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: sulfonamides attending: chief complaint: hypoxia, hemoptysis major surgical or invasive procedure: bronchoscopy with biopsy history of present illness: ms. is a 79 year old woman with a history of metastatic breast cancer, diagnosed in and a positive ppd in childhood who presented to for elective bronchoscopy with biopsy of a right mainstem bronchus lung mass. she had been experiencing a non-productive cough for about three weeks. the cough does not wake her up from sleep. she does not have shortness of breath. to workup her cough, a chest x-ray was performed that showed adenopathy and a lung nodule. a follow up ct scan showed a large mass. . for workup of the mass, a bronchoscopy was performed today, prior to admission. a right upper lobe mass was visualized that tracks down her bronchus intermedius. biopsies of a precarinal node, as well as of her bronchus intermedius mass were performed. . following her procedure, she developed respiratory distress and hemoptysis x3. heliox was started. she has been intermittently developing hypoxia during coughing fits. she says that the coughing she is experiencing is relatively unchanged, but she has not had hemoptysis before. . of note, for about one month, she has had episodes of dysequilibrium that she compares to alcohol intoxication. the episodes are not associated with dysarthia or other neurologic symptoms. she has also had three episodes of peripheral vision changes that last for several minutes at a time. opthalmologic evaluation (dr. ) was unrevealing. past medical history: past medical history: osteoporosis on fosamax gerd breast cancer (infiltrating ductal, dx 7/). status post bilateral lumpectomies showing infiltrating ductal carcinoma, negative lymph node dissection. this was treated with bilateral radiation therapy and arimidex. rbbb syncope . past surgical history: bilateral lumpectomies social history: social history: ms. was born in an immigrated to the united states at the age of five. she is divorced and currently lives alone. she works as a painter. she has occupational exposure to acetone, lacquer, and paint. she drinks one drink per night and smoked up to one pack a day in her 20's to mid-30's but has not smoked since. family history: family history: her mother died of chf and her father died of an mi, both in their 80's. she has one sister who is alive and well. physical exam: physical exam: vital signs: t 98 hr 96 bp 138/70 rr 29 sat 98%-->91% heliox wt: 131lbs gen: pleasant elderly female with nasal canulla in place, speaking in full sentences, couging intermittently. heent: op clear. upper dentures in place. mmm. sclerae anicteric. cv: normal s1/s2, rrr. pul: rhoncherous right mid-lung field. no rales or wheezes. abd: soft, nt, nd, +bs. ext: no edema. neuro: alert, oriented x3. pertinent results: 02:26pm glucose-124* k+-4.2 03:19pm pt-13.0 ptt-26.1 inr(pt)-1.1 03:19pm plt count-220 03:19pm wbc-9.6# rbc-4.03* hgb-13.4 hct-38.6 mcv-96 mch-33.4* mchc-34.8 rdw-12.4 03:19pm calcium-9.3 phosphate-3.7 magnesium-2.0 03:19pm glucose-106* urea n-14 creat-0.9 sodium-138 potassium-4.2 chloride-102 total co2-25 anion gap-15 cxr 10am: large right hilar mass, mediastinal lymphadenopathy, and perihilar lung nodules, in keeping with extensive neoplastic disease in the thorax. please see recent ct chest of for more complete assessment of these findings. . ct : new, large (5.2 x 4.7 cm) right hilar lymph node mass causing obstruction of the lateral segment of the right middle lobe bronchus and narrowing of the medial segment of the right middle lobe bronchus, bronchus intermedius and right lower lobe bronchi. possible bronchial invasion in bronchus intermedius with irregular, polypoid configuration. correlative bronchoscopy may be helpful in this regard. brief hospital course: # onc/respiratory: patient has metastatic breast cancer with mass in rul extending to bronchus intermedius. post-procedural bleeding may have lead to further obstruction with clot formation. chest xr shows rml infiltrate. patient had continuous o2 monitoring overnight in the icu and initially was on heliox. she improved overnight to room air but still was slightly short of breath (her baseline). # dysequilbrium and vision changes: not an acute issue. pt will need neurologic workup to rule out tia including mri, carotid ultrasounds. . # cardiac: on asa as outpatient held at this time and on discharge. no known cardiac disease. . # code: full code although she does not want prolonged intubation. daughter is hcp. medications on admission: medications at home: arimidex 1mg po qd asa 81mg (held x2 days) fosomax prilosec discharge medications: 1. anastrozole 1 mg tablet sig: one (1) tablet po daily (). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). hold aspirin discharge disposition: home discharge diagnosis: metastatic breast cancer s/p bronchoscopy discharge condition: good. discharge instructions: continue all medications as before and follow up asbelow. continue all medications as before and follow up asbelow. followup instructions: provider: ,eight day care 8 where: day care 8 date/time: 10:00 provider: , multi multi-specialty thoracic unit-cc9 where: clinical ctr. - 9th fl. hematology/oncology date/time: 9:15 provider: , m.d. where: center phone: date/time: 8:30 md procedure: closed endoscopic biopsy of lung biopsy of lymphatic structure diagnoses: esophageal reflux personal history of malignant neoplasm of breast acute respiratory failure osteoporosis, unspecified malignant neoplasm of other parts of bronchus or lung secondary and unspecified malignant neoplasm of intrathoracic lymph nodes 

Answer: The patient is high likely exposed to