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: shellfish attending: chief complaint: left frontal mass major surgical or invasive procedure: : left frontal craniotomy for mass history of present illness: patient is a 58m with a pmh significant for metastatic melanoma. he presents for elective admission for craniotomy for resection/decompression of left frontal mass past medical history: melanoma dvt social history: non-contributory family history: non-contributory physical exam: on discharge: alert, oriented to person place and date. right facial droop with slurred speech. there is 0/5 strength of the right hand, and 4/5 weakness of the other muscle goups of the rue. he is otherwise full strength. wound is clean, dry and intact. pertinent results: labs on admission: 03:15am blood wbc-15.3*# rbc-5.51 hgb-14.5 hct-43.3 mcv-79* mch-26.4* mchc-33.5 rdw-12.8 plt ct-232 03:15am blood pt-12.2 ptt-27.2 inr(pt)-1.0 03:15am blood glucose-132* urean-17 creat-1.0 na-140 k-4.4 cl-105 hco3-25 angap-14 03:15am blood calcium-8.8 phos-3.5 mg-2.0 labs on discharge: 05:35am blood wbc-14.7* rbc-5.28 hgb-14.1 hct-41.8 mcv-79* mch-26.7* mchc-33.8 rdw-13.0 plt ct-228 05:35am blood pt-11.4 ptt-28.2 inr(pt)-0.9 05:35am blood glucose-118* urean-22* creat-0.9 na-138 k-4.4 cl-103 hco3-27 angap-12 05:35am blood calcium-9.1 phos-2.2* mg-2.2 ---------------- imaging: ---------------- ct head : pfi: expected postoperative changes. pneumocephalus. small amount of blood in the surgical bed. no enlarged hemorrhage or extraaxial fluid collection. no significant mass effect. underlying edema similar in appearance to . mri head : final read pending at this time. brief hospital course: patient was electively admitted to the hospital on for craniotomy for decompression of left frontal mass. post-operatively, he was returned to the icu for close monitoring. his post-operative examination was significant for a right facial droop, slurred speech, and weak right sided grip. this was thought to be due to local edema and surgical manipulation, and is expected to improve. because of this, his steroid taper was slightly prolonged. in the morning of pod#1(), he was determined to be stable to transfer to the neurosurgical floor. prior to transfer, his foley catheter and arterial line were removed. he was then seen and evaluated by pt and ot who determined he would be appropriate for disoposition with outpatient services. medications on admission: finasteride, lexapro, zinc, vit c, b-complex, melatonin discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 3. escitalopram 10 mg tablet sig: two (2) tablet po daily (daily). 4. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 5. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 6. b complex vitamins capsule sig: one (1) cap po daily (daily). 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 8. melatonin 1 mg tablet sig: one (1) tablet po hs (at bedtime). 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 11. dexamethasone 1.5 mg tablet sig: two (2) tablet po q6h () for 2 days. disp:*16 tablet(s)* refills:*0* 12. dexamethasone 2 mg tablet sig: one (1) tablet po tid () for 2 days. disp:*6 tablet(s)* refills:*0* 13. dexamethasone 2 mg tablet sig: one (1) tablet po bid () for 99 doses. disp:*60 tablet(s)* refills:*0* 14. outpatient speech/swallowing therapy 15. outpatient occupational therapy discharge disposition: home discharge diagnosis: left frontal mass **metastatic melanoma discharge condition: neurologically stable discharge instructions: general instructions wound care: ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your sutures are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. be sure however, to remain well hydrated, and increase your consumption of fiber, as pain medications may cause constipation. medications: ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: -narcotic pain medication such as dilaudid (hydromorphone). -an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. ?????? 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. activity: the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: follow up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your sutures and 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. ??????you have an appointment in the brain clinic on at 2 pm. 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 need an mri of the brain with & without gadolinium contrast. this is to be at 11:55am on . it will also be on the , 4. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: personal history of malignant neoplasm of bronchus and lung other convulsions secondary malignant neoplasm of brain and spinal cord personal history of venous thrombosis and embolism personal history of malignant melanoma of skin secondary malignant neoplasm of other digestive organs and spleen secondary and unspecified malignant neoplasm of lymph nodes, site unspecified other facial nerve disorders 

Answer: The patient is high likely exposed to