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: the patient is a 52 year-old nondiabetic white female with laryngeal cancer involving left neck treated with chemotherapy and radiation therapy was scheduled for excision of a left anterior cervical lymph node the week of admission by dr. at . on the morning of scheduled admission, while at home, the patient experienced left handed clumsiness picking up a pill. she also felt she was speaking like she was drunk. she went to see her primary care physician that same morning where a left facial droop was noted and a left upper extremity pronator drift was seen. the patient is admitted to the on . she was started on intravenous heparin after symptoms had already resolved. noncontrast ct on was negative. carotid ultrasound showed right internal carotid artery stenosis - progression from 60 to 69% previously to 80 to 89%. mra showed a 1 cm long proximal right ica stenosis of 80%. dr. discussed the patient with dr. and the patient was transferred from to . past medical history: 1. squamous cell carcinoma of the larynx and left side of neck. chemotherapy and radiation therapy finished . 2. left cervical lymphadenopathy, scheduled for excision by dr. . 3. history of asymptomatic carotid bruit. 4. gastroesophageal reflux disease. 5. pneumonia. 6. depression/anxiety. past surgical history: 1. g tube and port-a-cath placed at . 2. repair of left foot fracture. 3. cervical disc "titanium" approximately five years ago at hospital. 4. appendectomy. 5. tonsillectomy. 6. c section. family history: no diabetes. father had lung cancer. mother had heart disease. mother had a stroke. social history: the patient currently is living with her daughters. husband died several months ago secondary to complications of a fall. she smokes approximately a half a pack of cigarettes a day. she does not drink alcohol. allergies: novocaine. medications on admission from : 1. heparin intravenous at 900 units per hour. 2. sialagen 5 mg po t.i.d. 3. protonix 40 mg po q.d. 4. lipitor 10 mg po q.d. 5. zoloft 100 mg po q.d. 6. colace 100 mg po b.i.d. 7. percocet one to two tabs q 4 hours prn. 8. ambien 5 to 10 mg po q.h.s. prn. physical examination: vital signs temperature 98.8. pulse 80. respirations 16. blood pressure 118/78. o2 saturation 96% on room air. general, alert, cooperative white female in no acute distress. skin warm and dry. no rashes. heent sclera anicteric. pupils are equal, round and reactive to light. teeth in good repair. no lesions. neck range of motion within normal limits. no lymphadenopathy or thyromegaly. carotids palpable. no bruits. breast examination not done. chest x-ray lungs clear bilaterally, port-a-cath in left upper chest. heart regular rate and rhythm without murmur. abdomen soft. bowel sounds present, nontender. no masses or hepatosplenomegaly. g tube in epigastric area. rectal examination deferred. extremities equally warm. no lesions. pulse examination carotid and radial pulses 2+ bilaterally. abdominal aorta not palpable. femoral pulses 1+ bilaterally. popliteal pulses 2+ bilaterally. right dorsalis pedis pulse 2+. right posterior tibial pulse and left dorsalis pedis pulse and posterior tibial pulses dopplerable. neurological examination cranial nerves ii through xii intact. no facial droop. speech fluent. admission laboratories: white blood cell 5.2, hemoglobin 12.5, hematocrit 37.0, platelets 165,000. pt 12.3, ptt 53.3 (heparin at 900 units per hour), inr 1.0, sodium 139, potassium 4.0, chloride 100, co2 26, bun 15, creatinine 0.8, glucose 121. calcium 8.1, phosphate 4.4, magnesium 1.9, ionized calcium 1.19. hospital course: the patient was admitted to the on from . her intravenous heparin was continued. she was given a loading dose of 300 mg of plavix and then started on a 30 day course of 75 mg of plavix q.d. aspirin 325 mg po q.d. was also started on admission. the mri/mra was reviewed by dr. . the stroke service and the neurosurgical service was consulted. on the patient had an arch/cerebral angiogram and placement of a right internal carotid artery stent following angioplasty by dr. and dr. . at the end of the procedure the patient was neurologically intact. by the end of postoperative day number one the patient developed sudden hypotension with a hematocrit drop from 37 to 26.5. she was transferred to the surgical intensive care unit for further treatment. her abdomen was soft with mild right lower quadrant tenderness. there were no masses felt. the groin puncture site was clean, dry and intact. there was no hematoma. the patient was resuscitated with a total of 3 units of packed red blood cells and crystalloid. no pressors were used. she had no electrocardiogram changes. the intravenous heparin was stopped. aspirin and plavix were continued. serial hematocrit checks were done. at the time of discharge the patient's hematocrit stabilized at 40.4. she remained neurologically intact. the patient was discharged home on . she was to follow up with dr. in the office in two weeks. she was to follow up with dr. in the office in one month. discharge medications: 1. plavix 75 mg po q.d. 2. aspirin 325 mg po q.d. 3. lipitor 10 mg po q.d. 4. sertraline 100 mg po q.d. 5. protonix 40 mg po q.d. 6. pilocarpine 10 mg po t.i.d. condition on discharge: satisfactory. disposition: home. primary diagnoses: 1. symptomatic right internal carotid artery stenosis. 2. right internal carotid artery angioplasty and stent on . secondary diagnoses: 1. blood loss anemia status post transfusion. 2. status post ca of the larynx and left neck. 3. left cervical lymphadenopathy, excision to be done by local surgeon at a future date. 4. gastroesophageal reflux disease. 5. depression/anxiety. , m.d. 2914 dictated by: medquist36 procedure: angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) arteriography of other specified sites diagnoses: esophageal reflux tobacco use disorder depressive disorder, not elsewhere classified anxiety state, unspecified hypotension, unspecified family history of ischemic heart disease enlargement of lymph nodes occlusion and stenosis of carotid artery with cerebral infarction personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to