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: no known allergies / adverse drug reactions attending: chief complaint: patient presents with known acomm aneurysm for coiling major surgical or invasive procedure: coiling of acomm aneurysm history of present illness: known acomm aneurysm past medical history: -htn social history: -smokes tobacco daily, no etoh or drugs. 35pack year history family history: -mother with cerebral aneurysm rupture physical exam: neck: no carotid bruits; rom full; cv; rrr, no murmurs pulm; cta abd; soft, nt, nd extr; no edema, clubbing, cyanosis; distal pulses can be palpated; neuro; ms; a&ox3, attentive; able to relate history without difficulty. speech fluent. naming, repetition, and comprehension intact. no apraxia; memory: 3/3/3 minutes; moderate fund of knowledge; cn; perrl 4mm-->2mm, fundus: no edema; eom's intact, no nystagmus. face sensation intact v1-v3, very mild flattening of left nlf, but left face moves similar to right; hearing symmetric; midline; palate symmetric, trapezius symmetric, tongue midline. motor; normal bulk and tone; mild left pronator drift; 5/5 strength on the right arm and both legs; 5-/5 at left wrist and finger extensor and io; reflexes: slightly more pronounced on the left; ankle reflexes diminished bilaterally; upgoing toe on left; sensory; intact to light touch and pinprick throughout coordination; mild dysmetria on fnf on the left; slowed ffm on the left; hts symmetric; nl stance and gait; exam on discharge: neurologically intact, with the exception of some left arm weakness which may be due to pain in the shoulder. brief hospital course: patient was admitted to undergo an elective coiling for acomm aneurysm. the preformed procedure was uncomplicated. post procedure the patient was transferred to the surgical icu for close monitoring. she remained on a heparin drip until the morning at which time we discontinued the heparin and started her on plavix. patient is being discharged home with appropriate follow up. medications on admission: asprin 325mg daily metoprolol 100 mg er daily simvastatin 40mg daily lisinopril 20 mg daily amlodipine 5mg daily discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 7. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 8. amlodipine 5 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: anterior communicatin artery anerusym discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: angiogram with embolization and/or stent placement medications: ?????? take aspirin 325mg (enteric coated) once daily. ?????? take plavix (clopidogrel) 75mg once daily. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: please call our office for a follow up appointment with dr. . you will need a mri/mra before your visit. we will schedule this study for you when you call. you should maake an appointment 4 weeks from the date of your coiling. procedure: arteriography of cerebral arteries endovascular (total) embolization or occlusion of head and neck vessels diagnoses: tobacco use disorder unspecified essential hypertension cerebral aneurysm, nonruptured 

Answer: The patient is high likely exposed to