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: benadryl allergy / prochlorperazine attending: chief complaint: back pain major surgical or invasive procedure: . history of present illness: this is a 66 y/o female with a history of breast ca and squamous cell carcinoma who has been experiencing low back pain for the past month. patient describes the back pain as getting progressively worse and now predominately in the left hip/buttock area. she also occasionally has transient bilateral anterior thigh paresthesias with prolonged standing. mri imaging showed diffuse signal abnormality throughout the lumbar spine and sacrum, most consistent with metastatic disease. this is worst at the l2 level and a surgical decompression was recommended. past medical history: breast ca in right breast ' with total mastectomy and reconstruction. treated with chemo no radiation. breast ca in left breast in ' with total mastectomy and reconstruction, again chemo no radiation. squamous cell carcinoma with complete excision in ' social history: no tobacco she has three children family history: father prostate ca mother breast ca physical exam: on admission: physical exam: t:98.8 bp:155 /128 hr:90 r 18 o2sats 100 ra gen: wd/wn, comfortable, nad. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t we wf ip q h at g sensation: intact to light touch reflexes: b t br pa ac right 1 1 1 1 1 left 1 1 1 1 1 toes downgoing bilaterally upon discharge: perrl motor: throughout incision c/d/i pertinent results: mri c/t spine: 1. extensive osseous metastatic lesions throughout the cervicothoracic spine as detailed, with no epidural masses, cord compression or abnormal intra- or dural enhancement. 2. extensive multilevel degenerative changes with severe canal and foraminal narrowing as detailed. there is equivocal cord signal abnormality within the mid cervical spine, which may be artifactual as detailed above, or perhaps related to the degree of canal narrowing. 3. findings suggestive of metastatic lesion within the manubrium. 4. incompletely visualized lesions within the liver, for which dedicated abdominal imaging is recommended. ct lspine: 1. widespread osseous metastases of the lumbar spine and imaged pelvis. 2. expansile, predominantly lytic lesion of l2 with a soft tissue component better seen on mri, resulting in severe spinal canal stenosis. the lesion extends into the pedicles bilaterally and involves the spinous process, with expansion of the left pedicle, lamina and transverse process. l2 compression defomity, unchanged from mri one day prior. 3. incompletely characterized 5mm hyperdense left renal lesion. : cxr in comparison with earlier study of this date, there has been placement of an orogastric tube that extends to the upper body of the stomach. the side hole is at about the level of the esophagogastric junction. the right costophrenic angle is more sharply seen than on the previous study. brief hospital course: ms is a 66f who was admitted to neurosurgery for a l2-3 spinal mass. upon further work up she was found to have extensive osseous metastatic lesions throughout the cervicothoracic spine and a suspicion of liver lesions. on she was brought to the or and underwent a vertebrectomy, psif t12-l4, with 3 l of blood loss requiring 4 units of prbc. post operatively she was brought to the icu where she was moving all 4 extremities without difficulty. she was extubated on post operative day 1 her hematocrit was followed closely. on she received 2 units of prbc's for a hct of 22. on , patient's hct was 26.1 and jp drain was removed. she was ambulating without assistance and was discharged on home to f/u with dr. in 6 weeks. medications on admission: lisinopril hctz 25mg daily discharge medications: 1. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: l2 metastatic lesion post op anemia of blood loss discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? do not smoke. ?????? keep your wound clean / no tub baths or pool swimming for two weeks from your date of surgery/shower daily including incision ?????? you have steri-strips in place, you must keep them dry for 72 hours. do not pull them off. they will fall off on their own or be taken off in the office. you may trim the edges if they begin to curl. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? if you are required to wear one, wear your cervical collar or back brace as instructed. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. for 3 months. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. followup instructions: you have appt for radiation therapy , at 12noon on 5 for consultation, planning and treatment with dr. . please follow-up with dr in 6 weeks with xrays,please call at to schedule this. provider: , md phone: date/time: 8:00 procedure: dorsal and dorsolumbar fusion of the anterior column, anterior technique other excision of joint, other specified sites dorsal and dorsolumbar fusion of the posterior column, posterior technique insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae other therapeutic apheresis diagnoses: unspecified essential hypertension acute posthemorrhagic anemia personal history of malignant neoplasm of breast personal history of tobacco use other and unspecified hyperlipidemia secondary malignant neoplasm of bone and bone marrow pathologic fracture of vertebrae acquired absence of breast and nipple family history of malignant neoplasm of breast cauda equina syndrome without mention of neurogenic bladder 

Answer: The patient is high likely exposed to