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: patient recorded as having no known allergies to drugs attending: chief complaint: cerebellar mass major surgical or invasive procedure: : stereotactic 3rd ventriculostomy history of present illness: 66 yo female w/ pmhx sig for metastatic uterine sarcoma, breast ca s/p r mastectomy who presents with two days of dizziness and double vision found to have a large enhancing right cerebellar mass and smaller enhancing cortical lesions on brain mri. the patient has noticed double vision over the last two days as well as unsteadiness with falling to the right. she called her oncologist and went to an psh where imaging revealed her new cns metastases. she was given a dose of decadron and transferred to for further management. past medical history: r breast ca s/p mastectomy ', (s/p mastectomy in ), uterine sarcoma with mets to abdomen and probably lung s/p tah, xrt, and currently treated with chemotherapy, hx cryptogenic organizing pneumonitis social history: widowed, former ppd x 34 years quit four years ago. occ etoh. family history: non-contributory physical exam: on admission: vitals: t 97.7; bp 147/93; p 81; rr 16; general: lying in bed nad heent: ncat, moist mucous membranes neck: supple pulmonary: cta b/l cardiac: regular rate and rhythm, with no m/r/g carotids: no blood flow murmur abdomen: soft, nontender, non distended, normal bowel sounds extremities: no c/c/e. neurological exam: mental status: awake, alert, attentive. fluent speech with no paraphasic errors. adequate comprehension. follows simple and multi-step commands. cranial nerves: i: not tested ii: perrl, 4-->2mm with light. iii, iv, vi: eomi. no nystagmus. v, vii: facial sensation intact, facial strength ix, x: palatal elevation symmetrical. : scm xii: tongue midline without fasciculations. motor: normal bulk. normal tone. no pronator drift. delt tri we wf fe ff ip qd ham df pf edb c5 c7 c6 c8 l2 l3 l4-s1 l4 l5 l5 rt: 5 5 5 5 5 5 5 5 5 5 5 5 5 5 left: 5 5 5 5 5 5 5 5 5 5 5 5 5 5 sensation: intact light touch. reflexes: bic t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 toes downgoing bilaterally. coordination: r sided dysmetric on fnf, heel to shin intact. exam on discharge: alert, oriented to person, place and date. perrl. full strength and power throughout upper and lower extremities. there is a slight right sided pronator drift noted. wound is clean dry and intact without erythema/drainage pertinent results: labs on admission: 01:00am blood wbc-24.0* rbc-3.25* hgb-10.0* hct-30.6* mcv-94 mch-30.8 mchc-32.7 rdw-19.4* plt ct-379 01:00am blood neuts-89* bands-3 lymphs-4* monos-1* eos-0 baso-0 atyps-0 metas-2* myelos-1* nrbc-1* 01:00am blood hypochr-normal anisocy-1+ poiklo-occasional macrocy-1+ microcy-occasional polychr-occasional ovalocy-occasional stipple-occasional 11:51am blood hypochr-occasional anisocy-2+ poiklo-1+ macrocy-2+ microcy-normal polychr-1+ ovalocy-occasional stipple-1+ tear dr 01:00am blood pt-13.1 ptt-20.2* inr(pt)-1.1 01:00am blood glucose-166* urean-9 creat-0.7 na-140 k-4.8 cl-104 hco3-23 angap-18 01:00am blood calcium-9.6 phos-4.4 mg-2.1 labs on discharge: 05:20am blood wbc-18.6* rbc-3.21* hgb-10.1* hct-30.5* mcv-95 mch-31.4 mchc-33.1 rdw-18.9* plt ct-389 05:20am blood pt-12.5 ptt-20.8* inr(pt)-1.1 05:20am blood glucose-148* urean-27* creat-0.9 na-139 k-4.7 cl-103 hco3-24 angap-17 05:20am blood calcium-9.3 phos-3.5 mg-2.2 imaging: ct chest/abdomen/pelvis : technique: mdct axial images were obtained from the thoracic inlet to the symphysis pubis with the administration of iv contrast. coronal and sagittal reformations were obtained. ct of the chest with iv contrast: the heart and pericardium are unremarkable, without pericardial effusion. few scattered mediastinal lymph nodes are not pathologically enlarged. the great vessels are within normal limits. minimal atherosclerotic coronary artery calcifications are noted. there is centrilobular emphysema, with numerous bilateral metastatic lesions scattered throughout the lungs. there is a mass in the right upper lobe which measures 7.1 cm x 5.9 cm (3:18), that is heterogeneous in appearance, with areas of necrosis. the largest lesion in the right lower lobe is a bilobed mass or two adjacent masses, which measure approximately 5.4 cm x 4.0 cm. the largest lesion in the left lower lobe (3:29) measures 2.8 cm x 2.4 cm, and the largest lesion in the left upper lobe measures 2.2 cm x 1.9 cm. no pleural effusion or pneumothorax is identified. ct of the abdomen with iv contrast: the liver is diffusely low in attenuation, consistent with fatty infiltration. there are scattered rounded hypodensities in the right lobe, with an exophytic lesion arising from the inferior right lobe (3:68), measuring 2.2 cm, suspicious for a metastatic lesion. the gallbladder, spleen, pancreas, and left adrenal gland are normal. the kidneys demonstrate slightly lobulated contours, which could reflect sequela from prior insult, but are otherwise unremarkable. there is a heterogeneous lobulated large mass arising from the right adrenal gland which measures 8.4 cm craniocaudad x 5.0 cm transverse. additional heterogeneous masses are seen within the periportal region, with a mass measuring approximately 3.0 cm x 2.8 cm (3:62). the stomach, small bowel, and large bowel are unremarkable. adjacent to the stomach antrum in the peritoneal fat is a lobulated irregular mass, which measures approximately 5.4 cm x 6.0 cm (3:70). there are scattered nodules throughout the peritoneum, with one adjacent to the transverse colon (3:56) measuring 9 mm, as well as irregular mass posterior to the right psoas muscle (3:70) measuring 3.0 cm x 1.9 cm. no free air or free fluid is identified. ct of the pelvis with iv contrast: the urinary bladder and rectum are unremarkable. patient is status post hysterectomy. there is an irregular hypodense lesion in the expected location of the right adnexa (3:96), which measures 2.7 cm x 2.6 cm. this could reflect the right ovary. alternatively, this could represent a metastatic lesion. no pelvic free fluid or adenopathy is identified. osseous structures: there are diffuse osseous metastases, with scattered sclerotic foci seen within the pelvis as well as scattered throughout the vertebral column (predominantly thoracic). additionally, there are wedge compressions at the t7 and t8 vertebral bodies, of uncertain chronicity. sclerotic foci are also present within bilateral ribs, compatible with metastatic lesions. incompletely assessed sclerotic focus also seen in the right humeral head. impression: 1. widespread metastatic disease, including innumerable bilateral pulmonary masses, as well as probable hepatic lesion, right adrenal mass, and nodules/masses scattered throughout the peritoneum and mesentery. 2. diffuse sclerotic osseous metastasis with wedge compressions of t7 and t8 of uncertain chronicity. mri head : comparison is made with mri performed at hospital on . findings: there is a tract in the right frontal lobe relating to recent 3rd ventriculostomy. multiple enhancing supra- and infratentorial lesions are stable including a large lesion in the right cerebellum with significant mass effect on the fourth ventricle. some of the lesions appear to be leptomeningeal, particularly in the left frontal lobe. the ventricles are stable in size and configuration. there is a small amount of pneumocephalus. there is no evidence for acute ischemia. there is suggestion of multiple calvarial enhancing lesions which could represent metastatic disease. impression: changes from right frontal craniotomy reportedly for a third ventriculostomy. unchanged intracranial metastatic disease including the largest lesion in the right cerebellum with significant mass effect on the fourth ventricle. there is ventriculomegaly which is unchanged. brief hospital course: 66f who presented with diplopia and vertigo, with pmh of known significant metastatic disease. head ct was done with revealed intracranial pathology. she was then taken to the operating room for csf diversion procedure. post-operatively she was monitored overnight in the icu. she was transferred out of the icu to nsurg floor on with an intact neurological examination. palliative care was also consulted to assist the disposition planning with her family. patient had previously had oncologic treatment in , plans for further treatment(to include wbr) we also arranged in . she was seen on by pt and they determined that she would be appropriate for discharge to home with physical therapy. she was discharged as such on , with follow up appointments scheduled with dr. and instructions to be in touch with dr. office for surgical follow up. she was also given a cd of the images performed during this hospitalization. medications on admission: omeprazole 40mg, bactrim ss q day, fosamax q week, prednisone 15 mg q day, feosol 300 mg q day. discharge medications: 1. dexamethasone 4 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 3. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cerebellar and right cortical brain mass discharge condition: neurologically stable 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 only after sutures have been removed. ?????? 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. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? 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. 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: increasing redness, increased swelling, increased tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your sutures and a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????an appointment has been made for you with your prior oncologist, dr. , for , at 10:30am. their address is: , . phone: ( fax: . procedure: intravascular imaging of intrathoracic vessels diagnoses: obstructive hydrocephalus malignant neoplasm of liver, secondary chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of breast personal history of malignant neoplasm of other parts of uterus compression of brain secondary malignant neoplasm of brain and spinal cord ostium secundum type atrial septal defect secondary malignant neoplasm of lung secondary malignant neoplasm of bone and bone marrow secondary malignant neoplasm of retroperitoneum and peritoneum secondary malignant neoplasm of adrenal gland 

Answer: The patient is high likely exposed to