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: breast cancer major surgical or invasive procedure: 1. right tissue expander removal with deep inferior epigastric perforator flap reconstruction. 2. harvest of deep inferior epigastric artery and vein. 3. autologous fat grafting to vascular pedicle. history of present illness: the patient is a 38-year-old woman with a history of right breast cancer. she had a mastectomy and tissue expander placement as well as chemotherapy and radiation therapy. she now presents for reconstruction of the right breast with flap reconstruction. she understands the risks and benefits and wishes to proceed. the risks include: bleeding, infection, abnormal scarring, difficulty with wound healing, need for further surgery, change in sensation, numbness, seromas, flap loss, twisting, clotting, kinking of the vessel pedicle and need for additional surgery. past medical history: unremarkable past surgical history: removal of parotid gland in and a c- section in . removal of tumor on her breast and multiple lumpectomies in . social history: she does not smoke, does not drink; roller skates, and she walks and she has a 7-year-old daughter family history: depression physical exam: afvss nad, a&ox3 cta bilat rrr soft, nt/nd, +bs no c/c/e breasts: taut skin radiation noted but relaxed since tissue expander surgery. patient with no lad, no nipple drainage, no masses palpated. pertinent results: 04:00am blood wbc-13.2*# rbc-3.10* hgb-10.3* hct-29.0* mcv-94 mch-33.3* mchc-35.6* rdw-13.3 plt ct-279 04:00am blood plt ct-279 path pending at discharge brief hospital course: 44 yo f s/p right partial mastectomy who was admitted to dr. plastic surgery service at the on for immediate right deep inferior epigastric perforator () flap breast reconstruction. pt was preoperatively screened per protocol w/o issue and taken to the or on ; for details of the operation, please refer to the operative report. her postoperative course was uncomplicated. immediately postoperatively the flap doppler signal remained strong. . on pod 1, the flap doppler signal remained strong. she was afebrile and her pain well-controlled with a pca. her diet was advanced as to a clear liquid diet, which she tolerated well. . on pod 2, the flap doppler signal remained strong. she was afebrile. she was transitioned to po pain medication with good control. her diet was advanced as tolerated to a regular diet. . on pod 3, the flap doppler signal remained strong. she was afebrile. she continued po pain medication with good control. . on pod 4, she was deemd stable for discharge, and was discharged home with vna. she was instructed to follow-up with dr. . medications on admission: tamoxifen discharge medications: 1. aspirin 81 mg tablet, chewable sig: 1.5 tablet, chewables po daily (daily). disp:*60 tablet, chewable(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. oxycodone 5 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed: do not drive or operated machinery or instruments while taking this medication. disp:*40 tablet(s)* refills:*0* 4. keflex 500 mg capsule sig: one (1) capsule po four times a day for 1 weeks. disp:*28 capsule(s)* refills:*0* discharge disposition: home with service facility: vna of discharge diagnosis: breast cancer discharge condition: good discharge instructions: go to an emergency room if you experience new and continuing nausea, vomiting, fevers (>101.5 f), chills, or shortness of breath. also go to the er if your wound becomes red, swollen, warm, or produces pus. if you experience clear drainage from your wounds, cover them with a clean dressing and stop showering until the drainage subsides for at least 2 days. no heavy lifting or exertion for at least 6 weeks. no driving while taking pain medications. narcotics can cause constipation. please take an over the counter stool softener such as colace or a gentle laxative such as milk of magnesia if you experience constipation. be sure to take your complete course of antibiotics. you may resume your regular diet as tolerated. please do not place any pressure on your chest, especially the right side. please keep track of jp drain output for your follow-up visit. please do not shower until your follow-up visit. . . please follow-up as directed. you may resume all of your previously prescribed medications. you may take showers. followup instructions: please call dr. at ( to schedule a follow-up appointment for 1 week from your date of discharge. procedure: other mammoplasty removal of breast tissue expander diagnoses: personal history of malignant neoplasm of breast 

Answer: The patient is high likely exposed to