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: seizure major surgical or invasive procedure: right sided craniotomy for tumor resection history of present illness: this is a 58 year old woman with a recently diagnosed lung lesion who presented to after having 10-15 minutes of left arm shaking with an inabilty to use that arm and incontinence of urine. she denied any loss of consciousness or tongue biting. she was given lorazepam and levetiracetam and her symptoms resolved. a brain ct and mri were done that showed a right frontal brain lesion. surgical treatment was discussed and planned. past medical history: none social history: she lives alone in . she was never married, but has a boyfriend that lives in . she has no children. she works as a genealogist and with the ford forum. she previously smoked 10 cigarettes/day for 20 years, but quit one year ago. she has an occasional drink with dinner. denies illicits. family history: father with etoh abuse and peripheral neuropathy, died at 80. mother with hl, died at 88. brother with a stent. sister s/p hip replacement. denies any family history of cancer. physical exam: on admission: o: t: af bp:105/65 hr:63 r21 o2sats96 gen: wd/wn, comfortable, nad. heent: ncat pupils: bilaterally eomis neck: supple. extrem: warm and well-perfused. neuro: mental status: slightly lethargic, cooperative with exam. 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,5 to3 brisk 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. + left drift / able to participate partly with exam - demonstrates 4=?5 and tricep, right ip , distally not participating but has movement sensation: intact to light touch ct: right parietal brain mass with vasogenic edema labs: inr 1.1 , wbc 14.0, na 143 pertinent results: ct head right parietal lobe mass at the -white junction, with extensive surrounding vasogenic edema and 5-mm leftward shift. this is highly suspicious for metastasis. mri with and without contrast is recommended for further evaluation. mri head right posterior frontal and anterior parietal mass measuring approximately 3 cm, which by the virtue of its location and surrounding edema and appearance is suggestive of metastatic disease. no definite other areas of abnormal enhancement seen. ct abd/pelvis 1. no evidence of metastatic disease or identifiable primary neoplasm in the abdomen or pelvis. 2. fibroid uterus. functional mri successful functional mri of the brain, demonstrates the expected activation motor areas, all of them are more than 1 cm from the mass lesion. the majority of the activation during the language paradigm is demonstrated on the left operculum in the broca's area, likely related with dominance. the tractography demonstrates deviation of the corticospinal tract ventrally and laterally. the asl sequence, demonstrates avid perfusion in the mural nodule as described above (image 25, series 15 d). mri brain 1. stable right parietal mass with associated edema and mass effect demonstrated for surgical planning. 2. no new enhancing lesion is noted. ct head interval r parietal craniotomy, with resection of the r parietal mass. expected scattered air and tiny amount of hemorrhagic in the surgical air. small-to-moderate pneumocephalus predominantly along the right frontal convexity. no significant midline shift. no large intracranial hemorrhage or intraventricular hemorrhagic extension. persistent signficant peri-tumoral edema, with effacement of the occipital of the right lateral ventricle. no acute major vascular territorial infarct. mri brain 1. expected postoperative changes in the right parietal lobe with right parietal craniotomy and resection cavity in the right parietal lobe. 2. no evidence of residual enhancing tumor. brief hospital course: ms. was admitted to the neurosurgery service and the icu for further workup of her brain mass. she was started on keppra for seizure control. she underwent an mri of the head on and this was consistent with previously imaged right sided mass. she remained seizure free while in the icu and she was transferred to the floor on in stable condition. she was scheduled for biopsy of a known lung mass on with the interventional pulmonology team but this was canceled in light of her new diagnosis and need for surgical decompression. on she underwent a functional mri of the brain to aid in operative planning and on she was seen by social work per her request. on she had a wand study in order to plan for the or and on the afternoon of she was taken to the or for a right sided craniotomy for resection of her lesion. the frozen section was adneocarcinoma. she was extubated and taken to the pacu where she remained overnight in stable condition. her post-op ct head showed no hemorrhage. on she was transfered to the floor. her diet was advanced and her foley was removed. pt was ordered. mri brain was done on and showed good resection of tumor. she was transferred to the floor on this day. she was able to void on her own and was tolerating a po diet. she was seen by the physical therapy team and was cleared for home. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. nitrofurantoin monohyd/m-cryst 100 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 5 days. disp:*10 capsule(s)* refills:*0* 3. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. dexamethasone 4 mg tablet sig: one (1) tablet po q6h () for 1 days. 6. dexamethasone 1.5 mg tablet sig: two (2) tablet po q6h () for 1 days. 7. dexamethasone 2 mg tablet sig: one (1) tablet po q6h () for 1 days. disp:*90 tablet(s)* refills:*2* 8. decadron sig: one (1) 2mg tablet twice a day: begin after taper dose. discharge disposition: home discharge diagnosis: brain tumor uti seizure 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. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair on . your wound closure has dissolvable sutures. ?????? 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. ?????? you have been prescribed keppra (levetiracetam)for seizure prophylaxis, you will not require blood work monitoring. ?????? you are being sent home on a 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: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for 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 at 1 pm with dr. and dr. . 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 will need to have an appointment with the thoracic clinic to follow up on your lung tumor. the phone number is . 10:30a nf / 11:30a. please call them for directions. **please call registration at to update your information in the system prior to these appointments. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: urinary tract infection, site not specified other convulsions pulmonary collapse secondary malignant neoplasm of brain and spinal cord malignant neoplasm of upper lobe, bronchus or lung cerebral edema surgical or other procedure not carried out because of contraindication 

Answer: The patient is high likely exposed to