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: history of present illness: the patient is a 34-year-old gravida 2, para 2, with a history of recurrent adenocarcinoma of the cervix, stage ib, who presents with severe left hip pain that radiates to the thigh and buttocks. past oncological history: on , the patient underwent a radical hysterectomy, bilateral pelvic lymphadenectomy, and bilateral ovarian transposition for stage ib adenocarcinoma of the cervix. in , the patient developed lower left pelvic pain radiating to the left leg. work-up with an mri demonstrated soft tissue mass near the left vaginal apex. the patient had multiple vaginal biopsies under anesthesia which were not diagnostic. on , the patient had transvaginal ultrasound needle aspiration which was positive for carcinoma. at this time, she was diagnosed with recurrent stage ib cervical cancer. from through , the patient received radiation with concurrent cisplatin chemotherapy. she had good symptomatic relief of her pain after initiating the therapy. on , radiation implants were inserted and an omentopexy was performed. the patient began having recurrent pain approximately two weeks later which has been progressively worsening. the pain became debilitating the night before admission. the pain is sharp, stabbing and continuous. it begins in the left hip and radiates along the anterior aspect of the thigh and lateral buttocks. the pain is now exacerbated with activity. her leg feels heavy when she walks. prior to exacerbation of this pain it had been fairly well controlled with motrin and klonopin. past obstetrical history: spontaneous vaginal delivery x 2. past medical history: stage ib adenocarcinoma of the cervix. past surgical history: as above. allergies: iv contrast. past gyn history: as above. social history: the patient denies alcohol, drug or tobacco use. exam: the patient was afebrile at 98, blood pressure 122/80, respiratory rate 18, pulse 84. in general, she was in no acute distress. her heart was regular rate and rhythm. the lungs were clear to auscultation bilaterally. the abdomen was soft, nondistended with a well healed scar. there was some diffuse tenderness in the left lower quadrant and along the left lateral hip. on pelvic exam, the cuff was intact. there were no obvious masses or nodules. the patient was somewhat uncomfortable during the exam. extremities - there was motor strength bilaterally and slightly decreased sensation on the left extremity. her ct scan from revealed soft tissue stranding, but no evidence of recurrence. in summary, the patient is a 34-year-old gravida 2, para 2, with a history of recurrent stage ib adenocarcinoma of the cervix, now presenting with debilitating left hip and leg pain. brief hospital course - 1) leg pain: as noted, the patient was admitted for pain control. she was initially started on intramuscular demerol and vistaril which provided adequate pain relief. the pain service was consulted and recommended a cocktail which included neurontin, oxycodone, doxepin and methadone. they also suggested to taper the klonopin. as per their recommendations, the patient was started on these medications and the doses were adjusted according to their recommendations with increased methadone from 5 mg po tid to 10 mg po tid, as well as gradual increase of the neurontin. on hospital day #3, the patient underwent an mri which demonstrated left side tissue mass, unchanged from ct scan of . there was also noted to be a new left hydronephrosis. please see below for details regarding her hydronephrosis. additionally, a neuro consult was called. they recommended fine cuts through the ls spine to see if there was any nerve impingement. repeat mri again demonstrated no evidence of disease along the nerves. on hospital day #7, the patient was made npo after midnight and she was scheduled for ultrasound-guided biopsy. around 11:00 am on hospital day 7, the gyn oncology team was called to radiology, as the patient was found to be very heavily sedated and even apneic at times. she was noted to have oxygen desaturation to the 80s. she was also noted to be hypotensive and tachycardic. an ekg was obtained that showed sinus tachycardia. the patient was given two doses of narcan of 40 mcg each. the pain service and anesthesia were called to immediately see the patient. the patient was then transferred to the pacu for closer monitoring. in the pacu, the patient received an additional 200 mcg of narcan, as well as 1 mg of flumazenil. the patient appeared to respond well to the flumazenil with increase in alertness. review of the medications showed that the patient had received her po regimen which included neurontin, methadone and klonopin, as well as two doses of 50 mg of demerol overnight. in the pacu, the patient was sating 99%, she was still somewhat tachycardic in the 120s-130s and her blood pressure was 140/80. her respiratory rate ranged from 8-12 breaths per minute. her exam otherwise was unremarkable. labs were sent which showed that her electrolytes were all within normal limits. however, her creatinine was noted to be 1.6. her prior creatinine on was 1.1. additionally, an arterial blood gas was obtained that demonstrated a ph of 7.3, pco2 43, po2 158, bicarb 24. the patient was transferred to the medical icu for overnight monitoring. on hospital day #8, the patient was neurologically improved. she was alert and awake. her vital signs were now within normal limits. repeat creatinine was 1.1 and the rest of the laboratory studies were normal. at this point, the patient was transferred back to the floor. her medication regimen was readjusted and she was placed on motrin, klonopin and oxycodone. on , the patient underwent a transvaginal ultrasound-guided biopsy in the area of the previous biopsy. this biopsy was negative for malignancy. on hospital day #10, , the patient was started on a fentanyl patch. she was still continued on oxycodone for breakthrough, as well as klonopin whose dose had been titrated down to 0.5 mg . neurology strongly recommended neurontin. however, the patient was somewhat resistant, as she felt this medication made her feel woozy. additionally, on hospital day #17, the patient complained of myotonic jerks upon falling asleep. this was likely attributed to neurontin. however, this side-effect usually occurs at much higher doses. secondary to this finding, neuro agreed that the neurontin could be discontinued. the patient's pain medications continued to be adjusted with a final regimen that appeared to work and consisted of: naprosyn 500 mg , fentanyl patch 75 mcg, oxycodone 10 mg q 6 h prn, klonopin 0.5 mg q hs. the patient has plans to follow-up with dr. , beeper #, on . additionally, she is scheduled for an emg study on at 10:30 am. 2) left hydronephrosis/left ureteral obstruction: secondary to findings of left hydronephrosis on mri, a urology consult was obtained. they recommended intravenous pyelogram. ivp done on demonstrated no contrast excretion into the left collecting system, as well as delayed faint renogram. the right kidney and ureter was normal. the decision was then made to place a percutaneous nephroureterostomy tube. this was placed on . the tube drained well and was capped on . the patient's creatinine was 1.0. the perc neph tube was placed by interventional radiology. she was followed by dr. , beeper #. i should mention that it was unclear whether the hydronephrosis was caused by tumor versus radiation fibrosis. the patient will need to follow-up with interventional radiology in four weeks to make sure the stent is functioning properly. 3) disposition: the patient was discharged home. medication regimen as outlined above which included fentanyl patch, naprosyn, oxycodone and klonopin. she has plans to follow-up with dr. next week. additionally, she has an appointment in neurology on , as well as an appointment in emg on at 10:30 am. she will also be sent home with vna services in order to check the proper drainage and care of the nephrostomy tube. condition on discharge: improved. status: to home. discharge medications: naprosyn 500 mg po bid, fentanyl patch 75 mcg q 72 h, oxycodone 10 mg q 6 h, klonopin 0.5 mg q hs. , m.d. dictated by: medquist36 procedure: percutaneous nephrostomy without fragmentation vaginal biopsy diagnoses: accidental poisoning by other opiates and related narcotics poisoning by other opiates and related narcotics hydronephrosis personal history of malignant neoplasm of cervix uteri spasm of muscle other and unspecified anticonvulsants causing adverse effects in therapeutic use thoracic or lumbosacral neuritis or radiculitis, unspecified malignant neoplasm of vagina 

Answer: The patient is high likely exposed to