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: history of present illness: the patient is an 87 year-old female with a past medical history significant for metastatic breast cancer who presents with shortness of breath and significant dyspnea on exertion. on , the patient had a pleur-x catheter placed. after the procedure, the patient felt as though her shortness of breath had improved greatly. she has had persistent drainage from the pleur-x catheter approximately 300 cc every day or every other day. the patient reports that over the past 4 days, she has had increased shortness of breath despite drainage. the patient denies cough, fever, chills, orthopnea, leg edema or chest pain. the patient's past medical history is consistent with metastatic breast cancer, hypertension, hypothyroidism, anemia. she is status post mastectomy of the left breast including radiation therapy and 4 cycles of chemotherapy. the patient has known metastatic disease to the lungs and the pleura with recurrent malignant pleural effusions there were treated with pleur-x catheters as previously mentioned. the patient is blind in the right eye, due to herpes simplex keratitis over 50 years ago. she also has hypercholesterolemia. the patient lives alone. she has a visiting nurse come once a week. she is a previous smoker but quit over 50 years ago. she is a social drinker. family history: non contributory. allergies: no known drug allergies. physical examination: the patient's temperature is 98.2; her heart rate is 100; blood pressure 115/68; respiratory rate is between 28 and 36. 0xygen saturation is 96%. she is on room air at rest. the patient has a neck with some jugulovenous distention. chest is symmetric with decreased breath sounds of the left base at the position where the pleur-x catheter is placed. she has tachycardia. there are no gallops, no murmurs, no rubs. the abdomen is soft, nontender, nondistended. the lymphatics are normal. the extremities are without clubbing, cyanosis or edema. the patient has normal strength and tone in her muscles of both the upper and lower extremity. the patient is oriented to time, person and place. hospital course: the patient was admitted on the with the plan to admit to telemetry bed, check an echocardiogram, an ekg and perform a ct and also start the patient on dvt prophylaxis. the concern was for a pericardial effusion, rule out an early tamponade versus pulmonary embolism. on hospital day number 2, the patient was on no antibiotics. she had no malignancy pleural effusion, an enlarged cardiac silhouette that was concerning certainly for pericardial effusion. she was hemodynamically stable. she was started on iv fluids. on the afternoon of hospital day number 2, the patient had a pericardial drain placed which put out 200 cc of bloody drainage. her hematocrit had dropped from 33 prior to the pericardial tap to 24.6. she was hemodynamically stable; however, she received 2 units of packed red cells, a unit of ffp and a foley catheter was placed. a repeat hematocrit after the initial 24 demonstrated the hematocrit was actually 33.6 and the blood products were canceled. the patient had a chest x-ray which looked okay. there appeared to be no bleeding into the chest. on hospital day number 3, the patient was doing well without complaints. she was hemodynamically stable. a ct scan of the chest with contrast was in the morning and the patient was preopped for the operating room of a left video assisted thoracoscopy with a left sided subxiphoid window. the patient was seen and examined by the thoracic surgery staff, dr. . the patient ended up undergoing a right thoracotomy and a pericardial window. the patient tolerated the surgery well and was without complaints. the patient initially stayed in the cardiac surgery intensive care unit after surgery. her hematocrit was stable. she seemed to do well. her chest tube had put out 140 cc. there was no leak and the patient was hemodynamically stable. on postoperative day number one, the pericardial drain that had previously been placed was removed. a follow-up chest x- ray was ordered and her pleur-x catheter was drained by the interventional pulmonology team. the patient was followed in hospital by the hematology/oncology service. on postoperative day number 2, the patient's oxygen was weaned. a physical therapy consult was ordered. drain from the operating room was clamped with the intention of it being removed. on postoperative day number 3, her drain was removed. again a follow-up chest x-ray was ordered. the patient did well and was without any complaints. on postoperative day number 4, the patient's pleur-x catheter was again drained. the plan was to remove her drain, have the patient ambulate with physical therapist in order to determine if the patient would be stable to go home. the physical therapist saw the patient and were involved in her care. the recommendation was that she be discharged to home when she was ready per her medical doctors. on postoperative day number 5, the patient was discharged to home. discharge medications: percocet 5/325 one to two tabs q. 4 to 6 hours, 30 were dispensed. colace 100 mg p.o. b.i.d. ipratropium bromide 0.02% one to two inhalations every 6 hours. atorvastatin 5 mg p.o. daily. hexa vitamin one cap p.o. daily. cobalamin 100 mcg 0.5 tabs p.o. daily. aspirin 81 mg p.o. once daily. discharge diagnoses: 1. malignant pericardial effusion. 2. hypothyroidism. 3. aortic insufficiency. 4. iron deficiency anemia. 5. metastatic breast cancer. 6. hypothyroidism. 7. hypertension. discharge status: stable. discharge instructions: she was to call her surgeon and return to the emergency room if she experienced shortness of breath, increasing fatigue, pain, fever, chills or any significant change in her medical condition. she was to continue to have her pleur-x catheter drained per her usual routine which was once every other day. she was to shower and keep her incision clean, dry and intact. the patient was to follow-up with dr. in approximately 1 to 2 weeks. she was given his phone number at . , md procedure: venous catheterization, not elsewhere classified coronary arteriography using a single catheter pericardiocentesis thoracentesis pericardiotomy transfusion of packed cells right heart cardiac catheterization transfusion of other serum diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation aortic valve disorders secondary malignant neoplasm of other specified sites secondary malignant neoplasm of pleura personal history of malignant neoplasm of breast iron deficiency anemia, unspecified thoracoscopic surgical procedure converted to open procedure 

Answer: The patient is high likely exposed to