventualy developed right-sided weakness and initiallty presented to the hitchcock ed on . ct head scan there revealed a large left parietal mass with signifcant mass effect. given a decrease in conscious level following narcotics for headache, he was medflighted to the . he was assessed by neurosurgery, loaded with phenytoin and admitted to the neurosurgery icu on . his cognitive symptoms improved somewhat and mri revealed a left occipital irregularly enhancing mass with chronic blood products and areas suggestive of necrosis in addition to extensive edema with left uncal herniation and distortion of the midbrain resulting in moderate obstructive hydrocephalus. he was administered mannitol and dexamethasone and a cta head showed increased vascularity is mainly from the left pca. neuro-oncology were consulted and he proceeded to a left parietal craniotomy with subtotal tumor debulking and decompression. postoperatively the patient was extubated and transferred to the icu for q1 hour neurochecks and sbp control less than 140. post op ct was stable, without evidence of hemorrhage and postop mri demostrated subtotal resection of tumor. he did well post-operatively and was transferred to the floor on . decadron was weaned to 2mg tid which he will continue on until follow up. he was seen on pt/ot on . it was recommended that he be discharged to inpatient rehab. on he was cleared for discharge. medications on admission: lipitor ativan discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, t>38.5. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 3. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. dexamethasone 2 mg tablet sig: one (1) tablet po q8hrs (). 9. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 10. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for no bm . 12. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q6h (every 6 hours) as needed for no bm. discharge disposition: home with service facility: vna discharge diagnosis: left occipital brain tumor discharge condition: level of consciousness: alert and interactive. activity status: ambulatory - independent. mental status: confused - sometimes. 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. ?????? dressing may be removed on day 2 after surgery. ?????? your wound was closed with staples. you must wait until after they are removed to wash your hair. 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) & senna 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. ?????? 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 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. followup instructions: follow-up appointment instructions ??????you have an appointment in the brain clinic on at 11:30 am. 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: pure hypercholesterolemia compression of brain cerebral edema malignant neoplasm of other parts of brain vasectomy status 

Answer: The patient is high likely exposed to