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: azithromycin attending: chief complaint: shortness of breath with occasional chest pain. major surgical or invasive procedure: excision of angiosarcoma, reconstruction of right atrium with bovine pericardial patch history of present illness: ms. is a 67 year old female with a known mediastinal angiosarcoma. she initially presented in with dyspnea, fevers and weight loss. she was hospitalized in at which time chest x-ray identified a mass at the right heart border. extensive workup revealed a 10.0 cm mass arising from the pericardium. biopsy in showed intermediate to high-grade angiosarcoma. she began weekly paclitaxel on . ms. completed two cycles of paclitaxel followed by radiation with concurrent paclitaxel as of , . radiation and the latter two cycles of chemotherapy were administered by dr. in . the radiation course was complicated by nausea, vomiting, anorexia, diarrhea, esophagitis and a 10-pound weight loss. she also reports ongoing fatigue, dry cough and episodes of lightheadedness with standing, and diarrhea. she does feel dyspneic with exertion. she admits to occasional chest pain. despite this, she has been able to go sailing, walking each day, and spend time with her grandchildren. following her most recent pet ct, and brain mri, there are plans to move forward with surgical exploration and possible resection on . past medical history: recent pneumonia hysterectomy for hemorrhage following childbirth social history: ms. never smoked and denies drinking alcohol on a regular basis. she is married and lives with her family. family history: her mother had coronary artery disease and a myocardial infarction. her father had coronary artery disease and "metastatic cancer". physical exam: admission exam: pulse: 107 resp: 18 o2 sat: 96% room air b/p right: 93/61 left: 91/58 pre-op weight:138.23lbs62.7kgs general: appeared older than stated age of 67 skin: warm dry intact heent: ncat perrl eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema-none varicosities: none neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 2 carotid bruit: none discharge exam: vs: t 98 hr 63 bp 114/63 rr 18 o2sat 93 % 2l nc ra 86-88 with activity gen: nad neuro: a&o x3, mae. nonfocal exam pulm: scattered rhonchi cv:rrr, no m/r/g. sternum-stable, incision-cdi abdm: soft, nt/nd/+bs ext: trace bilat pedal edema pertinent results: admission labs: pt-16.1* ptt-33.2 inr(pt)-1.5* plt count-208 wbc-5.6 rbc-2.78*# hgb-7.9*# hct-24.8*# mcv-89 mch-28.5 mchc-32.0 rdw-15.4 urea n-13 creat-0.5 sodium-138 potassium-4.2 chloride-109* total co2-24 anion gap-9 discharge labs: wbc-3.1* rbc-2.86* hgb-8.3* hct-25.6* mcv-90 mch-29.0 mchc-32.3 rdw-15.3 plt ct-242 glucose-99 urean-10 creat-0.6 na-135 k-4.3 cl-98 hco3-31 angap-10 echocardiography report results measurements normal range left ventricle - ejection fraction: 55% >= 55% aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec findings left atrium: normal la size. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. normal diameter of aorta at the sinus, ascending and arch levels. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: brief ra diastolic collapse. general comments: written informed consent was obtained from the patient. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data conclusions pre-bypass: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. t he ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque to 40 cm from the incisors. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is 10cm x 10cm echodense mass seen adjacent to the right atrium. it seems to be within the pericardium. the mass seems to be encroaching the svc. there is no compression of svc. there is right atrial compression. no signs of pericardial tamponade. the mass does not seem to be entering ra or svc cavity. there is no definite space seen between the right atrial wall and the mass suggesting adherent mass. drs. and was notified in person of the results before surgical incision. postbypass: preserved lv systolic function. lvef 55%. rv has mild global systolic dysfunction. no new valvular findings. the pericardial patching of the atrium seems intact. no residual mass seen in theperciardium. radiology report chest (portable ap) study date of 7:59 am final report:no pneumothorax or appreciable mediastinal widening after removal of midline and right pleural drain and endotracheal tube. atelectasis in the right middle and lower lobes has worsened and there is a very small right pleural effusion. left lung is clear. small left pleural effusion is new. a left internal jugular introducer ends at the thoracic inlet. cxr: : compared with at 17:46 p.m., there has been slight interval improvement in the opacity at the right lung base. otherwise, no significant change is detected. again seen are sternotomy wires. the cardiomediastinal silhouette is stable. no chf, other areas of opacity. no significant left-sided effusion. no pneumothorax detected. impression: minimal improvement compared with , otherwise unchanged. pleural pleural analysis wbc 1246; rbc ; polys 62; lymphs 12; monos 0; eos 1 nrbc 1 meso 1 macro 24 pleural chemistry totprot 2.9 glucose 99 ld(ldh) 447 amylase 27 albumin 1.7 cholest 43 triglyc 23 pleural fluid ph 7.55 pleural fluid gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. fluid culture (preliminary): no growth. anaerobic culture (preliminary): acid fast smear (final ): no acid fast bacilli seen on direct smear. acid fast culture (preliminary): brief hospital course: the patient was a same day admission. she was brought to the operating room on by dr and , please see operative report for details, in summary she had: excision of a right atrial angiosarcoma and reconstruction of her right atrium with bovine pericardial patch. her bypass time was 67 minutes with a crossclamp time of 40 minutes. she tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. she remained hemodynamically stable in the immediate post-op period, woke neurologically intact and was extubated. on pod 1 the patient was alert and oriented and breathing comfortably, she remained neurologically intact and hemodynamically stable. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. all tubes, lines and wires were discontinued per cardiac surgery protocol without complication. the right pleural effusion was tapped for 450 ml. pleural chemistry revealed an exudative effusion ph 7.55, ldh 444. micro with no organism. she required 2 l nc supplemental oxygen for saturation of 86-88% with ambulation. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna, on oxygen in good condition. she will follow-up with dr. and dr. as an outpatient. medications on admission: 1. citalopram 20 mg po daily 2. pravastatin 20 mg po daily 3. omeprazole 20 mg po daily discharge medications: 1. citalopram 20 mg po daily 2. omeprazole 20 mg po daily 3. pravastatin 20 mg po daily 4. acetaminophen 650 mg po q4h:prn pain, fever 5. aspirin ec 81 mg po daily 6. docusate sodium 100 mg po bid 7. guaifenesin-dextromethorphan 5 ml po q6h:prn cough 8. tramadol (ultram) 50 mg po q4h:prn pain rx *tramadol 50 mg 0.5-1 tablet(s) by mouth every six (6) hours disp #*40 tablet refills:*0 9. metoprolol succinate xl 12.5 mg po daily rx *metoprolol succinate 25 mg 0.5 (one half) tablet(s) by mouth once a day disp #*30 tablet refills:*3 10. furosemide 20 mg po daily duration: 5 days rx *furosemide 20 mg 1 tablet(s) by mouth daily disp #*5 tablet refills:*0 11. senna 1 tab po bid:prn constipation 12. home oxygen 2l nasal cannula discharge disposition: home with service facility: vna assoc. of discharge diagnosis: s/p exc tight atrial angiosarcoma/reconstruction right atrium w/bovine pericardial patch() pmh: cardiac angiosarcoma s/p chemo/xrt psh: tah discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema trace lower extremity edema discharge instructions: shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions no lotions, cream, powder, or ointments to incisions daily weights: keep a log no driving for one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. no lifting more than 10 pounds for 10 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check nurse: phone: date/time: 10:00 at cardiac surgery office in the medical building surgeon dr. at 1:00pm in the medical building cardiologist dr. at 2:15pm other: provider: , md phone: date/time: 2:30 provider: hem onc cc9 phone: date/time: 1:45 provider: , md phone: date/time: 2:00 on the clinical center please report to the of the center 30 min prior to your appointment for a chest x ray please call to schedule the following: primary care dr., w. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: extracorporeal circulation auxiliary to open heart surgery thoracentesis excision or destruction of other lesion or tissue of heart, open approach other repair of heart and pericardium other and unspecified segmental resection of lung diagnoses: other iatrogenic hypotension esophageal reflux unspecified pleural effusion other and unspecified hyperlipidemia personal history of antineoplastic chemotherapy radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute pulmonary manifestations due to radiation cough malignant neoplasm of heart 

Answer: The patient is high likely exposed to