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: service: medicine, firm history of present illness: the patient is a 47-year-old woman who, in , had an 81.14-mm thick melanoma found on her right posterior thigh. in , the patient had a right inguinal area lymph node resected with positive margins. between and , the patient from to . in , a ct of the chest showed a right upper lobe nodule. in , two more right upper lobe nodules were found. in a ct of the chest revealed left lower lobe nodule, and in a ct revealed pancreatic lesions times two, as well as new lesions in the left lower lobe and right upper lobe. also noted was a subcutaneous mass in the patient underwent cog and a trial beginning on . on , the patient reported cough and fever and was started on zithromax but continued to have a dry cough and dyspnea on exertion. one day prior to admission, the patient had fever to 100. her oxygen saturation was apparently checked at home and found to be 91% on room air. the patient was sent to the emergency department for further evaluation. past medical history: melanoma metastatic to lungs, pleura, pancreas, axilla. in , status post resection of melanoma from right posterior thigh. in , status post right inguinal lymph node resection with positive margins. radiation therapy from through . in through , the patient received interferon. in , right upper lobe lung nodules were found. in new nodules were found in the left lower lobe. in pancreatic lesions were found. in subcutaneous axillary nodules were found. the patient experienced femoral neuropathy secondary to radiation therapy. medications on admission: msir 24 st q.d., ms contin p.o. b.i.d. (the patient did not know dose). in the emergency department the patient received levaquin 500 mg intravenously times one, as well as flagyl 500 mg intravenously times one, and morphine 2 mg intravenously times two, and 4 mg intravenously times two. allergies: no known drug allergies. social history: the patient is married and smoked one to two packs of cigarettes per day times 30 years; she quit in . family history: the patient's father died at the age of 67 of leukemia. laboratory data on admission: complete blood count was notable for a white blood cell count of 14.8, hematocrit of 34, and platelets 636. the patient's chem-7 revealed a sodium of 133, potassium of 4, chloride of 96, bicarbonate of 18, bun of 15, creatinine of 0.5, glucose of 112. anion gap of 19. creatine kinase was 34, and troponin was 0.3. inr was 1.3, ptt was 27.8, pt was 13.9. physical examination on admission: in general, the patient was a cachectic ill-appearing female with moderate respiratory distress. vital signs were as follows: temperature 97.6, heart rate 113, blood pressure 98/66, breathing 20 times per minute. heent revealed pupils were equal, round, and reactive to light. oropharynx with dry mucous membranes. neck revealed no jugular venous distention. chest examination revealed pulmonary crackles at the right anterior upper field as well as decreased breath sounds and tubular sounds in the left side. cardiovascular examination revealed tachycardia with no murmurs heard. heart sounds were clear. abdomen was soft, nontender, and nondistended, positive bowel sounds, positive subcutaneous nodule in the right upper quadrant. extremities were without edema. radiology/imaging: other studies on admission included chest ct from revealed extensive lymphadenopathy in the right axilla, especially in the superior region. there was a right hilar, and pretracheal, and precarinal lymphadenopathy; left-sided pleural effusion approximately halfway up the field; slight right shift of the mediastinum; right upper lobe pneumonia; right pleural based nodules; left lower lobe complete collapse. chest x-ray on revealed a new left-sided effusion as noted above, right high-powered border with questionable border. electrocardiogram of , revealed sinus tachycardia with a heart rate of 133, right bundle-branch block pattern with loss of r waves anteriorly, low voltages. compared with , the right bundle-branch block was new, and the voltages were significantly lower. hospital course: the patient was admitted to the o-med service on , due to her dyspnea and elevated temperatures at home. as noted above, ct and chest x-ray revealed multiple pulmonary nodules, as well as a large left-sided pleural effusion, and right upper lobe pneumonia. the patient was started on levofloxacin and flagyl, and underwent 2-liter thoracentesis. electrocardiogram showed low voltage. echocardiogram revealed pericardial effusion with sustained right atrium and diastolic right ventricular collapse. thus, the patient underwent a 350-cc pericardiocentesis and was transferred to the coronary care unit with a pigtail drain. the drain was discontinued on , without any complications. the patient's condition continued to wane despite her antibiotics and pleurocentesis and pericardiocentesis. the patient's husband did not want the patient to have home hospice secondary to concerns about the patient and her husband's children being at home. the husband, thus, preferred inpatient hospice. the patient and the patient's family changed the patient's status to dnr/dni on , and she was made comfort measures only. all medications and monitoring were discontinued except for morphine and ativan. the patient was transferred to the medical floor on . on the morning of , the cross-covering house officer was called to evaluate the patient for lack of spontaneous respirations. the house officer found the patient to be without spontaneous respirations, and without spontaneous heart beats, as well as to have fixed and dilated pupils bilaterally. the patient was thus pronounced dead on the morning of . discharge diagnoses: 1. widely metastatic melanoma. 2. status post radiation therapy. 3. status post chemotherapy. 4. pneumonia. condition at discharge: the patient, as noted above, was pronounced dead on the morning of . , m.d. dictated by: medquist36 procedure: pericardiocentesis thoracentesis diagnoses: pneumonia, organism unspecified secondary malignant neoplasm of pleura pulmonary collapse unspecified disease of pericardium cachexia secondary malignant neoplasm of lung personal history of malignant melanoma of skin secondary and unspecified malignant neoplasm of intrathoracic lymph nodes secondary malignant neoplasm of other digestive organs and spleen 

Answer: The patient is high likely exposed to