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: this is a 62-year-old female with breast cancer diagnosed in , stage 2a/b status post left breast excision, left axillary lymph node dissection with 1/14 lymph nodes positive, status post chemotherapy and xrt who presented with 1-2 weeks of low back pain and right upper extremity pain. hospital course: mri of the lumbar spine on showed a compression deformity of l1 vertebral body with retropulsion of bone fragments and narrowing of the central canal by 50%. in addition, there was slight flattening of the conus. shoulder film of patient's right upper extremity showed no on the neurosurgical service, however, patient was noted to have shortness of breath as well as a large left pleural effusion and decision was made to have patient transferred to the medicine service on for further management. the neurosurgical service felt that the patient was not a surgical candidate in light of her multiple co-morbidities. in addition, radiation oncology was consulted to evaluate patient for possible xrt, however, felt that this would not be optimal treatment for a likely pathologic bone fracture. it was suggested that the hematology/oncology service be consulted and patient be evaluated for the option of systemic chemotherapy. the hematology/oncology team came and evaluated and felt that patient would be a candidate for treatment and measures were set in place for patient to receive chemotherapy. patient, as well as patient's brother who was acting as health care proxy agreed to the chemotherapy; however, patient had difficulty making a decision on whether she wanted chemotherapy or not and thus the treatment was deferred for severak days during which daily discussions were held. at this time it was questioned whether patient was competent and a psych and ethics consult was obtained. the patient's mental status was noted to wax and wane with increased periods of lucidity, however, at times patient was extremely confused. as far as pulmonary status, patient was persistently in requirement of increasing amounts of o2. it was felt that her hypoxia was related to lymphangitic spread of her malignancy and would hopefully respond to chemotherapy. the patient was status post thoracentesis during the initial part of her hospital stay with only minimal improvement in her shortness of breath. on the evening of the patient was noted to be in marked respiratory distress and became asystolic. a code blue was called and a functional rhythm returned. the patient was transferred to the medical intensive care unit for further management. a family discussion was held and her code status was changed to dnr in accordance with her wishes. on at approximately 7:14 a.m. the patient had another asystolic cardiac arrest. on further evaluation of the patient, she was noted to have fixed and dilated pupils with no palpable pulse and was not noted to have any spontaneous breaths or heart activity. the patient was pronounced dead at 7:14 on the a.m. of . patient's next of , her brother, as well as the attending, dr. , were notified. the family was not interested in an autopsy. , m.d. dictated by: medquist36 d: 17:21 t: 18:41 job#: procedure: thoracentesis diagnoses: esophageal reflux unspecified pleural effusion personal history of malignant neoplasm of breast cardiac arrest secondary malignant neoplasm of bone and bone marrow pathologic fracture of vertebrae 

Answer: The patient is high likely exposed to