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: headaches with nausea/vomiting major surgical or invasive procedure: : right frontal craniotomy for tumor resection history of present illness: this is a 59 year old man who is well known to the neurosurgery service with a history of metastatic melanoma to the brain. he presented to an osh with headache, nausea and vomiting. an osh head ct showed a right frontal iph. he was transferred to for further management. he received decadron at the osh. past medical history: (1) stereotactic radiosurgery (1,800 cgy at 90% isodose line) on to the left parietal brain, (2) status post a left craniotomy by dr. on for resection for partial resection of left parietal radiation necrosis, (3) started compassionate use ipilimumab on , (4) hospitalized in the omed service from to after a generalized seizure, (5) lung mets, s/p right upper lobectomy (6) a hypodense lesion measuring 1.2 cm involving the lower pole of the right kidney (7) large sclerotic lesion involving right iliac , (8) cva , and (9) bph social history: he is on disability retirement. he lives alone, but has children nearby. he never smoked cigarettes or used illicit drugs. he drinks etoh occassionally. family history: his mother is alive with adult-onset diabetes. his father died of metastatic melanoma. his sister is healthy. a brother, age 61, has hypertension, gout, tonsillectomy and adenoidectomy, bunionectomy, and removal of colonic polyps. his daughter and son are healthy. physical exam: on admission: physical exam: o: t: 98.5 bp: 115/79 hr: 75 r 16 o2sats 99% 2l nc gen: wd/wn, comfortable, nad. heent: normocephalic extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. 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: r pupil is 2mm and reactive, l pupil 2.5mm and reactive. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact, -labial flattening. viii: hearing intact to voice. 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 but r tricep -. slight l pronator drift. sensation: intact to light touch coordination: normal on finger-nose-finger pertinent results: head ct (osh): r frontal iph with underlying known metastatic melanoma lesion. there is effacement of the r lateral ventricle and about a 6mm midline shift. there is cerebral edema surrounding the iph. head ct : impression: postsurgical changes in right frontal lobe, with blood in the surgical bed. slightly decreased mass effect on the frontal of the right lateral ventricle. brain mri w/ and w/o contrast: 1. post right frontal resection of a previously seen metastatic lesion. no residual tumor is appreciated. expected edema, mixed blood products, dural thickening, and pneumocephalus at the surgical site. 2. stable enhancing left parietal lesion with neighboring hyperintensity reflecting posttreatment change. 3. unchanged t2 hyperintense lesion within the right cerebellum, likely representing an epidermoid cyst. brief hospital course: 59m admitted to the neurosurgery service for a r frontal iph with underlying metastatic melanoma brain met. he had received decadron at the osh. he was admitted to the icu with q1 hr neuro checks. he began decadron 4mg q6hrs and mannitol 12.5gm iv q4 hrs. on , patient was taken to the or and underwent the above stated procedure. he tolerated the procedure without complications. he was extubated w/o incident and transferred to icu in stable condition. post op ct brain was obtained and stable. on , he was transferred from the icu to the floor. an mri was obtained which showed no residual tumor. physical therapy was consulted and felt that the patient was safe to return home. socialwork consult was obtained as the patient is adjusting to his diagnosis of metastatic melanoma and due to the fact that the patient is from . on the day of discharge he afebrile, vss, neurologically stable and pain is well controlled. medications on admission: lexapro 20mg daily keppra 750mg qid discharge medications: 1. escitalopram 10 mg tablet sig: two (2) tablet po daily (daily). 2. dexamethasone 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) for 2 days: 2mg q6h , then start 2mg q12. disp:*60 tablet(s)* refills:*0* 3. levetiracetam 750 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: r frontal iph metastatic melanoma cerebral edema r frontal metastatic lesion l parietal lesion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions/information ?????? 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 with mild soap three days after surgery. ?????? 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. ?????? 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: please follow-up in the brain clinic with dr. and neurosurgery on at 2pm. please call . the btc is located on the , the building, . no imaging is needed at this time. you will need suture/staple removal on . please call to make this appointment with neurosurgery. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: esophageal reflux personal history of malignant neoplasm of bronchus and lung other convulsions hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) secondary malignant neoplasm of brain and spinal cord personal history of malignant melanoma of skin unspecified intracranial hemorrhage personal history of irradiation, presenting hazards to health 

Answer: The patient is high likely exposed to