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: taxol attending: chief complaint: brain mass, in need of shunt procedure major surgical or invasive procedure: 3rd ventriculostomy history of present illness: 55f with a history of metastatic breast cancer, who has right and left cerebellar brain metastases. her oncological problem started in when a right breast mass was discovered on mammogram. she had lumpectomy and t2, n0, and m0 invasive carcinoma was found. she received chest irradiation with cmf (cyclophosphamide, methotrexate, and 5-fu), adjuvant chemotherapy, followed by tamoxifen. in , she had recurrence with chest irradiation followed by tamoxifen. she stopped tamoxifen in . in , she developed recurrent disease in the left breast. metastatic work up revealed metastases in lungs and bone. she received adriamycin and cyclophosphamide for 4 cycles, together with one dose of taxol from which she developed an anaphylactic reaction. she then completed whole brain cranial irradiation on . she was admitted to neurosurgery for 3rd ventriculostomy so that she could undergo radiation treatment in her brain for metastases. past medical history: see above, plus: hypertension and sarcoidosis. past surgical history: she had breast surgeries, a right lumpectomy in and a left lumpectomy in . she had a lung biopsy in . social history: she does not smoke cigarettes or drink alcohol. has a fiance. family history: mother died of breast cancer. an aunt from the maternal side has breast cancer but it is under control. her father is healthy. she has 2 uncles, one died of smoking-related lung cancer while another is alive with non-smoking-related cancer. there are other members of her family with diabetes. physical exam: on discharge: she is awake, alert, and oriented times 3. her language is fluent with good comprehension, naming, and repetition. her recent recall is good. cranial nerve examination: her pupils are equal and reactive to light, 4 mm to 2 mm bilaterally. extraocular movements are full. visual fields are full to confrontation. her face is symmetric. facial sensation is intact bilaterally. her hearing is intact bilaterally. her tongue is midline. palate goes up in the midline. sternocleidomastoids and upper trapezius are strong. motor examination: she does not have a drift. her muscle strengths are at all muscle groups. her muscle tone is normal. her reflexes are 2- and symmetric bilaterally. her ankle jerks are absent. her toes are downgoing. sensory examination is intact to touch. coordination examination does not reveal dysmetria. her gait is normal. she does not have a romberg. head: incision cd&i with vertical mattress sutures in place, no bleeding present cv: rrr, no murmurs chest: ctab abd: s/nd/nt +bs ext: wwp pertinent results: 07:20am blood wbc-4.1 rbc-2.98* hgb-10.9* hct-32.2* mcv-108* mch-36.5* mchc-33.8 rdw-14.4 plt ct-198 07:20am blood pt-12.6 ptt-38.3* inr(pt)-1.1 07:20am blood plt ct-198 11:00am blood facviii-72 05:12am blood glucose-109* urean-6 creat-0.8 na-142 k-3.8 cl-108 hco3-27 angap-11 07:20am blood calcium-9.1 phos-3.1 mg-2.1 05:12am blood calcium-9.4 phos-3.1 mg-2.1 05:12am blood glucose-109* urean-6 creat-0.8 na-142 k-3.8 cl-108 hco3-27 angap-11 brief hospital course: pt was admitted to neurosurgical service for scheduled procedure. she underwent a head ct for stereotactic planning on the day of admission. she then was taken to the operating room and underwent ventriculoscopy. she tolerated this procedure with no complications. (for full details of procedure, see dictated operative report.) hospital course by system: neuro: the patient tolerated the surgery well with no resulting neurological deficits. she was monitored in the pacu overnight with hourly neuro checks and then transferred to the floor pod1. on the day of discharge she was completely neurologically intact (see exam above). cv: no issues, pt remained hemodynamically stable throughout hospitalization pulmonary: no issues, pt received incentive spirometry post-op and lungs were cta gi: no issues, tolerating full diet on day of discharge gu: no issues, pt making adequate urine without foley on day of discharge id: the pt received perioperative antibiotics and post operative vanc/gent for 3 doses each. on the day of discharge she was afebrile with no elevated white count. heme: prior to the procedure she received 2000u of factor 8 per recommendations of hematology due to her factor 8 deficiency. she received 2000u 12hours later and a third dose 12 hours after the second dose. her followup factor 8 level was 72 postoperatively which was therapeutic. of note, she did have some slight oozing from the incision site, this was corrected easily by over-suturing the incision. on the day of discharge her hct had decreased slightly to 33, but was hemodynamically stable with no bleeding from the wound. she had followup with heme planned. oncology: pt had plans for followup with radiation oncology and brain tumor clinic provided to her. on the day of discharge the pt was hemodynamically stable and good with pain controlled, afebrile with plans for followup. medications on admission: tykerb diovan iron vit b6 discharge medications: 1. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: do not drive or drink alcohol with this medication. take a stool softener with this medication. disp:*60 tablet(s)* refills:*0* 4. tykerb 250 mg tablet oral 5. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: breast cancer with metastasis to brain discharge condition: stable and good discharge instructions: discharge instructions for craniotomy/head injury ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: you will follow-up with radiation/oncology dr. for cyberknife planning on monday at 9am on 5. call for confirmation. . you have a brain clinic appointment with provider: , md phone: date/time: 3:00. this is on the of the building on the . . please return to the office in 10 days for removal of your staples/sutures. please call to arrange. . also please call to schedule an appointment with dr. to be seen in 4 weeks from today . you should also follow-up with hematology. please call their office to make an appointment with , md ,md. please call their office to make an appointment: ( procedure: intravascular imaging of intrathoracic vessels diagnoses: obstructive hydrocephalus urinary tract infection, site not specified unspecified essential hypertension personal history of malignant neoplasm of breast sarcoidosis secondary malignant neoplasm of brain and spinal cord secondary malignant neoplasm of lung secondary malignant neoplasm of bone and bone marrow congenital factor viii disorder 

Answer: The patient is high likely exposed to