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: penicillins / sting kit attending: chief complaint: known metastatic melanoma to the brain major surgical or invasive procedure: left craniotomy history of present illness: mr. is a 29m h/o metastatic melanoma. he underwent resection of a left lower eyelid 4.5-mm thick, polypoid melanoma in . in , he developed left neck lymphadenopathy with fine-needle aspiration confirming melanoma. in , he underwent left superficial parotidectomy and left modified radical neck dissection with 4/76 nodes positive. in , he had a left neck subcutaneous nodule resected with pathology revealing melanoma. he underwent radiation therapy and began interferon with conjunctival an eyelid recurrences, which were surgically resected. he also underwent resection of a right lung nodule revealing melanoma. follow-up cts revealed multiple new pulmonary nodules. screening for high-dose interleukin-2 revealed a frontal cns lesion, for which he underwent craniotomy on and postop cyberknife treatment on . he began biochemotherapy on with torso ct after 2 cycles revealing decrease in his lung nodules with a stable brain mri. he tolerated cycle #3 of biochemotherapy well with the usual nausea and vomiting noted. past medical history: peptic ulcer disease, childhood heart murmur, wrist and ankle fracture, melanoma. social history: non-contributory family history: non-contributory physical exam: postoperatively: v: 98.2; hr 76-97; bp 105-135/59-72; rr 15-22; o2 sat 96-98% opens eyes to voice, but sleepy. perrl, 3.5 --> 3 mm eomi tongue midline speech clear oriented to place, person, and time follows commands motor strength full throughout no obvious drift, but arms are tremuluous pertinent results: 08:23pm glucose-131* urea n-12 creat-1.0 sodium-140 potassium-4.3 chloride-101 total co2-31 anion gap-12 08:23pm estgfr-using this 08:23pm calcium-9.9 phosphate-3.5 magnesium-2.2 08:23pm phenytoin-0.7* 08:23pm wbc-17.5* rbc-4.07* hgb-11.9* hct-34.5* mcv-85 mch-29.3 mchc-34.6 rdw-17.0* 08:23pm plt count-264 08:23pm pt-10.8 ptt-23.2 inr(pt)-0.9 brief hospital course: the patient was admitted on for a left craniotomy for resection of a frontal brain mass. the surgery was uncomplicated and the patient was transferred to the floor. his wound was healing well and his neuro exam was unchanged upon discharge. he has chronic pain for which his oncologist is managing his mediations. the patient was deemed ready for discharge on . medications on admission: oxycodone methadone gabapentin celexa colace discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 3. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 4. keflex 500 mg tablet sig: one (1) tablet po four times a day for 6 doses. disp:*6 tablet(s)* refills:*0* 5. dexamethasone 4 mg tablet sig: one (1) tablet po every six (6) hours. disp:*120 tablet(s)* refills:*0* 6. pain meds please see your oncologist on for any pain medication. discharge disposition: home discharge diagnosis: melanoma -metastatic brain lesion 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. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? 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: appt:dr. @ 3pm and 2pm you are to get mri on prior to appt - call dr. office to arrange this. . you need to have your sutures removed in 10 days. please call to make an appointment for this in dr. office. f/u with dr. (oncologist) in 3 weeks . procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other computer assisted surgery diagnoses: secondary malignant neoplasm of brain and spinal cord secondary malignant neoplasm of lung melanoma of skin, site unspecified 

Answer: The patient is high likely exposed to