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: naprosyn / iodine / adhesive tape attending: chief complaint: headache, confusion major surgical or invasive procedure: craniotomy for tumor resection history of present illness: 40 yo female with hx metastatic melanoma (dx ) with multiple recurrences (lns, lungs, bowel) complains of 1 week of dull headaches with a few days of confusion and difficulty concentrating. denies nausea/vomiting, seizures, weakness, numbness, paresthesias, problems with vision or balance. past medical history: melanoma course began in , mole on back excised. recurrence in r groin, treated with radiation, recurrence in lung, treated with il-2, recurrence in colon, partial colectomy. currently has nodes in r clavicle and abdomen. social history: no smoking denies alcohol or drugs family history: noncontributory physical exam: upon admission: gen: wd/wn, comfortable, nad, obese. heent: pupils: perrla eoms full extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect, somewhat tearful during interaction. occassional trouble remembering details of medical history orientation: oriented to person, place, and date. 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, 5 to 3 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, finger rub. 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. reflexes: b t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin pertinent results: mri head : findings: in the left frontal lobe (13:18) is a 3 x 2.3 cm heterogeneously enhancing mass which is broad base along the dura. there is significant high flair signal around this mass extending throughout the frontal lobe and into the anterior aspect of the left parietal lobe. there is mass effect from the heterogeneously enhancing mass as well as the edema causing approximately 6 mm of rightward shift of normally midline structures, but no evidence for subfalcine, transtentorial or uncal herniation. there are no other enhancing masses identified. the ventricles and sulci appear normal in size and configuration. vascular flow voids appear unremarkable. there is no evidence for acute territorial infarction. the orbits appear intact. paranasal sinuses, ethmoid, and mastoid air cells are clear. there is an anomalous venous drainage arising in the right parietal lobe (10:59) which is unchanged from prior examination. there is decreased t1 marrow signal. impression: 1. dural based left frontal heterogeneously enhancing mass with surrounding edema causing minimal rightward shift of midline but no herniation. given patient's history of melanoma this is concerning for a metastatic lesion. there are no other lesions concerning for metastatic disease identified. 2. low t1 signal in the bone marrow may represent marrow hyperplasia secondary to known malignancy or its treatment, unchanged. 3. right parietal developmental venous anomaly, unchanged. ct head : findings: patient is status post left frontal meningioma resection. expected post-surgical changes including pneumocephalus is identified. there is a moderate amount of edema in the left frontal lobe causing adjacent mass effect. there is no significant amount of postoperative intracranial hemorrhage identified. small amount of hyperdense material layering along the surgical margin is identified and is expected. there is a 2 mm rightward shift of normally midline structures. the ventricles and sulci are unremarkable. there is no evidence of hydrocephalus. impression: 1. the patient is status post left frontal meningioma. 2. expected post-surgical changes with pneumocephalus and moderate amount of left frontal lobe edema causing mass effect and minimal rightward shift of normally midline structures. no significant amount of post-surgical intracranial hemorrhage. mri head : findings: since the previous mri, the patient has undergone resection of left frontal dural-based mass which are suspicious for metastatic lesion. blood products are seen at the surgical site with evidence of air and extensive left frontal lobe edema as before. there is mild pachymeningeal enhancement seen following gadolinium. mild enhancement is also seen surrounding the area of blood products which is suspicious for mild residual enhancement. there is no hydrocephalus seen. no acute infarct identified. impression: status post resection of left frontal mass with blood products and air at the surgical site with mild residual enhancement adjacent to the blood products at the surgical bed. pachymeningeal postoperative enhancement is also seen. surrounding edema is identified. brief hospital course: the patient was admitted to the icu for q 1 hour neuro checks due to a large new brain mass with significant edema. she was taken to the or for a craniotomy for tumor resection later that day. the procedure went well and the patient went back to the icu post-op. her pain was well-controlled and she was neurologically stable. therefore, she was transferred to the neurosurgery floor on . the patient was voiding on her own and able to take in food without difficulty. she was seen by physical therapy who felt since she was ambulating without difficulty she did not need to be seen. on discharge her incision was clean and dry, her exam was neurologically intact, she was voiding without difficulty. medications on admission: none discharge medications: 1. outpatient lab work please obtain a dilantin level in one week. have the results faxed to to . 2. phenytoin 50 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). disp:*180 tablet, chewable(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. dexamethasone 4 mg tablet sig: one (1) tablet po q8h () for 1 days. disp:*3 tablet(s)* refills:*0* 6. dexamethasone 4 mg tablet sig: one (1) tablet po bid () for 1 days. disp:*2 tablet(s)* refills:*0* 7. dexamethasone 1.5 mg tablet sig: two (2) tablet po bid () for 1 days. disp:*4 tablet(s)* refills:*0* 8. dexamethasone 2 mg tablet sig: one (1) tablet po bid (). disp:*60 tablet(s)* refills:*0* 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* discharge disposition: home discharge diagnosis: brain mass discharge condition: neurologically stable 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. -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 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 . -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 for suture/staple removal in days from the date of your surgery and a wound check. please call to schedule this appointment. you should follow-up with dr. in the brain clinic in about 2 weeks. call to schedule this appointment. you do not need an mri as this was done as an inpatient. the following appointments were already made and are here as a reminder to you. provider: . /cut. onc. derm date/time: 10:30 provider: , cutaneous oncology date/time: 10:45 provider: , cutaneous oncology date/time: 11:15 procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges other immobilization, pressure, and attention to wound diagnoses: secondary malignant neoplasm of brain and spinal cord personal history of malignant melanoma of skin secondary malignant neoplasm of bone and bone marrow personal history of irradiation, presenting hazards to health secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes 

Answer: The patient is high likely exposed to