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: cephalexin / bactrim attending: chief complaint: dizziness major surgical or invasive procedure: none history of present illness: 77yom with diabetes mellitus on insulin, melanoma, metastatic squamous cell carcinoma, complained of dizziness shortly after leaving clinic where he had received chemotherapy. he returned to clinic within 10 minutes of leaving. he complained that he was dizzy and on eval there was found to be hypoxic to 81%ra. o2 supplementation was started with quick response to 98% on 4l nc. his fsbg was 39 and after eating crakers and drinking juice he reported to the clinic nurses that his dizziness was much improved. on arrival to ed fsbg 39, on arrival to medical floor 87. he currently denies chest pain, palpitations, sob, orthopnea, pnd, le edema, cough. he denies fever, chills, nausea, vomitting. in the er ct head concerning for hypodensity within cerebellum. cxr showed left pleural effusion, associated atelectasis. ros: no dysuria, urgency; no weakness, numbness, headache; ros otherwise negative except as per hpi. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. type 2 diabetes mellitus, on insulin. 4. chronic kidney disease. 5. history of squamous cell carcinoma, basal cell cancers, and melanoma 6. cabg social history: he lives with son. h/o tobacco, quit 50 years ago. alcohol, one drink per week. family history: no family h/o skin cancer physical exam: t 95.7 hr 57 bp 130/50 rr 22 o2sat 94%2l nc gen: nad heent: perrl, anicteric, conjunctiva pink, op clear, moist mucous membranes cardiovascular: brady and irregular, 2/6 sem rusb w/o radiation lungs: marked decreased bs left, no rales, no rhonchi, no wheeze abdomen: soft, nontender, nondistended with normal active bowel sounds. no masses. extremities: no clubbing, cyanosis, or edema skin: numerous black papules over the left chest and left shoulder neuro: a&ox2 (states , knowns ), cranial nerves ii-xii intact, strength 5/5 throughout, finger to nose with tremors at target, rapid alternating movements slow but symmetric, heel to shin grossly normal pertinent results: 01:07pm wbc-7.4 rbc-3.79* hgb-11.8* hct-35.1* mcv-93 mch-31.2 mchc-33.7 rdw-14.0 01:07pm plt count-195 02:20pm alt(sgpt)-23 ast(sgot)-25 ld(ldh)-191 alk phos-68 tot bili-0.4 02:20pm urea n-45* creat-3.1* sodium-142 potassium-4.3 chloride-108 total co2-26 anion gap-12 02:20pm glucose-51* 05:59pm ck-mb-notdone 05:59pm ck(cpk)-83 07:16pm ctropnt-0.05* ekg: bradycardic, irregular, atrial fibrillation, no q waves, rbbb, normal axis cxr:pa and lateral views of the chest are obtained. midline sternotomy wires and mediastinal clips are noted compatible with prior cabg. curvilinear calcification is noted projecting over the cardiac silhouette likely representing mitral annular calcification. there is a large left pleural effusion with likely left lower lobe and lingular collapse. the right lung is grossly unremarkable though a small right pleural effusion is likely present. heart size cannot be assessed. mediastinal contour is grossly unremarkable. atherosclerotic calcification along the aortic knob is noted. no pneumothorax is seen. osseous structures appear intact. ct head: hypodensity within the right cerebellum of questionable etiology probably related to fissure. ----------- 05:34pm blood wbc-8.9 rbc-3.26* hgb-10.3* hct-31.7* mcv-97 mch-31.6 mchc-32.4 rdw-14.2 plt ct-167 05:04am blood wbc-7.2 rbc-2.94* hgb-9.2* hct-27.8* mcv-95 mch-31.3 mchc-33.1 rdw-14.1 plt ct-118* 04:30am blood wbc-8.3 rbc-3.03* hgb-9.5* hct-29.0* mcv-96 mch-31.4 mchc-32.8 rdw-14.5 plt ct-132* 04:19am blood wbc-7.4 rbc-3.13* hgb-10.0* hct-29.4* mcv-94 mch-31.9 mchc-33.9 rdw-14.2 plt ct-120* 04:54am blood wbc-7.1 rbc-3.51* hgb-10.9* hct-32.9* mcv-94 mch-31.1 mchc-33.2 rdw-14.2 plt ct-128* 05:59pm blood neuts-80.8* lymphs-10.5* monos-5.1 eos-2.9 baso-0.7 05:34pm blood neuts-85.1* lymphs-5.0* monos-9.5 eos-0.2 baso-0.2 04:19am blood pt-13.5* ptt-28.0 inr(pt)-1.2* 04:54am blood pt-13.2 ptt-28.5 inr(pt)-1.1 01:07pm blood gran ct-5970 11:43pm blood glucose-196* urean-57* creat-3.6* na-142 k-4.6 cl-109* hco3-22 angap-16 05:33pm blood glucose-137* urean-59* creat-4.0* na-143 k-4.9 cl-108 hco3-25 angap-15 04:19am blood glucose-134* urean-64* creat-4.5* na-142 k-4.8 cl-113* hco3-21* angap-13 04:54am blood glucose-137* urean-69* creat-4.7* na-141 k-5.3* cl-111* hco3-20* angap-15 02:20pm blood alt-23 ast-25 ld(ldh)-191 alkphos-68 totbili-0.4 05:34pm blood alt-103* ast-162* ld(ldh)-269* ck(cpk)-104 alkphos-90 totbili-0.4 05:04am blood alt-78* ast-75* ld(ldh)-163 alkphos-75 amylase-46 totbili-0.4 05:04am blood lipase-14 07:16pm blood ctropnt-0.05* 02:40am blood ck-mb-7 ctropnt-0.05* 08:30am blood ck-mb-6 ctropnt-0.05* 05:34pm blood ck-mb-7 ctropnt-0.06* 11:43pm blood ck-mb-8 ctropnt-0.07* 02:20pm blood albumin-3.5 calcium-8.6 mg-2.3 08:30am blood totprot-6.3* 11:43pm blood calcium-7.9* phos-5.3* mg-2.0 04:54am blood calcium-8.1* phos-6.5* mg-2.1 05:04am blood osmolal-311* 04:54am blood valproa-18* 01:38pm blood type-art po2-104 pco2-83* ph-7.00* caltco2-22 base xs--13 -assist/con intubat-intubated 02:40pm blood type-art po2-325* pco2-59* ph-7.18* caltco2-23 base xs--6 11:24pm blood type-art temp-37.3 rates-18/2 tidal v-550 peep-5 fio2-50 po2-70* pco2-44 ph-7.34* caltco2-25 base xs--2 -assist/con intubat-intubated 02:46am blood type-art temp-36.2 rates-18/0 tidal v-550 peep-5 fio2-60 po2-82* pco2-38 ph-7.39 caltco2-24 base xs--1 -assist/con intubat-intubated 05:25am blood type-art rates-18/ tidal v-550 peep-5 fio2-60 po2-90 pco2-39 ph-7.39 caltco2-24 base xs-0 intubat-intubated 12:11am blood type-art temp-37.2 rates-18/ tidal v-550 peep-5 fio2-60 po2-86 pco2-40 ph-7.38 caltco2-25 base xs-0 intubat-intubated vent-imv 12:21am blood type-art temp-35.7 rates-18/ tidal v-550 peep-5 fio2-60 po2-82* pco2-37 ph-7.39 caltco2-23 base xs--1 -assist/con intubat-intubated 08:53pm blood type-art po2-80* pco2-39 ph-7.34* caltco2-22 base xs--4 05:06am blood type-art po2-83* pco2-41 ph-7.35 caltco2-24 base xs--2 05:06am blood lactate-1.2 12:11am blood freeca-1.15 -------------------- tte: tte (complete) done at 8:28:04 pm conclusions a small secundum atrial septal defect is present. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with inferolateral, basal inferior and basal lateral hypokinesis. the remaining segments contract normally (lvef = 40-45%). the right ventricular cavity is mildly dilated with moderate global free wall hypokinesis. there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the aortic valve leaflets are moderately thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: dilated right ventricle with moderate systolic dysfunction. mild regional left ventricular systolic dysfunction, c/w cad. mild pulmonary hypertension. -------------------- ecg: atrial fibrillation. right bundle-branch block. non-specific st-t wave changes. compared to the previous tracing of t wave flattening is less pronounced. tracing #2 -------------------- cxr: study date of 10:41 am impression: no loculation of left pleural effusion. -------------------- cxr: study date of 1:52 pm findings: in comparison with study of , obliquity of the patient makes comparison somewhat difficult. large left pleural effusion persists in a patient with intact sternal sutures. however, there is increasing opacification involving the lower half of the right hemithorax with obscuration of the hemidiaphragm. although this could represent atelectatic change and increasing vascular congestion, the possibility of aspiration must be seriously considered. endotracheal tube is now in place with its tip approximately 5 cm above the carina. -------------------- ct head w/o contrast study date of 8:11 pm impression: no acute intracranial process. unchanged appearance of left posterior fossa hypodensities. as previously described, further characterization with gadolinium-enhanced mr can be obtained to exclude metastases considering patient's known history of melanoma. these findings were discussed with dr. . -------------------- mra brain w/o contrast study date of 5:02 pm impression: acute right mca infarct and bilateral cerebellar infarcts. the distribution is not typical for hypoxic brain injury but could be due to combination of vascular stenosis and hypoperfusion. mild changes of small- vessel disease. impression: 1. high-grade right distal vertebral stenosis greater than 50%. non- visualization of the distal left vertebral artery could be due to stenosis and slow flow in the neck. neck mra can help for further assessment. 2. atherosclerotic disease involving both cavernous carotids and right middle cerebral artery. cxr: study date of 11:30 am impression: no significant change. cxr: study date of 5:18 am as compared to the previous radiograph, there is no major change. the extensive left-sided pleural effusion distributes in a slightly different manner, but its overall extent is unchanged. the same is true for smaller right-sided pleural effusion. there is extensive retrocardiac atelectasis. the overall size of the cardiac silhouette has not changed. signs of mild overhydration. the monitoring and support devices are in unchanged position. -------------------- ct head: study date of 1:15 pm impression: continued evolution of extensive infarction involving right cerebral hemisphere in a watershed distribution and bilateral cerebellum. since the prior exams, there is increased leftward shift and early uncal herniation. . these findings were discussed with dr. at 2 p.m. on . -------------------- brief hospital course: patient was admitted for evaluation of dizziness and new oxygen requirement. at 1430 called for cardiac arrest on 11r patient had been found unresponsive, unclear how long. per primary team they had obtained consent for thoracentesis from patient 20 minutes prior to code blue. patient found in pea and unresponsive. received epinephrine and atropine x2. also received insulin, bicarb, mag, and calcium in addition to chest compressions. patient's pulse returned within 10 minutes of acls. patient was intubated during this time period, initial esophageal intubation, significant emesis during chest compressions although good suction wasperformed throughout code. differential for arrest on arrival to icu was broad an encompassed pe, pneumothorax, tamponade among other etiologies. broad work-up undertaken as per results on previous page showing no clear evidence of pe, pneumothorax, or tamponade by echo or exam. patient was monitored in icu for further complications. . #neurological status post-arrest: given severe nature of imaging findings, and clinical exam post-arrest it was felt that patient's overall neurological prognosis was grim. neurology was consulted for input who recommended observation for 72 hours, and weaning of sedation to determine underlying mental status, neurological exam. at 72 hours patient had made no substantial improvements and so overall prognosis was grim. extensive discussions with family and friends were had and decision to was decided to make the patient comfort measures only. patient passed away shortly there after. medications on admission: amlodopine 10 carvedilol 3.125 donepazil 10 insulin lispro compazine simvistatin 40 flomax aspirin 325 mvi discharge medications: none. discharge disposition: expired discharge diagnosis: pulseless electrical activity hypoxia atrial fibrillation melanoma hypoglycemia diabetes coronary artery disease squamous cell cancer of the skin discharge condition: deceased discharge instructions: none. followup instructions: none. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: unspecified pleural effusion acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified pulmonary collapse acute respiratory failure personal history of other malignant neoplasm of skin cardiac arrest anoxic brain damage diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled cerebral artery occlusion, unspecified with cerebral infarction personal history of malignant melanoma of skin 

Answer: The patient is high likely exposed to