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: penicillins / depakote / haldol attending: chief complaint: headache, nausea, vomiting, recent falls major surgical or invasive procedure: stereotactic 3rd ventriculostomy suboccipital crani for mass history of present illness: 51f w/ 1 month h/o worsening posterior h/a; initially treated for sinusitis, otitis; past 2 weeks, has been feeling nauseous, vomitting -> 6x/day; also felt dizzy, multiple falls with tendency towards her left side; left ue and le have felt somewhat weak/stiff; presented to osh on where head ct showed left posterior fossa mass; patient reports 20 lbs weight loss due to inability to keep food down; past medical history: htn, s/p avr (bovine) 1yr ago, s/p resection melanoma (wrist) 6 yrs ago, depression social history: resides at home with husband. family history: non-contributory physical exam: on admission: bp: 130/72 hr: 95 r: 16 o2sats: 98% patient is awake, alert, oriented x3, in nad; feels drowsy since she received ativan at osh, otherwise denies it at baseline; language: speech slow but with good comprehension and repetition. naming intact. ii: pupils equally round and reactive to light, bilaterally. papilledema appreciated on the right; 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 grossly intact to finger rub. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: increased tone in left ue+le. no abnormal movements, tremors. strength full on right, discreetely weak 5-/5 on left. no pronator drift. sensation: intact to light touch, propioception bilaterally. reflexes: b t pa ac right 1 1 2 1 left 1 1 2 1 toes downgoing bilaterally coordination: left sided dysmetria on finger-to-nose, left disdiadokinesias on discharge: aox3, cooperative with examination. perrl, eomi without nystagmus. slight right pronator drift and left sided dysmetria. full strength and power throughout upper and lower extremities. pertinent results: labs on admission: 02:30am blood wbc-6.5 rbc-4.52 hgb-12.5 hct-37.3 mcv-83 mch-27.6 mchc-33.4 rdw-13.1 plt ct-337 02:30am blood neuts-52.6 lymphs-37.2 monos-6.6 eos-2.8 baso-0.8 02:30am blood pt-14.8* ptt-31.4 inr(pt)-1.3* 02:30am blood glucose-95 urean-18 creat-0.9 na-141 k-3.4 cl-104 hco3-26 angap-14 02:28am blood calcium-8.3* phos-3.8 mg-2.0 imaging: mri head +/- contrast : impression: 1. large posterior fossa mass located adjacent to the left cerebellar hemisphere causing mass effect upon the fourth ventricle with some slight prominence of the ventricular system and no associated tonsillar herniation. this mass has properties that are most likely consistent with a meningioma, however, metastasis is also considered in the differential diagnosis. 2. focal area of enhancement in the ventral aspect of the right basal ganglia possibly consistent with telangiectasia, however, a tiny focus of metastasis cannot be excluded from the differential. pre-op cxr : no prior study for comparison. prior sternotomy was performed with all wires intact. left lower lobe consolidation is likely associated with a small pleural effusion, could be pneumonia. further characterization with standard pa and lateral views is recommended as well as followup after treatment until complete resolution. the cardiomediastinal silhouette is normal. the right lung is clear. cta head : impression: 1. stable large posterior fossa mass with multiple prominent vessels indicating hypervascularity. while this most likely represents a meningioma, differential includes hemangioblastoma, lymphoma, metastatic disease, and sarcoid. 2. pneumocranium associated with recent third ventriculostomy. head ct (post-crani): findings: the patient has undergone left occipital craniotomy and resection of the large posterior fossa mass, with a small amount of hyperdense material in the resection cavity which may represent a tiny amount of hemorrhage. there is expected degree of pneumocephalus, compatible with recent postoperative state. there is evidence of prior ventriculostomy via right frontal approach. the mass effect in the posterior fossa continues to be present. there is no hydrocephalus. the bone windows demonstrate evidence of left occipital craniotomy and the right frontal burr hole. gas is noted in the soft tissues of the left parieto-occipital region, consistent with recent operation. ct of chest/abdomen/pelvis + contrast: technique: mdct axial images were obtained from the thoracic inlet to the symphysis pubis with administration of iv and oral contrast. coronal and sagittal reformations were obtained. ct of the chest with iv contrast: aortic valvular calcifications are seen. otherwise, heart and pericardium are unremarkable. there are scattered mediastinal nodes, not meeting size criteria for pathologic enlargement. there is a large left pleural effusion with associated atelectasis of the adjacent lung. in addition, there is a smaller right pleural effusion, with associated atelectasis of the adjacent lung. within the visualized right lung, there are numerous scattered pulmonary nodules, largest in the right lung base measuring approximately 6 mm (3:31). additional scattered nodules measure up to 4-5 mm. an endotracheal tube is visualized, with tip approximately 3 cm from the carina, in standard position. ct of the abdomen with iv contrast: the liver, spleen, pancreas, adrenal glands, and kidneys are unremarkable. there are several enhancing lesions seen within the gallbladder, the largest measuring up to approximately 2 cm, not definitively seen on the pre-contrast images. the stomach and small bowel are within normal limits. there is extensive omental caking with peritoneal nodular deposits throughout, some of which are located subserosal and directly abutting the colon. however, the colon appears grossly unremarkable otherwise. there is no free intraperitoneal air. scattered mesenteric and retroperitoneal nodes are seen, measuring up to 8-10 mm in short axis. additionally, there is a small amount of free fluid. ct of the pelvis with iv contrast: there is a large heterogeneous lobulated left adnexal mass, difficult to measure, but measures grossly 8 cm in craniocaudad dimensions, with areas of nodularity, and areas of low attenuation centrally. this is concerning for a primary ovarian neoplasm. additionally, enhancing nodules are seen immediately superior to the bladder, may reflect additional metastatic deposits. there is free fluid within the pelvis. rectum is unremarkable. osseous structures: no suspicious lytic or sclerotic lesion is identified. brief hospital course: patient was admitted to neurosurgery service from the emergency department after experiencing approximately 2 weeks of headache, nausea, dizziness and falls. upon arrival to the ed she was found to have a posterior fossa mass and associated hydrocephalus. due to the location of the mass, and hydrocephalus, she was admitted to the icu for close observation given her risk of herniation. on she underwent stereotactic 3rd ventriculostomy for facilitate csf drainage and alleviate hydrocephalus. on she then underwent suboccipital craniotomy for mass resection, which was tolerated well. she was further observed in the icu for 48hrs for continued recovery. she was found to have lll pleural effusion, which was aspirated at the bedside, without ill effect. she also had a ct of the chest abdomen and pelvis which revealed multiple foci of disease within the abdomen. consults were obtained from medical oncology, radiation oncology, neuroncology, gyn surgery, and social work. patient resides on the northshore and has difficulty commuting into for follow up cancer treatment, so she elected to have all follow up care arranged through the cancer center under drs. and . she was also evaluated by physical and occupational therapy and found to be an appropriate rehab candidate. she was discharged to said facility on , with appropriate follow up arranged with the above doctors as as dr. for neurosurgical follow-up. medications on admission: fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). discharge medications: 1. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). 2. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 4. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 10. dexamethasone 2 mg tablet sig: 1.5 tablets po tid (3 times a day) for 1 days. 11. dexamethasone 2 mg tablet sig: one (1) tablet po tid (3 times a day) for 1 days. 12. dexamethasone 2 mg tablet sig: 0.5 tablet po tid (3 times a day) for 1 days. 13. dexamethasone 2 mg tablet sig: 0.5 tablet po bid (2 times a day) for 1 days. 14. dexamethasone 2 mg tablet sig: 0.5 tablet po qd () for 1 days. 15. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed): insulin sliding scale per nursing flow sheet. discharge disposition: extended care facility: discharge diagnosis: metastatic melanoma hydrocephalus discharge condition: neurologically stable 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. ?????? you may wash your hair only after sutures have been removed. ?????? 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 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: follow-up appointment instructions ?????? please return to the office in days for removal of your staples/sutures and a wound check. this may also be done while at the rehab facility. otherwise, 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 3pm with 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 not need an mri of the brain. ********* you have appointments scheduled at cancer center with dr. (oncology medicine) on novemeber 26th at 1pm and dr. (radiation oncologist) on at 1pm. if you have any questions please call them directly at: procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain thoracentesis intravascular imaging of intrathoracic vessels other repair of cerebral meninges bone graft to skull diagnoses: obstructive hydrocephalus unspecified pleural effusion depressive disorder, not elsewhere classified compression of brain secondary malignant neoplasm of brain and spinal cord heart valve replaced by transplant personal history of malignant melanoma of skin secondary malignant neoplasm of other parts of nervous system neoplasm of uncertain behavior of ovary palsy of conjugate gaze 

Answer: The patient is high likely exposed to