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: latex attending: chief complaint: pulmonary embolus major surgical or invasive procedure: ivc filter placement history of present illness: the patient was a 63 year old female with metastatic breast cancer with metastases to the brain and lungs who underwent resection of brain mets and rll biopsy 1 week prior to admission. on day of admission, patient complained of sob. she presented to an osh and was found to have two pes in left posterior basal and middle arterial branches. she was deemed not to be a good candidate for anticoagulation due to her recent surgery. she was sent to for further evaluation, management, and placement of ivc filter. in the ed, initial vs were t 97.6 hr 68 bp 125/76 rr 18 95% ra. patient was transferred to ir where successful placement of an ivc filter was accomplished. she was then transferred to the micu for further management of her pe given the contraindication for anticoagulation. past medical history: 1. l breast cancer s/p radiation and resection with metastasis to lung and brain in 2. arthritis of hips, knees 3. copd social history: social history: - tobacco: 100 pack year (quit 3 weeks ago) - alcohol: denies - illicits: denies family history: father with pancreatic cancer, thyroid disease, skin cancer (still living) physical exam: physical exam on admission: vitals: 98.1 122/71 83 17 96 ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, gait deferred physical exam on discharge: vs: 98.6 108/65 59 18 96% gen: well-appearing female of nad heent: coronal incision c/d/i, mmm, eomi neck: supple without lad pulm: l-sided rhonchi/coarse breath sounds, scattered wheeze on r cor: rrr (+)s1/s2 without m/r/g abd: soft, non-distended, non-tender abdomen with nabs extrem: no le edema with 2+ distal pulses neuro: cnii-xii grossly intact, moving all extrem pertinent results: admission labs 05:09pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 05:09pm urine color-yellow appear-clear sp ->1.050* 05:09pm pt-10.7 ptt-22.9* inr(pt)-1.0 05:09pm plt count-336 05:09pm neuts-72.1* lymphs-22.0 monos-4.5 eos-1.1 basos-0.2 05:09pm wbc-9.1 rbc-5.06 hgb-14.5 hct-43.8 mcv-87 mch-28.6 mchc-33.1 rdw-15.3 05:09pm urine uhold-hold 05:09pm urine hours-random 05:09pm probnp-51 05:09pm ctropnt-<0.01 05:09pm estgfr-using this 05:09pm glucose-89 urea n-28* creat-1.2* sodium-138 potassium-4.3 chloride-99 total co2-28 anion gap-15 discharge labs 07:40am blood wbc-7.1 rbc-4.25 hgb-12.1 hct-36.9 mcv-87 mch-28.6 mchc-32.9 rdw-15.3 plt ct-251 07:40am blood plt ct-251 07:40am blood glucose-139* urean-17 creat-0.9 na-138 k-4.0 cl-107 hco3-23 angap-12 07:40am blood calcium-8.3* phos-2.9 mg-1.8 brief hospital course: the patinet is a 63 year old female with hx of er+, pr+, her2/neu+ l breast cancer s/p resection and xrt with metastatic lesions to brain and lung presents s/p partial resection of brain lesion and lung biopsy 1 week prior presenting with acute dyspnea pulmonary embolus, s/p ivc filter placement, hemodynamically stable. . acute issues #pulmonary embolus: diagnosis based on read from osh. lesion located in l posterior basal branches as well as middle basal branches. patient is contraindicated for anti-coagulation given recent neurosurgery. hemodynamically stable at this time with negative trop, nl bnp, no new o2 requirement. patient was given ivc filter via ir. has been hemodynamically stable throughout hospitalization. leni was negative bilaterally. . #metastatic breast cancer with mets to lung/brain: s/p partial resection of brain lesion (multiple lesions present) at as well as lung biopsy showing er+, pr+, her2/neu+ cells, bronchoscopy c/w neoplastic cells. ip evaluated patient and felt there was no impending airway collapse. she will need follow up treatment for her metastatic cancer, as there is high risk for worsening of her respiratory status with tumor growth. . #: cr elevated to 1.2, had recent cta chest for pe which may have caused renal insufficiency. no pmhx suggestive of renal disease. her cr improved with conservative fluid resuscitation. . chronic issues #osteoarthritis: chronic issue, located in hips, knees, uses asa at home. told to hold asa in setting of recent surgery and instead use acetaminophen for pain. #copd: 100 pack year smoking. started on albuterol mdi and ipratropium nebs with no respiratory distress throughout hospitalization. transitional issues: -patient needs to establish new pcp, made with dr. in -patient was scheduled for oncology follow-up with her primary oncologist -patient had schedule follow-up with her neurosurgeon during week of discharge -patient was reminded that her ivc filter was not a permanent device and would require removal as soon as possible medications on admission: preadmission medications listed are correct and complete. information was obtained from patientwebomr. 1. levetiracetam 500 mg po bid 2. aspirin 500 mg po daily discharge medications: 1. levetiracetam 500 mg po bid rx *levetiracetam 500 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*0 2. albuterol inhaler puff ih q6h:prn wheezing rx *albuterol sulfate 90 mcg 1-2 puffs ih every six (6) hours disp #*1 inhaler refills:*0 discharge disposition: home discharge diagnosis: pulmonary embolus metastatic breast cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , you were treated at for a pulmonary embolus. since you recently had surgery, you were unable to receive blood thinners. instead, you were given a filter in one of your veins to prevent clots to your lungs. you should follow up with your neurosurgeron tomorrow, and your pcp and new oncologist in the next week. information is below. you have been given an albuterol inhaler for your copd. directions: 1-2 puffs every 6 hours as needed for wheezing. if you're having serious difficulty breathing, please intead go the er -- do not rely on the inhaler. followup instructions: you have a follow-up with dr. , neurosurgery, on at noon (confirmed on ). name: ,- specialty:primary care when: wednesday at 11am location: family practice address: , , , phone: we are working on a follow up appt with an oncologist dr. in approximately one week. you will be called at home with the . if you have not heard or have questions, please call . md procedure: interruption of the vena cava diagnoses: acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of breast personal history of tobacco use secondary malignant neoplasm of brain and spinal cord iatrogenic pulmonary embolism and infarction secondary malignant neoplasm of lung personal history of irradiation, presenting hazards to health osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh osteoarthrosis, localized, not specified whether primary or secondary, lower leg 

Answer: The patient is high likely exposed to