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: headache,nausea and vomiting major surgical or invasive procedure: : right frontal craniotomy for mass resection history of present illness: 48 year old right handed woman with a history of breast cancer s/p left mastectomy, radiation, and chemotherapy with known metastases to the liver, bone, and lung who presents with a 1 month history of bitemporal headaches and a 2 week history of daily vomiting who was transferred from an osh with head ct showing two lesions in the right cerebral hemisphere with midline shift consistent with metastases. the patient reports that over the past 1 month, she has had daily bilateral temporal pressure headaches up to intensity. she reports that the headaches would last a minute, but then she would sleep in bed for the rest of the day. she has been taking tylenol for the headache with some relief. the headaches would get better when she would lay down, and there would be no change with valsalva maneuver. she denied any photophobia or phonophobia (but her family says she would sit in a dark room with the headaches). she denies diplopia, blurry vision, dysarthria, or dysphagia. she denied any numbness, but reports she has had left arm and hand weakness even since before the mastectomy for which she receives pt. her family reports that she has also had memory loss, including losing her t pass and forgetting about a present she bought for a friend. over the past 2 weeks, she has also had daily episodes of emesis, which she describes as forceful and yellow- in color (which is the color of what she has been eating). she denies any fevers. she came to the hospital today at the urging of her friend and brother (who say that she often minimizes her symptoms). at the osh ed, vitals on admission were temp 97.0, hr 98, bp 114/76, rr 18, 97%. wbc 7.2, hct 41, plt 207, na 145, cr 0.8. head ct (preliminary read) showed at least two lesions in the right cerebral hemisphere consistent with mets and r to l shift. largest at least 2.5 cm, other 1.2 cm. she was given decadron 10 mg iv x1, dilantin 1 gm iv x1, and ns at 150 cc/hr. she was transferred to . at she has received zofran 4 mg iv x1. past medical history: -breast cancer s/p left mastectomy, radiation (last in ), and chemotherapy (last in ), receives care ( in ), known metastases to the liver, bone, and lung (discovered in ) social history: social hx: patient lives alone with a cat. she lives 1 mile away from a close friend, and her brother is involved in her care. she denies any history of cigarette, alcohol, or illicit drug use. family history: family hx: there is no family history of breast cancer. her father and mother had heart disease. physical exam: on admission: o: t: 96.8 bp: 95/64 hr: 88 rr: 22 o2sats: 100% on ra genl: awake, alert, nad heent: sclerae anicteric, no conjunctival injection, oropharynx clear cv: regular rate, nl s1, s2, no murmurs, rubs, or gallops chest: cta bilaterally anteriorly and laterally, no wheezes, rhonchi, rales abd: +bs, soft, ntnd abdomen neuro: mental status: awake and alert, cooperative with exam, normal affect. oriented to person, place, and date. attentive, speech is fluent with normal comprehension and repetition; naming intact to high frequency objects (watch, band), but not to low frequency objects (clasp). no dysarthria. registers , recalls in 5 minutes. no right-left confusion. no evidence of neglect. cranial nerves: pupils equally round and reactive to light, 5 to 4 mm bilaterally. visual fields are full to confrontation, but may have slightly decreased vision in the right superior temporal quadrant. extraocular movements intact bilaterally without nystagmus. sensation intact v1-v3. patient able to elevate eyebrows and pucker lips, but has difficulty smiling: lifts the right side of her mouth more briskly than the left. hearing intact to finger rub bilaterally. palate elevation symmetric. sternocleidomastoid full strength bilaterally. tongue midline, movements intact. motor: intermittent myoclonic jerks of the right upper extremity upon extension, no asterixis or tremor. no pronator drift. tri we fe ff ip h q df pf r 5 5 5 5 5 5 5 5 5 5 5 l 5 5- 5- 5 5 5 5 5 5 5 5 sensation: intact to light touch in bilteral upper and lower extremities. no extinction to dss. reflexes: 2+ and symmetric in biceps, brachioradialis, and knees. 1+ and symmetric in triceps and knees. toe downgoing on the left and upgoing on the right. coordination: slowed finger-nose-finger and fine finger movements on the left, normal on the right. gait: deferred pertinent results: labs on admission: 04:55pm blood wbc-9.1 rbc-4.53 hgb-12.9 hct-37.1 mcv-82 mch-28.5 mchc-34.7 rdw-13.3 plt ct-199 04:55pm blood neuts-95.6* lymphs-3.8* monos-0.3* eos-0.2 baso-0.1 04:55pm blood pt-15.1* ptt-24.3 inr(pt)-1.3* 04:55pm blood glucose-102 urean-14 creat-0.6 na-143 k-4.1 cl-107 hco3-24 angap-16 labs on discharge: 06:25am blood wbc-7.7 rbc-4.09* hgb-11.8* hct-33.9* mcv-83 mch-28.7 mchc-34.7 rdw-13.0 plt ct-185 06:25am blood glucose-92 urean-12 creat-0.6 na-140 k-4.1 cl-103 hco3-26 angap-15 06:25am blood calcium-8.9 phos-2.5* mg-2.4 07:30am blood osmolal-289 imaging: ct head : findings: there are three ring-enhancing supratentorial metastatic foci. the largest in the right frontal lobe measures 3.3 x 2.8 cm and demonstrates a large amount of vasogenic edema with associated 1.5-cm shift of normally midline structures and leftward subfalcine herniation. a 1.9 x 1.1 cm right parietal lesion adjacent to the posterior falx demonstrates moderate vasogenic edema. a right occipital lesion measures 1.2 x 1.1 cm and demonstrates a moderate associated vasogenic edema. the basilar cisterns are preserved without evidence of transtentorial or uncal herniation. the bony calvarium is intact and there is no evidence of lesion that is suspicious for infection or metastasis in the calvarium or skull base. the imaged paranasal sinuses and mastoid air cells are clear. impression: multifocal right hemisphere metastatic disease with and left subfalcine herniation and midline shift as noted above. mri head : findings: multiple enhancing metastatic lesions identified, with the largest in the right frontal lobe, again with surrounding vasogenic edema and leftward subfalcine herniation, not significantly changed compared to prior study. enhancing left parietal lesion, along the falx, and left occipital lesion are also again identified. tiny focus of enhancement within the right ventricle (2:42), possibly represents normal choroid plexus, although metastatic disease cannot be entirely excluded. there is no acute hemorrhage. normal flow voids are identified. visualized paranasal sinuses are normally aerated. impression: multifocal metastatic disease, with leftward subfalcine herniation/shift not significantly changed compared to prior study. enhancement of the right ventricle possibly represents normal choroid plexus, although metastatic disease cannot be entirely excluded. mri head (post-resection) : findings: the patient is status post right frontal craniotomy. there is evidence of residual blood products within the surgical bed as well as a post-surgical cavity, the previously identified metastatic lesion on the right frontal lobe apparently has been removed, vague pattern of enhancement is identified on the left frontal lobe (image #16, series #13). the other two previously demonstrated metastatic lesions, one on the right occipital lobe and the second right parafalcine metastatic lesion are unchanged. similar pattern of vasogenic edema is demonstrated, minimal decrease in the midline shift towards the left, approximately 9.5 mm of deviation is demonstrated in the axial projection. areas of hyperintensity signal related with blood products are visualized in the dwi maps. persistent effacement and shift of the mid brain towards the left and uncal herniation, unchanged since the prior examination. normal flow voids are identified in the major vascular structures. the orbits, the paranasal sinuses, and the mastoid air cells are unremarkable. the visualized aspect of the craniocervical junction appears within normal limits. impression: the patient is status post right frontal craniotomy. resection of the right frontal metastatic lesion, vague pattern of enhancement is noted in the left frontal lobe as described above, follow-up is recommended. two unchanged metastatic lesions, one on the right occipital lobe and the second right parafalcine in the convexity. persistent mass effect and vasogenic edema with lesser degree of midline shift and persistent right uncal herniation. brief hospital course: the patient is a 48 year old right handed woman with a history of breast cancer s/p left mastectomy, radiation, and chemotherapy with known metastases to the liver, bone, and lung who presented with a 1 month history of bitemporal headaches and a 2 week history of daily vomiting who was transferred from an osh with head ct showing two lesions in the right cerebral hemisphere with midline shift consistent with metastases. head ct at showed three ring-enhancing supratentorial metastatic foci: 3.3 x 2.8 cm in the right frontal lobe, 1.9 x 1.1 cm right parietal lesion, and 1.2 x 1.1 cm right occipital lesion. they all had associated vasogenic edema, and there was 1.5-cm shift of normally midline structures and leftward subfalcine herniation. given the extent of peri-turmoral edema and her deteriorating neurologic examination (she became progressively lethargic in the ed), she was taken for emergent resection. on she had a right craniotomy for frontal tumor resection. she tolerated the procedure well without complication. post-procedure mri showed resection of the right frontal metastatic lesion, vague pattern of enhancement is noted in the left frontal lobe, two unchanged metastatic lesions: one on the right occipital lobe and the second right parafalcine in the convexity. there was persistent mass effect and vasogenic edema with lesser degree of midline shift and persistent right uncal herniation. she was initially on decadron 6 mg iv q6 hr, but was discharged on decadron 4 mg po q6 hr. she was initially on dilantin, but this was changed to keppra 1000 mg po bid upon discharge. radiation oncology was consulted while she was admitted and advised whole brain radiation, but the patient preferred to follow up in where she has had her breast cancer treatment. medications on admission: tamoxifen 20 mg daily tylenol prn discharge medications: 1. tamoxifen 20 mg tablet sig: one (1) tablet po once a day. 2. keppra 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 3. dexamethasone 4 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*30 tablet(s)* refills:*2* 8. outpatient physical therapy outpatient physical therapy dx: right cerebral metastases discharge disposition: home discharge diagnosis: primary right cerebral metastases secondary breast cancer discharge condition: neurologically stable strength full, cn intact discharge instructions: general instructions/information ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? you are being sent home on steroid medication, make sure you are taking a medication to protect your stomach (prilosec, protonix, or pepcid), as these medications can cause stomach irritation. make sure to take your steroid medication with meals, or a glass of milk. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: increasing redness, increased swelling, increased tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: ***you need to stop by radiology on the prior to leaving the hospital, to pick up a cd with your ct and mri images to give to your outpatient oncologist. follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????you have elected to follow up with your outpatient oncologist for your radiation treatment. if you would instead like to follow up at , call for an appointment. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: malignant neoplasm of liver, secondary personal history of malignant neoplasm of breast compression of brain secondary malignant neoplasm of brain and spinal cord cerebral edema secondary malignant neoplasm of lung secondary malignant neoplasm of bone and bone marrow personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health 

Answer: The patient is high likely exposed to