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: poor balance major surgical or invasive procedure: suboccipital craniotomy history of present illness: is a 48 year-old right-handed woman with breast cancer and metastasis to the brain, lungs, bone and liver. she is here with her husband for head mri. she continues to feel well without any headache, weakness or dizziness. for the past few weeks she does think that her balance has not been as good but no falls or veering to one side. she has had two resections in by dr . past medical history: her oncologic problems began in with a left breast lump. an open biopsy revealed infiltrating lobular carcinoma, er negative and her2/neu positive. a left-modified mastectomy was done by , md on . there were 14/16 positive lymph nodes. she received 4 cycles of neoadjuvant cyclophosphamide and adriamycin followed by 4 cycles of taxotere. she completed chest irradiation by dr. at hospital on . she was restaged on because of right upper quadrant tenderness and right rib pain. she had extensive metastasis to liver, bone and lungs. her neurological problem began in with gradually worsening headaches that were constant, dull, throbbing and located in the left occipital region. the headache was not positional but coughing and sneezing aggravated it. she went to hospital on with severe headache, nausea and vomiting. she was transferred to and a mri revealed a solitary left cerebellar lesion. a suboccipital craniotomy was done on by , md consistent with breast metastasis. 1. resection of left cerebellar metastasis on by dr. 2. srs to the tumor bed on to 1500 cgy by dr. 3. resection of left cerebellar recurrence on by dr. 4. radiotherapy boost to 4000 cgy from 5. cyberknife srs to 2 right cerebellar mets (1600 & 1800 cgy) on 6. lapatinib and xeloda started on social history: effexor xr 75 mgs daily, neurontin 300 mg tid, ativan 0.5 mg prn, xeloda 1000 mg , tykerb/lapatinib 1250 mg daily, zometa monthly. family history: works full time, married with children physical exam: physical exam: bp is 118/82, p-72, r-16. heent is unremarkable. heart has a regular rate and rhythm. lungs are clear. abdomen is soft nontender. extremities are without edema. neurological exam: karnofsky score is 100. she is alert and oriented times three. language is clear and fluent with good comprehension. pupils are 5 mm and equally reactive. visual fields and eom's are full without nystagmus. hearing is intact to finger rub. face is symmetric and sensation is intact. tongue is midline. palate rises symmetrically. shoulder shrug is strong. there is no drift. strength is throughout. sensation is intact to light touch. reflexes are 2+ in the upper extremities, 1+ at the knees and absent ankle jerks. coordination is intact. romberg has slight sway. tandems fair. gait is normal based brief hospital course: she was admitted and brought to the operating room on where under general anesthesia she underwent a left suboccipital craniotomy with removal of tumor. she tolerated this procedure well and was transferred to the pacu where she remained overnight for close neurosurgical monitoring. postoperatively, she was alert and oriented. pupils were equal, round, and reactive to light and accommodation. she had no drift. her postoperative examination showed that she was awake, alert and oriented. cranial nerves ii through xii were grossly intact. she had no drift. she has fullrange of motion of all extremities with normal strength. she continued to do well postoperatively; and on the first postoperative day, her a line was removed, her foley was discharged. she was transferred to the floor. she was weaned off of her decadron. her activity and diet were both increased. she did also undergo a postoperative mri scan of the head. her incision was clean, dry and intact. she continued to do well and was discharged to home after being cleared by pt on: medications on admission: effexor xr 75 mgs daily, neurontin 300 mg tid, ativan 0.5 mg prn, xeloda 1000 mg , tykerb/lapatinib 1250 mg daily, zometa monthly. discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): use while on percocet. disp:*40 capsule(s)* refills:*1* 3. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 4. venlafaxine 75 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours): use while on decadron. disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 6. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*25 tablet(s)* refills:*0* 7. dexamethasone 1.5 mg tablet sig: two (2) tablet po three times a day for 2 days. disp:*12 tablet(s)* refills:*0* 8. dexamethasone 2 mg tablet sig: one (1) tablet po tid for 2 days then until brain tumor clinic followup: start after 3mg dose. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: metastatic breast ca discharge condition: neurologically stable discharge instructions: ?????? 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: follow up in the brain tumor clinic on: at 2pm have staples out at dr office on monday between 0900-1200 procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other repair of cerebral meninges diagnoses: malignant neoplasm of liver, secondary personal history of malignant neoplasm of breast secondary malignant neoplasm of brain and spinal cord secondary malignant neoplasm of lung secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to