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 45-year-old woman who presents for operation of bilateral total mastectomies with immediate breast reconstruction using autologous tissue, in essence free tram flap. past medical history: the patient's past medical history is consistent with intraductal carcinoma diagnosed by open surgical biopsy on . patient had a 1.5 cm grade 2 lesion. patient has an er/pr positive tumor that was her- 2/neu negative. there were 0/9 nodes involved. patient received dose-dense chemotherapy x4. the patient's past medical history is consistent with asthma, 3 staph. infections. past surgical history: patient has had bilateral bunion surgery. family history: is consistent with lung cancer. social history: the patient is married. she is a kindergarten teacher. she does not smoke cigarettes. she drinks alcohol rarely. medications: patient takes caltrate, albuterol p.r.n. allergies: patient is allergic to ct scan dye, possibly latex, and possibly tape. physical examination: patient's vitals on admission are 115/78 with a pulse of 88, temperature of 97.8. patient is 5 foot 1 inches and weighs 128 pounds. general: she is well- nourished, well-developed, and in no acute distress. heent: within normal limits. her chest was clear to auscultation at both the apices and the bases. patient's cardiac exam: she is regular rate and rhythm without murmurs, rubs, or gallops. patient's abdomen is soft, is nontender. there are no masses appreciated. patient's extremities have full range of motion. there is no clubbing, cyanosis, or edema. patient does have carcinoma of the right breast. has a high personal history for breast cancer. hospital course: patient will have total mastectomy bilateral and immediate breast reconstruction on . this is a brief summary of the hospital course. on , the patient was taken to the or for bilateral total mastectomies with immediate breast reconstruction with free tram flaps. patient's surgery went well. she had no issues postoperatively. in the pacu postoperatively, the patient's vitals were 98.1, 76, 92/54. she was afebrile with stable vital signs. she was doing well. both the patient's flaps were checked overnight. they were found to be warm and well perfused with no evidence of ischemic damage or concern. in the morning on postoperative day 1, the patient was comfortable. she was afebrile with stable vital signs. her abdominal wound was clean, dry, and intact. patient was doing well. patient was seen in the pacu on the morning of postoperative day 1 by the plastic surgery attending, who felt that the right flap was fine. it was warm with a normal signal. the attending felt the left flap was cool that had a dopplerable signal, but it was concerning and swollen. the feeling at the time that the left flap was clearly threatened either from hematoma or more likely venous occlusion. the plan was to urgently return to the or for exploration. the patient understood the 50% chance of salvage and the possibility of a vein graft in the event that the patient had suffered a venous occlusive problem that might further compromise her flap. so on postoperative day 1 from the original surgery, patient was taken back to the or for immediate exploration of the left breast. the take-back surgery was successful. please see the operative note for further detail. on postoperative days 1 and 2, patient was transferred to the surgical intensive care unit where she was monitored very closely. patient did very well while on the unit. her hematocrit was monitored very closely along with her other electrolyte labs. the patient's breasts were also monitored very closely with both doppler exam and clinical examination to determine if there was any further concern for ischemia or venous occlusion. on postoperative day 2 and day 3, the patient did very well. she was afebrile with stable vital signs. her flaps appeared viable. her pain was controlled with a pca and with a sensorcaine pump. patient was slightly tachycardic; however, her iv fluids were continued and she settled out. on postoperative day 3 and day 4, the patient continued to do well and continued to progress. she was comfortable. her pain was well controlled. her flaps appeared to be very healthy and viable without cause for concern. the left breast specifically was very warm and had an excellent arterial and venous signal. the patient's coagulation labs, specifically the pt and ptt were monitored closely. on postoperative day 3 and day 4, the patient was experiencing some reflux. she was afebrile with stable vital signs. her urine output began to pickup, and she continued to do very well. the patient also did experience a drop in her hematocrit. this was again very closely monitored and her heparin drip was turned off at this time in order to prevent any further blood loss. the heparin drip had been on to prevent coagulation of the patient's free flaps. however, when the patient sustained a substantial hematocrit drop, the heparin was discontinued. it is important to note that the patient's breast flaps remained viable at all times and at no point was this a cause for concern. on postoperative days 4 and 5, the patient was transferred from the surgical intensive care unit to the regular hospital floor. the patient progressed very well on the regular hospital floor. she was afebrile. her vital signs were stable. she did not experience any untoward events. her hematocrit remained stable and did not have any further decrease. patient did experience some mild temperature elevation. however, her temperature never reached greater than 100.4 degrees. patient's jp drains remained to bulb suction and they were draining adequately. the plan was to have the patient continue to ambulate and to be up out of bed with physical therapy in order to regain her strength and work on her balance. on postoperative day 6, the patient was doing very well. her flaps again were warm and well perfused by both clinical exam and doppler examination. she did have a slight amount of ecchymosis. the plan was to discharge the patient to home on . discharge diagnoses: breast cancer with bilateral total mastectomies and immediate free transverse rectus abdominis myocutaneous reconstruction. discharge condition: stable. follow-up instructions: the patient is to followup with dr. in 1 week. the patient was to call dr. office upon discharge from the hospital. patient is to followup with dr. in 3 weeks. upon discharge from the hospital, the patient is to call dr. office in order to followup with her. discharge medications: colace 100 mg p.o. b.i.d., aspirin 81 mg p.o. daily, percocet 5/325 mg 1-2 tablets p.o. q.4-6h. p.r.n. pain, 60 tablets were dispensed, keflex 500 mg p.o. 4 times a day for 10 days. patient also was given sarna lotion which she can apply topically 3 times a day for a small rash that she had on her buttocks. discharge status: to home. , procedure: bilateral simple mastectomy diagnoses: other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution tachycardia, unspecified other complications due to other internal prosthetic device, implant, and graft malignant neoplasm of other specified sites of female breast mechanical complication due to graft of other tissue, not elsewhere classified 

Answer: The patient is high likely exposed to