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: cc: major surgical or invasive procedure: craniotomy with resection mass portacath removal/replacement history of present illness: hpi: 57 y/o f with metastatic melanoma to the brain, initially diagnosed in is being admitted to the neurosurgery service for a craniotomy w/ resection of brain mets. she states that she has had word finding difficulties and short term memory deficits that began 2-3 weeks ago, but she denies any other neurologic deficits. denies headache, visual changes, dizziness, vertigo, cp, sob,abdominal pain,anorexia, nausea/vomiting, diarrhea, fevers/chills,dysuria, focal numbness/tingling, night sweats,weakness past medical history: pmh: malignant melanoma w/brain mets, s/p b/l mastectomy (')& chemo/rads tx for breast ca,s/p port-a-cath placement social history: social history: she has a ph.d. she works as a scientist. she is on disability now because of health issues, but she used to be a marine biologist at in . she is single. she has an adopted daughter who is 11 years old. she quit smoking 30 plus years ago and she smoked for about 10 years. she does not drink. she denies any recreational drug use. family history: family history: mother died at 84 of alzheimer's and bladder cancer. father died at 82 of parkinson's disease. sister is 53, in good health. she has two brothers, 59 and 55, in good health and her daughter is adopted and is in good health. physical exam: physical exam: 97.8 47 128/54 18 97%ra gen: wd/wn, comfortable, nad. heent: pupils 4mm->2mm perrla eomi, neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. 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, to 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. no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 1+------------> left 1+------------> toes downgoing bilaterally coordination: finger to nose intact pertinent results: mri: mr w/ & w/o gadolinium: all of the previously noted metastatic lesions have increased in size. the left temporal lesion with blood products within now measures 27 x29 mm compared to 22 x 20 mm. the right parietal lesion measures 22 x19 mm compared to 21.7 x 18.8 mm. the left high parietal lesion has also minimally increased in size from 17 x 17 mm to 17 x 18.4 mm. there isincreased edema in the left temporal lobe. there are changes from a left frontal craniotomy with underlying dural thickening. no evidence of recurrence in the left frontal lobe is noted. there is slightly increased left to right midline shift which currently measures approximately 4 mm. blood products are seen in all of these metastatic lesions. there is no evidence for acute ischemia. ct c/a/p ;1. progression of disease with small bowel mass measuring approximately 3.1 x 3.6 cm (4, 100) located approximately 30 cm from the ileocecal valve. no evidence of obstruction on today's study. 2. unchanged appearance of pulmonary nodules, left axillary, left pelvic sidewall and left inguinal region lymph nodes. 3. interval increase in the posterior subcutaneous soft tissue masses. brief hospital course: pt was admitted to the hospital. on she went to or where under general anesthesia she underwent left craniotomy with resection of mass. she tolerated this well, was extubated and transferred to icu for close neurologic monitoring. post op she had some confusion and was oriented x2. post op mri did show some worsening edema, she received extra decadron. her mental status cleared. her porta-cath was replaced by our general surgeons. she transferred to the floor . activity and diet were advanced.she was seen by pt who cleared her to go home. her incision was clean and dry. the brain tumor clinic team decided she should have cyberknife treatment in the next few weeks. medications on admission: all: nkda :: keppra 1000 mg ,dexamethaxone 4mg qid,ativan 1 mg qhs discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): use if taking narcotic pain medication. disp:*40 capsule(s)* refills:*0* 3. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 4. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day): use while taking decadron. disp:*60 tablet(s)* refills:*2* 6. dexamethasone 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) for 2 days. disp:*8 tablet(s)* refills:*0* 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. disp:*15 tablet(s)* refills:*0* 8. dexamethasone 2 mg tablet sig: one (1) tablet po three times a day: start after q6 hour dose and continue to brain tumor clinic. disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: metastatic melanoma discharge condition: neurologically stable discharge instructions: discharge instructions for craniotomy ?????? have a 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, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? you have been prescribed an anti-seizure medicine, take it as prescribed. ?????? clearance to drive and return to work will be addressed at your post-operative office visit 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, drainage ?????? fever greater than or equal to 101?????? f followup instructions: the cyberknife coordinators will call you to set up appointments in the next week. if you don't receive a phone call in the next week call rn at (. have your staples removed on call for an appointment if you have an appointment with cyberknife around that time you have them remove your staples. if you don't want to drive here for your staples you could have them removed by your primary care physician. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain excision of lesion or tissue of cerebral meninges insertion of totally implantable vascular access device [vad] diagnoses: personal history of malignant neoplasm of breast unspecified transient mental disorder in conditions classified elsewhere sixth or abducens nerve palsy other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure secondary malignant neoplasm of brain and spinal cord personal history of malignant melanoma of skin mechanical complication of other vascular device, implant, and graft secondary malignant neoplasm of other parts of nervous system 

Answer: The patient is high likely exposed to