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: past medical history: 1. left breast cancer in 03/98, status post mastectomy in 04/98, positive lymph nodes, status post caf, taxol, tah, faslodex, .................... the patient has metastatic disease to bone. 2. liver nodules diagnosed in . 3. osteoblastic metastatic lesions in the pelvis and acetabula bilaterally. 4. status post high-dose chemotherapy with stem cell rescue in . allergies: sulfa, benadryl. admission medications: 1. zometa 4 mg iv q. month. 2. vioxx 25 mg once a day. 3. xeloda three tablets twice a day one time a week. 4. ativan 1 mg at bedtime. 5. tylenol p.r.n. 6. tramadol 100 mg q.i.d. 7. celebrex 20 mg q.d. social history: the patient is married, lives with her husband. she has two children, 8 and 11 years old. she drinks alcohol socially. positive smoking history. family history: grandmother died of gastric cancer. father had liver cancer. physical examination on admission to omed service: vital signs: temperature 98.0, pulse 92, respiratory rate 20, blood pressure 120/60, oxygen saturation 96% on room air. heent: the oropharynx was clear. there was no visible thrush, lesions, mucous membranes were moist. cardiac: regular rate and rhythm. no murmurs, rubs, or gallops appreciated. lungs: clear to auscultation bilaterally. there was visible left mastectomy with scars. abdomen: no splenomegaly. no hepatomegaly, nontender, nondistended, no masses appreciated, positive bowel sounds. extremities: there was no edema, +2 pulses dorsalis pedis bilaterally. laboratory/radiologic data: white count 2.8, hematocrit 26.5, platelets 106,000, ast 102, alt 45, ldh 50,270, alkaline phosphatase 270, total bilirubin 2.7, albumin 3.7, haptoglobin 508, fibrinogen 819. hospital course: the patient was admitted to the oncology service to monitor her pancytopenia and neurologic examination for her subdural hematoma. during the hospital course, the patient progressively became anemic. the hematocrit ranged between 18 and 26. the patient required frequent blood transfusions. the patient received 8 units of packed red blood cells at the time of dictation. in addition, the patient's platelet count also continued to fall, ranging between 50 and 115. because of the subdural hematoma, the patient's platelet level was kept around 100. she required 8 units of platelet transfusion. the cause of the pancytopenia was unclear. it was unlikely due to bleeding as there is no obvious source of bleeding, unlikely to be hemolysis. the haptoglobin was elevated. the bilirubin levels were not elevated. coombs' tests were negative. bone marrow biopsy was performed on the patient to determine if cancer had invaded the bone marrow causing the pancytopenia. biopsies showed extensive breast tissue within the marrow confirming infiltration. after bone marrow biopsy showed extensive infiltration of the breast cancer, the patient was treated with navelbine and faslodex. the patient was monitored regularly on neurologic examination for her subdural hematoma. she had no focal neurologic deficits. ct examinations showed no increase in interval changes. the patient was followed by neurosurgery for the subdural hematoma. the patient was taken off nsaids and platelets were kept above 100,000. on , the patient complained of some mild blurry vision in the right eye. ophthalmology was consulted and examination was performed which showed bilateral papilledema and small hemorrhage in the left optic disk. there was concern that the patient had increased intracranial pressure. mri with gadolinium scan was performed to evaluate for possible increasing subdural hematoma versus emergence of a new intracranial metastasis. the results of the mri were unchanged from previous showing no parenchymal metastasis but involvement of the bone of the skull. there was no evidence of herniation or increased intracranial pressure. the patient was started on decadron. on hospital day number six, the patient began to develop fevers of 100.8 which progressed to lows of 100.2. the source of fever was unclear. the patient's right internal jugular central line was taken out prior to the emergence of fever. the patient's newly placed porta-cath did not appear infected. the patient had no complaints or localizing source of infection. the patient was monitored and treated with tylenol on an p.r.n. basis. antibiotics were not given as the patient looked clinically stable and no obvious source of infection could be elucidated. a ct scan of the torso and sinuses were performed which did not show abscesses or signs of infection. abdominal ct did show increased size of the liver and spleen with increasing size of metastasis. to the time of this dictation, cultures have been negative or show contamination. the patient's pain initially prior to admission was managed with nsaids; however, given her subdural hematoma and thrombocytopenia, all nsaids were discontinued upon her admission. her pain was controlled with opiates. the pain was managed unsuccessfully with percocet; however, the pain was well controlled after administration of fentanyl at 50 micrograms per hour. the patient had a transaminitis. ast 127, alt 55, ldh 3,000. it was thought that this was likely related to the liver metastases. the elevated ldh possibly was secondary to hemolysis. a right upper quadrant ultrasound was performed which showed no evidence of ductal dilatation. ct scan of the torso also did not show evidence of ductal dilatation. however, gtt levels were elevated. to see the rest of the hospital course, please see the discharge summary addendum. , m.d. dictated by: medquist36 procedure: spinal tap incision of lung biopsy of bone marrow intravascular imaging of intrathoracic vessels other cranial puncture insertion of totally implantable vascular access device [vad] diagnoses: malignant neoplasm of liver, secondary personal history of malignant neoplasm of breast peripheral stem cells replaced by transplant secondary malignant neoplasm of brain and spinal cord subdural hemorrhage secondary malignant neoplasm of bone and bone marrow secondary malignant neoplasm of other parts of nervous system 

Answer: The patient is high likely exposed to