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: patient recorded as having no known allergies to drugs attending: chief complaint: voice hoarseness major surgical or invasive procedure: s/p tracheostomy & tracheostomy change (on pod7) history of present illness: mrs. is a 66 year old woman with metastatic breast cancer, s/p right modified radical mastectomy () and chemo/xrt. in she had a contralateral axillary mass which was removed and revealed metastatic breast cancer which was erp positive. a left simple mastectomy was performed and no tumor was identified. she took tamoxifen from until it was discontinued in . in she developed a paralyzed vocal cord and a mediastinal mass was identified. this was positive on biopsy and therapy with arimidex was begun. the tumor mass shrunk and her voice improved. in , patient began experiencing voice hoarseness and symptoms which had been attributed to gerd. an egd was suggested but deferred until after her return. unfortunately, she had substantial progression of these symptoms. her protonix had been increased to and her hoarseness had worsened. more worrisome was her husband's report that when she sleeps on her back she is making loud respiratory noises with each breath. this abates if she moves on her side. a pet scan done a few days ago shows fdg avidity in the left axillae and in a large anterior cervical node as well as in a mass which surrounds and compresses the trachea. an urgent egd was performed which showed only mild gastritis. an ent examination by dr. revealed bilateral paralyzed vocal cords and substantial tracheal narrowing due to external tumor progression. past medical history: gerd breast ca s/p b/l mastectomy tracheostomy social history: involved and cooperative family lives with husband family history: n/a physical exam: afebrile, vitals stable heent: moist mucous membranes, tracheostomy intact cv: rrr, s1s2 wnl. chest: clear bilaterally abd: soft, ntnd ext: no clubbing, cyanosis, edema; warm/well-perfused pertinent results: 06:40am blood wbc-6.8 rbc-4.07* hgb-12.6 hct-35.7* mcv-88 mch-31.0 mchc-35.3* rdw-12.3 plt ct-250 06:40am blood pt-12.8 ptt-30.9 inr(pt)-1.1 06:40am blood plt ct-250 06:40am blood glucose-93 urean-15 creat-0.8 na-142 k-5.2* cl-103 hco3-27 angap-17 brief hospital course: patient was admitted to ent surgery service on after undergoing tracheostomy. no concerning intraoperative events occurred; please see dictated operative note for details. she was transferred to the icu for further monitoring and airway management. she was tolerating trach collar trials without difficulty. she had adequate pain control and was tolerating sips on pod1 and was advanced to regular soft diet by pod0. her incision was c/d/i, with no evidence of hematoma collection or infection. patient was deemed stable for transfer to the floor on pod2 (but remained in icu for bed availability limitations until pod4). she was evaluated by speech therapy and failed initial trials with speaking (passy-muir) valve, but was able to speak with finger occlusion. trach was changed on pod7 in the operating room to a shiley #6 cuffless/fenestrated trach, which she tolerated well. speech therapy reevaluated the patient on pod8 and fitted the patient with a passy-muir speaking valve. the patient underwent her initial chemotherapy and radiation therapy treatments during this admission, which she tolerated well. she was given explicit instructions for follow-up by the appropriated services. the remainder of the hospital course was relatively unremarkable, and she was discharged in stable condition, ambulating and voiding independently, and with adequate pain control. she was given explicit instructions to follow-up in clinic with dr. in weeks. vna services were arranged for tracheostomy care, home teaching, and skilled nursing for wound evaluation. medications on admission: protonix, glucosamine, mvi, arimidex, , discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 3. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed. 4. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed for pain. disp:*150 ml(s)* refills:*0* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). tablet, delayed release (e.c.)(s) 6. fexofenadine hcl 60 mg tablet sig: three (3) tablet po q24h (every 24 hours). discharge disposition: home with service facility: vna assoc. of discharge diagnosis: metastatic breast cancer (affecting mediastinum and l axilla) tracheal compression (metastatic disease) discharge condition: stable discharge instructions: medical attention for chest pain, shortness of breath, fevers (temp>101.5). -vna services available: skilled nursing, trach care and teaching, speech therapy as appropriate. -resume home medications. followup instructions: -f/u in days with dr. . provider: , . appointment should be in days -radiation oncology (primary nurse - @ ). next rad/onc appt is friday @ 8:30am. -follow-up for chemotherapy appointment procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours laryngoscopy and other tracheoscopy temporary tracheostomy replacement of tracheostomy tube injection or infusion of cancer chemotherapeutic substance other radiotherapeutic procedure tracheoscopy through artificial stoma open biopsy of thyroid gland excision of hydrocele (of tunica vaginalis) diagnoses: esophageal reflux secondary malignant neoplasm of other specified sites personal history of malignant neoplasm of breast bronchiectasis without acute exacerbation secondary malignant neoplasm of mediastinum secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb bilateral paralysis of vocal cords or larynx, partial 

Answer: The patient is high likely exposed to