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: dyspnea major surgical or invasive procedure: right thoracentesis history of present illness: 46yo woman with a history of breast cancer metastatic to liver, lungs, , brain who presents with dyspnea. she has a history of malignant left pleural effusion, which has been treated with thoracentesis and pleurodesis. she also has a history of right pleural effusion, which was tapped on . she now presents with increased level of dyspnea times 5 days. she denied any chest pain, pleurisy, abdominal pain, cough, fever/chills. she does endorse nausea/vomiting, decreased po intake, and weight loss. in ed, had thoracentesis with 1300cc drained. past medical history: 1. metastatic breast cancer -mets to , , liver, lungs -s/p xrt, lumpectomy -s/p 2 cylces of neoadjuvant fac -s/p whole brain irradiation and lumbosacral radiation -s/p 5-fu -s/p tamoxifen -s/p tx with weekly epirubicin/taxotere -currently on arimidex 2. left pleural effusion - s/p thoracentesis, s/p talc pleurodesis in 3. right pleural effusion - thoracentesis in social history: she was born on and st. . she moved to the u.s. in . she has a teenage daughter. she denied tobacco, alcohol. she is a retired house cleaner and lives alone. family history: negative for breast cancer and ovarian cancer. physical exam: 98.8, 109, 160/100, 18, 100% 5l nc gen: sleepy, arousable, no acute distress heent: ncat, eomi, perrl, anicteric, oropharynx clear cv: tachycardic, regular rhythm, no m/r/g skin: anterior chest wall ulceration, nodular breast lesions resp: decreased breath sounds in both lung bases r>l dullness to percussion to mid lung field on right abd: soft, nabs, nt/nd extr: no c/c/e neuro: no focal deficits pertinent results: 07:00am glucose-79 urea n-7 creat-0.4 sodium-129* potassium-4.4 chloride-89* total co2-30* anion gap-14 07:00am ld(ldh)-441* 07:00am tot prot-6.5 calcium-9.1 phosphate-3.3 magnesium-2.2 07:00am osmolal-265* 07:00am wbc-7.0 rbc-5.20 hgb-13.1 hct-40.7 mcv-78* mch-25.3* mchc-32.3 rdw-14.6 07:00am plt count-308 03:15am urine hours-random urea n-375 creat-43 sodium-28 11:45pm pleural tot prot-4.2 glucose-115 ld(ldh)-312 albumin-2.4 08:30pm ctropnt-<0.01 08:30pm ck-mb-3 08:30pm albumin-3.9 08:30pm wbc-7.2 rbc-5.13 hgb-13.5 hct-41.2 mcv-80* mch-26.2* mchc-32.7 rdw-14.9 08:30pm hypochrom-1+ microcyt-1+ 08:30pm plt count-326 brief hospital course: 46yo woman with history of metastatic breast cancer to lung, liver, bones, brain presented with dyspnea secondary to recurrent pleural effusion. 1. recurrent right pleural effusion she has a history of malignant left pleural effusion, which has been tapped and is s/p pleurodesis. she presented in with right pleural effusion. she now presented with dyspnea and recurrent right pleural effusion. this was drained by thoracentesis, and then pleurodesed by interventional pulmonary service. the chest tube was removed after three days of chest tube output of less than 150cc. 2. hospital acquired pneumonia she developed new onset of multifocal infiltrates during her hospital course, and had a transient leukocytosis. she was started on empiric broad spectrum abx, including ceftazidime, azithromycin, and vancomycin. sputum cultures only revealed oropharyngeal flora. other infectious workup included negative ua/urine cultures, and blood cultures (pending). 3. sinus tachycardia she has had extensive workup for this - no clear evidence of fever, pain, anxiety, pulmonary embolism (negative cta during this admission) to explain this. she was given ns for volume repletion, as she became progressively alkalotic and had a fena of < 1% (all consistent with volume contraction). 4. anemia hypochromic, microcytic anemia with iron studies consistent with anemia of chronic inflammation. _ _ ________________________________________________________________ *update: she was sent to the micu for increased respiratory distress. during the course of her micu stay, discussion was held with her family, and she was made comfort measures only. . she thereafter returned to the omed service and passed away. medications on admission: arimidex discharge disposition: expired facility: deceased discharge diagnosis: 1. metastatic breast cancer 2. recurrent malignant effusion 3. hospital acquired pneumonia 4. tachycardia 5. anemia of chronic inflammation discharge condition: deceased discharge instructions: - followup instructions: - procedure: insertion of intercostal catheter for drainage thoracentesis injection into thoracic cavity removal of thoracotomy tube or pleural cavity drain diagnoses: malignant neoplasm of liver, secondary hyposmolality and/or hyponatremia secondary malignant neoplasm of pleura acute and chronic respiratory failure other specified cardiac dysrhythmias secondary malignant neoplasm of brain and spinal cord iron deficiency anemia, unspecified encounter for palliative care secondary malignant neoplasm of lung secondary malignant neoplasm of bone and bone marrow mixed acid-base balance disorder malignant neoplasm of other specified sites of female breast 

Answer: The patient is high likely exposed to