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: penicillins / adhesive attending: chief complaint: sternal mass. major surgical or invasive procedure: sternothoracotomy, lul wedge left latissimus flap closure and pectoralis musculocutaneous flap closure. history of present illness: mrs. is a pleasant 53 year old female who was initially seen by dr. in for an ectopic bone coming out of the sternal region inferior and to left of the sternal notch. the patient had radiation 30 years ago followed by mastectomy 5 years ago. in the workup a lung cancer was found. past medical history: (1) hypertension (2) heart murmur (3) breast cancer (age 21 with partial mastectomy, negative lymph nodes, local recurrence at age 48 with total mastectomy) social history: married, smoker 1 ppd, no drinking or drugs family history: not pertinent physical exam: vs: temp: 96.7, bp 116/64, hr 94 reg, rr 20, oxygen sats on ra 95% pe: gen: pt pleasant in nad lungs: clear/diminished t/o bilaterally, right thoracotomy healing without redness, purulence or drainage. left pectoralis flap warm, pink, and edges approximated without redness, purulence or drainage. three jp's to bulb sxn. slight erythema around all three with scant purulence surrounding apical jp, without drg. cv: rrr, s1, s2, soft hsm t/o abd: soft, nt, nd ext: warm 2+ ble edema pertinent results: 06:25am blood wbc-15.6* rbc-3.26* hgb-9.7* hct-28.7* mcv-88 mch-29.8 mchc-33.8 rdw-14.5 plt ct-206 06:25am blood glucose-152* urean-17 creat-0.6 na-136 k-4.1 cl-101 hco3-26 angap-13 pa and lateral cxr the left lower chest tube has been disconnected with no interval development of pneumothorax or increase in pleural effusion. only one chest tube is now remaining on the left. the cardiomediastinal silhouette is stable. the right mediastinal drain is in unchanged location. brief hospital course: mrs was admitted on where she underwent left latissimus flap closure and pectoralis musculocutaneous flap closure by dr. of plastic surgery. after a brief, uneventful stay in the pacu, the patient arrived on the floor npo, on iv fluids and antibiotics, with a foley catheter, a epidulr and iv dilauded for pain control. the patient was hemodynamically stable. patient with chest tubes x 2 tp dry suction 20cm. neuro: the patient received an epidural and iv dilauded with good effect and adequate pain control. when tolerating oral intake, the patient's epidural was removed and she was transitioned to oral pain medications. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. patient with chest tubes monitored daily. chest tubes were placed to water seal after 48 hrs and apical chest tube was removed. basilar chest tube was removed the next day. post pull chest xray was taken after the basilar chest tube was removed. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. patient with flap and jp drains x4 monitored and cared for by plastic surgery. prior to discahrge patient with three chest tubes to bulb suction. patient discharge with drain teaching and vna for drain care. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. discharge medications: 1. atenolol 25 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*0* 2. esomeprazole magnesium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 3. vytorin 10-40 10-40 mg tablet sig: one (1) tablet po at bedtime. 4. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation: take while on dilaudid to prevent constipation. 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 7. aspirin 81 mg tablet sig: one (1) tablet po once a day. 8. tamoxifen 20 mg tablet sig: one (1) tablet po once a day. 9. calcium 600 600 mg (1,500 mg) tablet sig: one (1) tablet po once a day: take as prescribed by pmd. 10. dilaudid 4 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain: taper down interval as able slowly every 1-2 hrs every 1-2 days then cut in half, over the next two weeks as directed. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: left upper lobe lung nodule left breast ca s/p partial mastectomy c/b local recurrence s/p total mastectomy hypertension discharge condition: stable discharge instructions: call dr. office if experience: -fevers > 101 or chills. -increased shortness of breath, cough or sputum production -chest pain -incision: develops drainage, reddness increased warmth call immediately -chest tube sites remove dressing monday cover site with a bandaid call dr. if jp site becomes red, pussy or drains. cleanse area with soap and water and cover with bacitracin ointment. if the drainage is consistently less than 30 ml per day you may call dr. office for an earlier appointment to consider removal of drains. - no driving while taking dilaudid. - shower, but keep chest tube site covered daily with bandaid. - no lifting, pushing, or pulling >10 lbs x 7 weeks. - no lifting left arm above head. followup instructions: follow up with dr. on thursday at 10 am in 9 at . please get chest xray on 45 minutes prior to this appointment. call to reschedule . follow up with dr. on at 2:45 pm at his office on 235 cypress in . procedure: reconstruction of eyelid with hair follicle graft other local excision or destruction of lesion or tissue of skin and subcutaneous tissue pericardiectomy attachment of pedicle or flap graft to other sites injection into thoracic cavity other local excision or destruction of lesion or tissue of lung insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt latissimus dorsi myocutaneous flap diagnoses: other iatrogenic hypotension tobacco use disorder unspecified essential hypertension secondary malignant neoplasm of other specified sites malignant neoplasm of other parts of bronchus or lung secondary and unspecified malignant neoplasm of intrathoracic lymph nodes personal history of irradiation, presenting hazards to health nonspecific abnormal electrocardiogram [ecg] [ekg] acquired absence of breast and nipple degenerative skin disorders acquired deformity of chest and rib 

Answer: The patient is high likely exposed to