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: syncope/ataxia major surgical or invasive procedure: left craniotomy resection of tumor history of present illness: this is a 62 year old woman with pmh of recurrent breast ca & c/o sinusitis/ h/a's since mid despite mult antibiotics as well as "tooth troubles" requiring extraction (which has continued to leak since), presents to hospital this afternoon. she stated that she has noted confusion vs difficulty with words for several months. while at the mall she had an episode where she passed out. she was also noted (by her husband) to have gait instability, and she says it was like she didn't know where her foot was. she presented to osh () today where a ct i+ was performed and revealed a left occipital mass. she was transferred to and neurosurgery consultation was requested. past medical history: breast ca s/p r mastectomy recurrence in , l lumpectomy partial hysterectomy social history: married, lives with husband. 1 son. +tobacco ppd at most. occasional etoh. no drugs. current oncologist is dr at assoc (assoc with ). family history: nc physical exam: on admission: o: t: 99.3 bp: 136/69 hr: 80 r 17 o2sats 100% ra gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms intact neck: supple. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. 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, 4 to 3 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. ? slight r pronator drift sensation: intact to light touch, propioception coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin, unsteady gait post op exam: gen: wd/wn, comfortable, nad. heent: incision c/d/i, perrl, no lesion eoms intact neck: supple, no thyromegaly extrem: warm and well-perfused, no c/c/e neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: ii: pupils equally round and reactive to light, 4 to 2 mm bilaterally. improved right homonymous hemianopsia 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. slight r pronator drift sensation: intact to light touch, propioception coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin, unsteady gait pertinent results: 05:54pm urine hours-random 05:54pm urine gr hold-hold 05:54pm urine color-straw appear-clear sp -1.032 05:54pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 04:29pm glucose-102* urea n-9 creat-0.6 sodium-141 potassium-3.7 chloride-106 total co2-26 anion gap-13 04:29pm estgfr-using this 04:29pm wbc-6.3 rbc-4.15* hgb-13.2 hct-37.8 mcv-91 mch-31.7 mchc-34.9 rdw-13.0 04:29pm neuts-75.0* lymphs-19.0 monos-5.3 eos-0.4 basos-0.2 04:29pm plt count-219 ct torso 1. cholelithiasis without evidence of cholecystitis. 2. multiple hypodensities in the liver too small to be definitively characterized on ct possibly representing simple cysts or hemangiomata. 3. no definitive evidence for tumor or infection mri head 1. large left occipital lobe enhancing mass with areas of central necrosis and extensive surrounding edema is most likely a metastasis, although the differential diagnosis also includes a primary glial neoplasm. the lack of restricted diffusion within this mass excludes the diagnosis of an abscess. 2. approximately 15 mm of rightward shift of normally midline structures, without evidence of central herniation. cta head 1. left occipital mass with central necrosis and extensive surrounding vasogenic edema and contralateral midline shift. 2. the mass is highly vascular and partly supplied by the branches of left pca. there is no evidence of an intracranial arterial flow-limiting stenosis, aneurysm or avascular malformation ct head post op 1. status post left occipitoparietal craniotomy with apparent resection of the left occipital mass. expected postoperative changes in the resection bed include pneumocephalus and a small degree of hemorrhage. minimal subdural hematoma is seen tracking along the left parafalcine region and superior portion of the left leaflet of the tentorium cerebelli. mr is more sensitive than ct for detection of residual tumor in the resection bed. 2. unchanged left temporo-parieto-occipital region vasogenic edema associated with the previous left occipital lobe mass. mr head status post resection of left occipital mass. expected post-surgical changes and blood products are seen. no definite residual enhancement is seen. no hydrocephalus. marginal restricted diffusion appears to be due to postoperative change. brief hospital course: ms. was admitted to for further work up of her brain lesion. ct torso did not show any obvious sources of metastases. she was on steroids. infectious work up was initiated to rule out abscess. on she underwent a ct torso and mri brain. ct torso revealed a liver cyst and cholelithiasis but no evidence of tumor or mets. on infectious tests were resulted and did not indicate a high suspicion of abscess. neuro and radiation oncology were consulted for assistance with plan of care. ophthalmology was also consulted. on the patient's exam continued to improve and she was ambulating independently in the hallway. she went to the for a formal ophthalmology evaluation. on , patient underwent the above stated procedure. she tolerated the procedure well and was extubated without incident. she was trasferred to icu for her acute post-operative course. post op ct revealed only postoperative changes. she remained in the icu on and a post op mri showed gross total resection with postoperatvie changes. she was transferred to the floor in stable condition. she was evaluated by pt/ot and was deemed ready for discharge. she is tolerating an oral diet, her pain is well controlled, she is neurologically stable, she is set for d/c home and will f/u with dr. accordingly. medications on admission: advil, aromicin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. 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:*1* 3. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 4. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for headache. disp:*80 tablet(s)* refills:*0* 5. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*1* 6. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*1* discharge disposition: home with service discharge diagnosis: left occipital lesion sinusitis 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 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. ?????? if you been discharged on keppra (levetiracetam)for seizures, you will not require blood work monitoring. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? followup instructions: follow-up appointment 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. ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast. ??????you will / will not need an mri of the brain with/ or without gadolinium contrast. procedure: imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: tobacco use disorder personal history of malignant neoplasm of breast secondary malignant neoplasm of brain and spinal cord cerebral edema unspecified sinusitis (chronic) acquired absence of breast and nipple 

Answer: The patient is high likely exposed to