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: iodine; iodine containing / morphine / oxycontin attending: chief complaint: facial numbness major surgical or invasive procedure: mechanical ventilation history of present illness: ms. is a 40 yo woman with metastatic breast ca to bone direct admitted to the floor for metastasis of the sphenoid encoroaching on the posterior wall of the l orbit & mandibular mets causing orbital pain, periorbital and mental numbness. she has noted these symptoms since about and they have progressed from tingling to numbness. she is also seeing black spots on her vision. she also notes for the past 2 weeks she has had weakness &numbness of her lle, for the past 1 week she has been unable to flex her hip, extend her knee, or dorsiflex her foot. she also complains of low back pain. this morning she had difficulty holding her urine to make it to the bath room. denies any peri-anal numbness. . she presented to the ed on with a few days of numbness in l side of face, down her body, etc. ct scan was non-diagnostic and she left ama. open mri (see below) showed bony disease of the greater wings of sphenoid, extending into the optic canal, and bony involvement of the mandible approaching the inferior alveolar nerve canal. past medical history: metastatic breast cancer with verterbral metastasis s/p xrt to thoracic spine & chemotherapy htn morbid obesity depression anemia post partum cardiomyopathy- ef now improved to 45-50% h/o peritonsillar abscess s/p i&d ?transfusion reaction recently ?anxiety social history: lives at home with husband and children. smoking cigarettes per day family history: aunt with cancer at 46. grandmother had leukemia. mother: diabetes. medical history unknown to patient. physical exam: t 97.5 hr 95 bp 130/95 rr 16 100%ra general: nad, aox3, speaking in full sentences heent: peerla, no scleral icterus. cv: s1 s2 no m/r/g pulm: clear to ausculation bilaterally abdomen: morbid obesity, soft, non-tender, non-distended, bs+ extremity: no cyanosis, clubbing or edema neuro: alert and oriented x3. pt unable to move l eye up and lateral without discomfort. left sided v1-v3 lacking sensation. bilateral mental area lacking sensation. mild left facial droop. right v1-v2 wnl. 5/5 strength and sensation in upper extremities bilaterally. 5/5 strength and sensation r le. 1/5 strength in lle extensors. no sensation on mid and anterior thigh. sacral area with normal sensation bilaterally. anal wink intact. equivocal 1+ reflexes due to pt's habitus. equivocal babinski signs bilaterally. pertinent results: admission labs: 10:22am wbc-4.9 rbc-3.01* hgb-8.7* hct-26.0* mcv-86 mch-29.0 mchc-33.6 rdw-19.5* 10:22am plt count-245 10:22am gran ct-3332 10:22am cea-100* ca27.29-3139* 10:22am albumin-3.8 calcium-9.7 phosphate-4.9* magnesium-1.8 10:22am alt(sgpt)-36 ast(sgot)-94* ld(ldh)-608* alk phos-108 tot bili-0.6 10:22am urea n-9 creat-0.8 sodium-143 potassium-4.3 chloride-105 total co2-28 anion gap-14 12:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.5 leuk-neg . exam: mri of the cervical, thoracic, and lumbar spine. clinical information: patient with left lower extremity weakness and urinaryincontinence, rule out cord compression. cervical spine: technique: t1, t2 and inversion recovery sagittal and gradient-echo axial images of cervical spine were acquired. findings: diffuse metastatic lesions are identified in the cervical vertebral bodies on the partially visualized upper thoracic region. mild compression of the inferior endplate of c7 vertebra and mild anterior wedging of t4 vertebra are identified. there is no cord compression seen or epidural mass. the post-gadolinium cervical images are somewhat limited by motion. there is no abnormal signal seen within the spinal cord. endotracheal tube is visualized with retained secretions in the nasopharynx. impression: diffuse bony metastatic disease. no cord compression seen. thoracic spine: technique: t1, t2 and inversion recovery sagittal and t2 axial images were obtained before gadolinium. t1 sagittal and axial images were obtained following the administration of gadolinium. findings: diffuse bony metastatic lesions are identified in the thoracic region. no evidence of epidural mass or spinal cord compression seen. mild wedging of the t4, t6, t10, and t12 vertebral bodies noted. there is no evidence of intrinsic spinal cord signal abnormalities identified. no acute compression fracture seen. diffuse metastatic lesions are identified in the liver and also an area of atelectasis seen in the left lower lung. impression: diffuse bony metastasis. no abnormal intraspinal enhancement. no cord compression. lumbar spine: technique: t1, t2 and inversion recovery sagittal and t2 axial images were obtained before gadolinium. t1 sagittal and axial images were obtained following the administration of gadolinium. findings: diffuse bony metastasis is identified in the lumbar region and in the visualized sacrum. there is no evidence of high-grade thecal sac compression identified. no epidural mass is seen. at l4-5, there is diffuse disc bulge identified indenting the thecal sac with mild left-sided and moderate right-sided foraminal narrowing. the disc bulging and a small protrusion is in contact with exiting right nerve root at this level. at l5-s1 level, mild disc bulging identified. impression: diffuse bony metastatic disease. no evidence of epidural mass or high-grade thecal sac compression. degenerative changes in the lower lumbar region as described above. comment: compared to the previous mri of , there appears to be some progression of bony metastatic lesions in the spine. no epidural mass is seen. the degenerative changes in the lumbar region appear stable. . pertinent labs: 05:14am blood caltibc-298 vitb12-> folate-8.4 ferritn-> trf-229 05:14am blood calcium-9.8 phos-5.9* mg-1.6 iron-245* brief hospital course: 40f with metastatic breast ca to bone presenting with facial numbness and leg weakness and urinary incontinence. . # mental numbness: the patient presented with left sided facial weakness and bilateral mental numbness. this was thought to be secondary to metastic disease. the patient was given decadron 10mg iv x 1, and then 4mg po q6hrs. the patient underwent a single cranial xrt treatment and subsequently her left sided facial weakness and numbness resolved. neuro-onc was consulted and stated "this is most likely localized in the jaw but not in the principal or spinal gnaglia of v." the patient stated her mental numbess was much improved at the time of discharge. . # left sided visual changes: the patient reported black spots in her vision upon presentation. this was thought to be second to optic nerve compression secondary to tumor. neuro was consulted and stated "the tumor to the optical canal explains the eyes symptoms." following dexamthasone and xrt the patients symptoms resolved. . # leg weakness and r/o cord comprssion: the patient reported 5 to 7 day history of left lower extremity and numbness prior to admission. in addition she had noted urinary incontinence. the initial differential included deficits to cord compression vs a central process. it thought to be unlikely a central process due to sparing her arms. the patient was seen by neurology, neuro-onc and rad-onc. the patient underwent a mri spine (requiring subsequent intubation and transfer to the unit for extubation, details of which are above), that did not reveal evidence of cord compression. the patient continued to receive po dexamethasone and subsequently her leg weakness and numbness completely at the time of discharge. . # anemia of chronic disease: the patient presented with a hct of 26. iron studies that were sent that were consistent with anemia of chronic disease. the patient's hct at discharge was 24.5. the patient did not receive transfusions during her hospital course. the patient should have her hematocrit checked this week. medications on admission: albuterol prn flexeril 5-10mg po q 6 h prn hctz 25mg po daily lisinopril 30mg po daily toprol xl 100mg po daily oxycontin 20mg po bid percocet 1-2 tabs po q 4-6 hrs prn zometa q month mvi discharge medications: 1. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po at bedtime. 2. lisinopril 10 mg tablet sig: three (3) tablet po daily (daily). 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 4. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 5. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 9. flexeril 10 mg tablet sig: one (1) tablet po four times a day. 10. dexamethasone 4 mg tablet sig: one (1) tablet po three times a day. disp:*21 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis - metstatic breast ca - mental neuropathy - r/o cord compression - r/o left optic nerve compression discharge condition: good. patients left lower extremity weakness completly resolved. left lower extremity numbness completely resolved. left visual changes completely resolved. left facial numbess resolved with exception to mild numbess on the patients chin. patient ambulating and at her mental and physical baseline. discharge instructions: you were admitted to hosptial with facial numbness, blurred vision in your left eye and left leg weakness and numbness. you were intubated and underwent an mri. you received one dose of radiation. . please continue to take all of your medications as listed below. . please keep all of your appointments. . please return to hospital if you experience worsening back pain, loss of urine or stool, numbess in your lower extremities, fevers, chills, shortness of breath, worsening visual changes. please stop smoking. information was given to you on admission regarding smoking cessation. followup instructions: please follow-up with your pcp 1-2 weeks of discharge. . please call dr. office tomorrow for follow-up. . radiation oncology plans to call you on monday morning to schedule follow-up. md, procedure: other radiotherapeutic procedure diagnoses: tobacco use disorder unspecified essential hypertension depressive disorder, not elsewhere classified anxiety state, unspecified other isolated or specific phobias morbid obesity other specified visual disturbances secondary malignant neoplasm of bone and bone marrow personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health urinary incontinence, unspecified secondary malignant neoplasm of other parts of nervous system anemia in neoplastic disease peripartum cardiomyopathy, postpartum condition or complication secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb malignant neoplasm of other specified sites of female breast other facial nerve disorders other disorders of optic nerve estrogen receptor positive status [er+] 

Answer: The patient is high likely exposed to