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: sulfa (sulfonamide antibiotics) attending: chief complaint: right cerebellar lesion. major surgical or invasive procedure: : posterior fossa craniotomy and tumor resection. history of present illness: ms. is a 63 y/o female with metastatic melanoma on study drug pd1 antibody was recently seen with worst headache of life. she reports she was cleaning when she experienced sudden onset diffuse headache which was associated eventually with nausea and vomiting. when symptoms did not remit she took herself to hospital near her home where she underwent a ct scan that demonstrated an area of acute right cerebellar hemorrhage. she was transferred to for further care. after stabilization and further work up she was cleared for discharge home. she returns for posterior fossa craniotomy and resection. past medical history: past medical history: - melanoma with metastatic disease to lung, bone, and liver - hypertension - hypercholesterolemia - depression - hypothyroidism - s/p hip stabilization - s/p tah with bso for fibroids social history: lives alone in . widowed but has two adult sons ages 23 and 28. continues to work as a teacher (teaches early childhood development) and also has a part-time job working at . plans to retire from teaching at the end of this academic year. has a sister who lives in ma and will serve as emergency contact. - tobacco: none - alcohol: very rare - illicits: none family history: father died of melanoma. physical exam: physical examination on admission: 98.4 107 140/74 16 98%ra gen nad, alert and oriented heent perrla, mmm cv rrr chest ctab abd soft ext wwp cn 2-12 intact strength/sensation and reflexes equal and intact in ues and /l cerebellar intact to finger-nose-finger; gate grossly normal physical examination on discharge: t 98.8, hr 83, bp 133/77, rr 20, o2 98% ra. gen: nad; alert and oriented x3. eyes open spontaneously. heent: peerla; pupil size 6mm-4mm bilaterally. eoms intact bilaterally. follows complex commands. face symmetric; tongue midline. comprehension intact. cn ii-xii grossly intact. motor: upper and lower extremity strength 5/5 bilaterally. no pronator drift. incision: clean, dry and intact without edema, erythema or discharge. sutures in place. mild dysmetria bilaterally. pertinent results: ct head: suboccipital craniectomy and postoperative changes in the right cerebellum. partially improved mass effect on the fourth ventricle and partially improved leftward shift of the cerebellar vermis. mri brain: blood products in the right cerebellar surgical bed and thin linear enhancement along the surgical cavity margins, without clear evidence for a residual mass. recommend follow up after blood products resolve. 05:30am blood plt ct-237 05:30am blood pt-10.2 ptt-28.6 inr(pt)-0.9 05:30am blood glucose-101* urean-19 creat-0.5 na-134 k-4.3 cl-100 hco3-26 angap-12 05:30am blood wbc-10.5 rbc-4.55 hgb-12.1 hct-36.8 mcv-81* mch-26.7* mchc-33.0 rdw-15.2 plt ct-237 brief hospital course: this is a 63 year-old-female that electively presented and underwent a posterior fossa craniotomy and resection of mass with dr . the patient tolerated the surgery was without complication. she was extubated and transferred to the icu for close neurological observation. the post operative head ct revealed expected post operative changes. she remained stable overnight. on , the patient was neurologically intact and the surgical dressing is clean dry and intact. the patient exhibited full strength there was no pronator drift. face was symetric. toungue was midline. pupils were equal and reactive. the foley catheter was discontinued and the patients diet was advanced. the intravenous fluid was discontinued and the patient was initiated on subcutaneous heparin dor deep vein thrombosis prophylaxis. a physical therapy consult was placed and the patient was transferred to the floor when a bed was available. the patient continued her decadron taper. she had complainted of headache and neck pain and was started on tizdanadine for muscle spasm prn. she was feeling well on and was working with pt. she continued on her steroid taper and was covered by an insulin sliding scale. she was being screened for rehab. on she was neurologically intact on examination with the exception of mild dysmetrial bilaterally. the incision was clean, dry and intact with non-dissolvable sutures in place. it was determined she would be discharged to rehabilitation today. medications on admission: duloxetine 60mg po daily. hydrochlorothiazide 25mg po daily. levothyroxine sodium 150mcg po daily. lisinopril 20mg po daily. loperamide 2mg po qid prn diarrhea. metoprolol succinate xl 25mg po daily. dexamethasone 4mg po q6h. diazepam 5 mg po q8h prn anxiety/vertigo. docusate sodium 100mg po bid. prochlorperazine 25mg pr q12h prn nausea. polyethylene glycol 17 g po daily until bowel movement. pantoprazole 40mg po q24h. heparin 5000 units sc tid. discharge medications: 1. dexamethasone 2 mg po per taper take 3mg po x1 tonight () at 18:00. then take 2mg po q8 x24 hours (start ). then take 2mg po bid x24 hours (start ). then stop. 2. acetaminophen-caff-butalbital tab po q8h:prn headache max apap 4g/24 hrs 3. bisacodyl 10 mg po/pr daily:prn constipation 4. docusate sodium 100 mg po bid:prn constipation 5. duloxetine 60 mg po daily 6. heparin 5000 unit sc tid 7. hydrochlorothiazide 25 mg po daily hold for sbp <100. 8. levothyroxine sodium 150 mcg po daily 9. lisinopril 20 mg po daily hold for sbp <100. 10. metoprolol succinate xl 25 mg po daily hold for sbp <100 and/or hr <60. 11. pantoprazole 40 mg po q24h take this medication while taking dexamethasone. once finished with dexamethasone taper, stop this medication. 12. senna 1 tab po bid:prn constipation 13. tizanidine 2 mg po tid:prn muscle spasm 14. insulin sc sliding scale fingerstick qachs insulin sc sliding scale using hum insulin 15. oxycodone (immediate release) 5-10 mg po q6h:prn pain rx *oxycodone 5 mg tablet(s) by mouth q6 prn disp #*30 tablet refills:*0 discharge disposition: extended care facility: northeast rehabilation discharge diagnosis: right cerebellar hemorrhagic lesion. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: craniotomy for tumor excision ?????? 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. ?????? your wound was closed with non-dissolvable sutures. you must wait until after they are removed to wash your hair. you may shower before this time using a shower cap to cover your head and the incision. ?????? 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) & senna 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 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. followup instructions: ??????your sutures need to be removed 10-14 days from surgery. this can be done at your follow-up appointment in the brain clinic. if there are any problems they can contact the physician assistant or 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 for follow-up on at 2:30 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. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: pure hypercholesterolemia malignant neoplasm of liver, secondary unspecified essential hypertension long-term (current) use of steroids unspecified acquired hypothyroidism depressive disorder, not elsewhere classified secondary malignant neoplasm of brain and spinal cord cerebral edema secondary malignant neoplasm of lung personal history of malignant melanoma of skin unspecified intracranial hemorrhage secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to