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: patient recorded as having no known allergies to drugs attending: chief complaint: 74 m with metastatic melanoma here for evaluation of a right temporal mass major surgical or invasive procedure: r temporal craniotomy for resection of tumor history of present illness: pt was initially diagnosed with ocular melanoma in . he subsequently underwent radioactive seed implant which achieved good local control. he subsequently developed a right axillary mass that was biopsied and found to be a metastatic melanoma. he has been evaluated for systemic chemotherapy. as a part of the staging process, the pt underwent imaging of the head. the image from revealed a sub-centimeter mass (contrast enhancing) in the right temporal lobe. the patient had a repeat mri that reveald interval increase in the mass size (now 1.6x1.8x1.6 cm). pt presents for evaluation of surgical resection. past medical history: subtotal gastrectomy, laminectomy, splenectomy (from trauma), peptic ulcer disease, htn, cervical radiculopathy social history: never smoked, history of alcohol abuse but joined aa in (no alcohol use since then). denied ilicit drug use. works as a teacher but retired recently due to oncologic issues family history: pt adopted and has no knowledge of his biologic family physical exam: on examination, the pt is awake, alert, and appropriate speech is fluent and comprehension intact, intact to naming ltm: intact to home address and birthday stm: at 3 minutes as: some difficulty with serial 3's from 30's at 18, difficulty spelling world backwards eomi, vff, left eye can finger count only. fs. t/u midline. ss symmetric, slight decreased hearing on right normal bulk and tone. full strength throughout. decreased sensation in the left l5 distribution (baseline according to pt, since his laminectomy) to ll and pp. reflexes 1+ and symmetric. no hoffmans or clonus. negative romberg. good . normal gait pertinent results: ct head w/o contrast 1. expected postoperative appearance of right craniotomy with resection of the known right temporal lesion. small amount of blood in the surgical site. mild surrounding edema, but without significant mass effect. mild-to-moderate pneumocephalus in the right frontal convexity and the right middle cranial fossa. 2. no shift of normally midline structures. no intraventricular hemorrhagic extension. no developing hydrocephalus. mr head w & w/o contrast status post resection of right temporal lobe lesion without residual enhancement. expected post-surgical changes are seen without hydrocephalus or increased edema brief hospital course: 74 y/o m with pmhx significant for ocular melanoma presents to the clinic s/p imaging of head revealing a lesion in r temporal lobe that increased in size on serial imaging. he was admitted to the neurosurgical service for surgical resection of lesion. he was taken to the or on for tumor excision via craniotomy. the patient tolerated the procedure well. his post operative head ct was stable with small amount of blood in resection site and pneumocephalus. the patient's post-operative examination remained non-focal. cardiology was consulted post operatively for management of the patient's severe aortic stenosis. cardiology recommendation were closely adhered. on pod2, the patient was transferred from the icu to the floor. post operative mri revealed no residual tumor. pt/ot were consulted. pt/ot cleared the patient for discharge home without services. medications on admission: simvastatin dose unknown, lisinopril 20 mg p.o.q.d., omeprazole 20 mg p.o.q.d., sucralfate 1 g 1 tablet p.o. 4 times daily, vitamin b12 1000 mcg p.o.q.d., colace, and oxycodone p.r.n. discharge medications: 1. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 2. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 4. cyanocobalamin (vitamin b-12) 100 mcg tablet sig: ten (10) tablet po every other day (every other day). 5. oxycodone 5 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*55 tablet(s)* refills:*0* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 7. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 8. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. dexamethasone 2 mg tablet sig: 0.5 tablet po q6 () for 1 days. disp:*3 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: metastatic melanoma 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 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 haven been discharged on keppra (levetiracetam), you 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: 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 also have a brain tumor clinic appointment scheduled for at 9:30am. please call with further questions. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other immobilization, pressure, and attention to wound diagnoses: pure hypercholesterolemia unspecified essential hypertension aortic valve disorders secondary malignant neoplasm of brain and spinal cord other acquired absence of organ secondary malignant neoplasm of lung personal history of malignant melanoma of skin secondary malignant neoplasm of bone and bone marrow personal history of peptic ulcer disease 

Answer: The patient is high likely exposed to