A healthcare company deploys an internal AI assistant on Kubernetes. Clinicians use it to review patient histories, summarize lab results, and draft referral letters. The platform team has done the right things: TLS everywhere, RBAC policies locked down, Kubernetes Secrets managed through a vault, network policies isolating namespaces, and image scanning on every container before deployment.On paper, the platform looks secure.But here is what happens during an inference request. A clinician types a question about a patient. That prompt, containing a real patient name and medical history, travels from the browser to the model-serving pod. Inside that pod, vLLM processes the prompt, retrieves relevant documents from a vector database, and generates a response. For a few hundred milliseconds, the patient's data sits in clear memory inside the model-serving process, inside the KV cache, possibly inside a sidecar collecting observability traces.