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: s/p seizure major surgical or invasive procedure: left-sided craniotomy for resection of left frontal tumor on by dr history of present illness: this is an 80 year old man on coumadin for a-fib who presented to osh after a seizure. he has had rare generalized seizures for the past 13 years. overall he reports four events with loss of consciousness, incontinence, and postictal confusion, usually associated with a medical illness or intervention. last , after two seizures, neuroimaging revealed a left convexity meningioma. no antiepileptic was started. the most recent event occured at his dentis's office. he was evaluated in the ed where he had an another seizure. he reports passing out and taking hours to recover afterwards. he does not remember his deficits, but medical records indicated right face weakness and aphasia. he was given levetiracetam and fosphenytoin. s/p new onset of seizure at dentist office. patient has known l frontal lesion that was found in , but has since then had no follow up. he was seen to have a r facial droop and aphasia. while in mri, patient was seen to have another seizure and given fosphenytoin and keppra and transferred to . patient denies any headache, n/v, dizziness, blurred vision, or dysarthria. past medical history: atrial fibrillation, hyperlipidemia, hodgkin's lymphoma social history: the patient is widowed and lives alone. he is retired. he has two healthy children. he had seven siblings, three of them died at ages 73,75, and 79. he never smoked family history: non contributory physical exam: on admission: o: t:97.7 bp:130/81 hr:90 r:18 o2sats:96%ra gen: wd/wn, comfortable, nad. heent: r facial droop, r eye ptosis, atraumatic, normocephalic pupils:3-2mm bilaterally eoms: intact 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, 3 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: r facial droop and r eye ptosis. 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. no pronator drift sensation: intact to light touch toes downgoing bilaterally coordination: normal on finger-nose-finger on discharge : awakens to voice, oriented x0, expressively aphasic perrl readily following commands x 4 extremities mae's with good strengths pertinent results: chest (portable ap) study date of 7:54 pm minimal bilateral lower lobe atelectasis. cta head w&w/o c & recons study date of 3:24 pm left frontal extra-axial mass with surrounding vasogenic edema and calcification. ct angiography demonstrates some enhancement of the pial vessels in the region which could indicate supply from the pial vasculature. no significantly enlarged external carotid branches are identified although evaluation is limited on the cta. the mass does appear to cause mild mass effect without midline shift ecg study date of 8:43:14 am atrial fibrillation with a mean ventricular rate of 86. diffuse non-diagnostic repolarization abnormalities. no previous tracing available for comparison. read by: , intervals axes rate pr qrs qt/qtc p qrs t 86 0 90 356/401 0 -19 19 tissue: left frontal mass, left study date of report not finalized ******************** assigned pathologist ,hasini mr head w/ contrast study date of 5:53 am impression: stable left frontal extra-axial enhancing mass is most consistent with a meningioma. no other intracranial lesions identified. ct head w/o contrast study date of 2:59 pm impression: 1. left frontal lobe intraparenchymal hemorrhage adjacent to the resection site is larger than expected in the postoperative setting. 2. extra-axial fluid collection overlying the left frontal lobe measures up to 2.2 cm in thickness. 3. unchanged mild rightward shift of normally midline structures without evidence of central herniation. 4. moderate pneumocephalus is not unexpected postprocedurally. post-operative mri brain with and without contrast impression: slight increase in hematoma in the left frontal lobe, recommend evaluation with unenhanced head ct. small foci of acute ischemia/artifact from blood products as detailed above. brief hospital course: mr. presented to on after a seizure while at the dentist. mri at an osh redemonstrated the known frontal lesion consistent with a meningioma. he was admitted to the floor for management and to devise a treatment plan. he was seen by dr. of radiation oncology and dr. of neuro-oncology. they were in favor of surgical resection. his coumadin was being held. he was not actively reversed. he was placed on dilantin as well as dexamethasone. a transition to keppra was initiated on at the advisement of dr. . keppra has less interaction with oral anticoagulation. he remained stable on the floor. he was discussed in brain clinic on . surgical intervention was recommended and possible xrt if pathology was atypical his hospital course was otherwise uneventful. surgical intervention was discussed with patient and family for a left frontal craniotomy for removal of left frontal mass. on , he was pre-oped for the or and was made npo after midnight. the patient was . her was alert and oriented to person place and time. the patients strength was full. the patient was ehibiting some unihibited behavior at times that was attributed to the location of the brain mass. on , the patient underwent a left-sided craniotomy for resection of left frontal tumor by dr . the patient was recovered in the neurosurgical intensive care environment and his post operative stay in the icu was uneventful. the post-operative head ct was performed consistent with expected post operative changes. on , on exam, he was oriented to name answering "" to questions, opening his eyes to voice. expressive aphasia was noted. his pupils were 3-2 mm bilaterally. there was no pronator drift noted. an old r ptosis was noted. he was sitting out of bed to the chair. the patient was transferred to the step down unit to continue on telemetry for atrial fibrillation and expressive aphasia. the blood pressure paremeters were libralized to allow sbp 100-160. the foley catheter was discontinued. subcutaneous heparin was initiated. after transfer to the step down unit,the patient was periodically confused and became aggitated at night pulling at dressings and attempting to get out of bed. on , the patient opened eyes to stimulus. the pupils were equal and reactive. his neuro exam continued to wax and wane. a decadron taper was initiated and pain medications were weaned in an attempt to decrease possible causes of delerium. a standing order for tylenol was wriiten and lfts were ordered for the morning which were unremarkable. the patient was triggered for heart rate in 120s. the patient had refused his am lopressor. the patient's serum bun elevated at 29 from the day prior at 24. due to intermittent confusion the patient had poor nutrition and iv fluid was initiated normal saline at 75cc/hr. a nutrition consult was placed and calorie count ordered. consults for physical and occupational therapy were placed. a post operative mri of the brain was performed which was consistent with a small foci of acute ischemia versus artifact along the medial and posterior portions of the left frontal lobe. on he was still abulic but brighter and his right ptsosis had resolved. on he was neurologically stable and cleared for discharge to rehab. medications on admission: crestor 5mg qd, coumadin 5mg qd discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 4. insulin regular human 100 unit/ml solution sig: per ss injection asdir (as directed). 5. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 8. phenytoin 125 mg/5 ml suspension sig: four (4) ml po q8h (every 8 hours). 9. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 12. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for post operative pain. 13. dexamethasone 2 mg tablet sig: 1.5 tablets po q 6h () for 2 days: cont on & . 14. dexamethasone 2 mg tablet sig: one (1) tablet po q8h () for 2 days: start on . 15. dexamethasone 2 mg tablet sig: one (1) tablet po q12h () for 2 days: start . 16. dexamethasone 2 mg tablet sig: one (1) tablet po q24h () for 2 days: start on . discontinue medication after 2 days. discharge disposition: extended care facility: discharge diagnosis: left frontal meningioma delerium discharge condition: mental status: confused - always. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. 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 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. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? you were on a medication such as coumadin (warfarin),prior to your surgery, you may safely resume taking this 10 days after surgery. you were seen in house by the medicine service and it was determined that you did not need to restart it at this time. we recommend that you follow up with your pcp. ?????? 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 . you have been discharged on keppra (levetiracetam)as well, but this will not require blood work monitoring. ?????? 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, unless you have been instructed not to. 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: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: ?????? your staples need to be removed on . this can be done at the rehabilitation facility. if there are any problems or questions please call . ?????? please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ?????? you will need a ct scan of the brain with contrast. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: atrial fibrillation other and unspecified hyperlipidemia benign neoplasm of cerebral meninges cerebral edema hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ sites long-term (current) use of anticoagulants epilepsy, unspecified, with intractable epilepsy chronic kidney disease, stage ii (mild) 

Answer: The patient is high likely exposed to