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: pre-chemo evaluation cad major surgical or invasive procedure: left heart cath history of present illness: this 75 year old woman was recently diagnosed with right breast cancer (stage 2 invasive ductal carcinoma) likely metastatic given positive ct finding. there are plans for chemotherapy, and she was referred for cardiology evaluation prior to beginning treatment. she was found to have a positive stress test with pt is a poor historian, and her daughter reports that her mother is short of breath all the time. with walking to the bathroom or getting dressed, she easily is dyspneic. her daughter believes this has been progressive over the years. the patient also does admit to prior episodes of chest pressure. she sleeps with three pillows and often will get up to sleep in the recliner d/t pnd. pt denies claudication,lightheadedness, but has + bilateral leg edema, left > right. past medical history: newly diagnosed stage ii right sided breast cancer-invasive ductal carcinoma arthritis of lower back/low back pain hyperlipidemia hypertension depression paranoid schizophrenia diagnosed approximately 20 years ago, not under psychiatric care chf total hysterectomy in her early 30's for heavy bleeding and pain bilateral knee replacements gout social history: patient is widowed and has six children. she currently lives with her daughter . she usually lives with different child at different time period so her medical care is scattered. pt walks with a cane. physical exam: t96.0 bp99/49(85-109/49-60) hr75(74-84) rr18 o2sat95%ra gen: elderly female lying in bed, breathing comfortably in room air, got frustrated when not able to answer questions. heent: perrl, eomi, sclera anicteric, op clear neck: supple, no jvd (though difficult to estimate given her neck size) cv: reg rate, s1 s2, no m/r/g, nondisplaced pmi lung: not able to exam given pt just had cath need to lie on her back, cta from front. breast: rt breast had well healed bx scar with a palpable 3x3cm non mobile mass at 6 oclock. no palpable axillary lymph nodes bilaterally. abd: soft, obese, nt/nd +bs, no organmegaly. ext: le slightly erythematous, +pitting edema bilat, +dp pulses. wwp. full strength on both ue and le. neuro: cnii-xii intact, anxious, poor historian. pertinent results: cath: 1. two vessel coronary artery disease. 2. mild diastolic ventricular dysfunction. comments: 1. coronary angiography of this codominant circulation revealed severe 2 vessel coronary artery disease. the lmca was very short and instantly gave rise to the lad, the lcx, and a large ri. the lad had a 60% hazy lesion at its ostium. the lcx had serial 90% lesions at the ostium and in the proximal vessel. the rca was a relatively small vessel with a 20% ostial lesion. 2. resting hemodynamics revealed only mildly elevated right and left heart filling pressures with an lvedp of 12 mmhg, a mean pcw pressure of 15 mmhg, and a mean ra pressure of 9 mmhg. the cardiac output was borderline low at 4.2 l/min. no gradient across the aortic valve was detected. 3. left ventriculography demonstrated preserved left ventricular systolic wall motion with a calculated lvef of 64%. no significant mitral regurgitation was seen. cath: cypher of lcx with mild jailing of om1 but normal flow. case complicated by failed perclse device resulting in moderate size hematoma and hypotension (sbp 60 mm hg) and bradycardia responive to ivf, atropine and brief infusion of dopamine. the patient left the lab with the arteriotomy site under control, with no evidence of active bleeding, asymptomatic except for nausea and stable vital signs. left foot xr - no evidence of inflammation, lytic lesion, joint effusion, or fracture. femoral u/s - no pseudoaneurysm, av fistula labortory: hct 36.3-->29.7 stable >24hrs cr 0.8, 2.1, 2.2, 1.6 (b/l 1.2) tnt <0.01 fena 1.7%, feurea 50% ua no casts brief hospital course: 75 year-old woman recently dx with breast cancer undergoing cardiac eval prior to have chemo rx found to have abnormal ett. she underwent a left heart cath that found 2 vessel disease with 60% lad and 90% lcx. she underwent pci of lcx however it was complicated by a failed perclose device and she developed a significant groin hematoma with hypotension requiring dopamine and ivf and monitoring in the ccu. she was quickly weaned from dopamine and transferred back to the floor. her hct continued to slowly decrease however stabalized for >48hrs prior to discharge without further expansion of her hematoma. groin u/s showed no pseudoaneurysm or avf. she remained pain free with nml cardiac biomarkers. her hospital course was also complicated by the development of atrial fibrillation with rapid ventricular response with rates in the 150's and worsening of her pulmonary edema. she had no prior history of atrial fibrillation and so was loaded on amiodarone without tte or anticoagulation. she underwent successful chemical cardioversion in less than 24 hours and maintained sinus rhythm with pacs. she is to be continued on amiodarone and lopressor. she will be discharged with of hearts monitor with dr. as the ordering attending. she does have relatively severe diastolic heart failure and received iv hydration for cath and bp management. she was effectively controlled with diuresis and chemical cardioversion of her single episode of atrial fibrillation. she will require her twice daily lasix and daily potassium replacement. 4 days post cath, she developed acute renal failure with a peak creatinine of 2.2. fena and feurea supported an intrinsic vs. obstructive pattern. her creatinine was decreasing on day of admit. she was never oliguric. the etiology is likely secondary to contrast nephrotoxicity. her baseline creatinine is 1.2. she will need qod blood draws to monitor her creatinine, potssium, and hematocrit. antibiotics were initiated for her cough with a faint infiltrate in the lll. she remained afebrile without a leukocytosis. becasue she will be starting chemotherapy for her metastatic breast ca, we started levoquin 250mg qod (renal dosing) for a total of 10 days of treatment (last day ). medications on admission: klor con 10meq ziprexa 5mg lisinopril 10mg daily toprol 100mg daily depakote 250mg every morning, 500mg every evening zocor 10mg qhs furosemide 80mg celebrex 200mg daily discharge disposition: extended care facility: - discharge diagnosis: cad paranoid schizophrenia hypertension hyperlipidemia breast cancer chf gout discharge condition: stable discharge instructions: continue using your of hearts monitoring as instructed. please go to all of your scheduled doctors' appts. please call your doctor or 911 for chest pain, shortness of breath, abnormal bleeding or any concerning symptoms. avoid nsaids (ibuprofen, motrin, advil) for treatement of pain. this can damage the kidneys and may worsen your heart failure. followup instructions: provider: , : cardiac services phone: date/time: 2:30 provider: , md where: hematology/oncology phone: date/time: 1:00 provider: , rn where: hematology/oncology phone: date/time: 2:00 please contact dr. at , phone: , to make an appointment within 1 week of your discharge from the rehab hospital. contact your cardiologist within 1 week of your hospital discharge. if you don't have a cardiologist, contact dr. , phone to schdule an appointment within 1 week of your rehab hosp discharge. procedure: coronary arteriography using two catheters coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute kidney failure, unspecified gout, unspecified atrial fibrillation hematoma complicating a procedure depressive disorder, not elsewhere classified other and unspecified hyperlipidemia acute diastolic heart failure knee joint replacement schizophrenic disorders, residual type, chronic malignant neoplasm of other specified sites of female breast 

Answer: The patient is high likely exposed to