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: 20/20 / iodine; iodine containing / keflex attending: chief complaint: symptomatic carotid stenoses. major surgical or invasive procedure: l internal carotid artery stenosis s/p angioplasty and stenting pacemaker and icd lead revision history of present illness: 80 year old with significant carotid artery stenoses revealed by mra. noted to have significant l-ica stenoses beyond the bifurcation with mild stenosis at the bifurcation. on the right hand side, moderate to severe stenosis at the bifurcation and in the proximal r-ica. these stenoses have become symptomatic with recent ?tia. obstructions: left 90%, right 60-70%. past medical history: 1. icd: biventricular icd placed for vt indication. 2. cad: last cath : d1 ostial 30%, lcx 30% isrs, totally occluded rca. 3 prior mi's. stent to lcx in , ptca of lad in , stent to rca in early (now occluded). 3. h/o lbbb 4. desc aortic aneurysm (2.3 x 1.5 cm ) 5. chf, syst and diast (ef 30%) 6. asbestosis on home o2 7. djd s/p r tkr 8. mild cri 9. s/p appy social history: pt is a jehovah's witness no etoh /tob lives with his wife in an apartment in family history: htn, cad, dm physical exam: v/s: afeb, 75, 108/59, 14, comfortable on ra i/o: 1738/1040 (+698), overnight -1340. tele: no events. gen: a/ox3, pleasant, nad. cv: rrr, nl s1/s2, no m/r/g. no carotid bruit. pulm: ctab abd: +bs, s/nt/nd extr: no c/c/e. neuro: cnii-xii intact pertinent results: ,: radiology detail - ccc record # indications: 80 year old man with carotid artery stenosis. evaluation of the vasculature requested. technique: multiplanar t1, t2, and susceptibility images of the brain were obtained. no contrast was administered. mr angiography of the circle of was performed with acquisition of two- and three- dimensional time-of-flight images. mr angiography of the neck was also performed with two- and three-dimensional time- of- flight images of the major arteries. findings: on the brain images, there is no evidence of hydrocephalus, mass effect, or shift of the normally midline structures. the ventricles, cisterns, and sulci are unremarkable. there are patchy areas of increased t2 signal in the pons. there are also widespread patchy areas of increased t2 signal in the subcortical white matter of both cerebral hemispheres. these signal abnormalities are consistent with chronic small vessel ischemic infarcts. also, in the posterosuperior right frontal cortex, there is a small area of increased t2 signal in the cortex consistent with a chronic infarction. a similar small infarct in the head of the left caudate nucleus is also observed. no susceptibility artifact is seen. the visualized vascular flow voids are present. the osseous structures, soft tissues, and sinuses are unremarkable. mr angiography of the circle of shows no evidence of stenosis in the major vessels. along the proximal right posterior cerebral artery, there is a tiny focus of increased signal intensity on the two-dimensional time-of-flight images. in the source images, there is no suggestion of an aneurysm at that site. this small focus appears to be an artifact. there is no definite evidence of an aneurysm. mr angiography of the carotid and vertebral arteries in the neck is significant for a severe stenosis beyond the bifurcation in the left proximal internal carotid artery. only mild carotid narrowing is seen at the left carotid bifurcation. the left carotid bifurcation is more superiorly located than the right, and accordingly, three-dimensional time- of-flight images understandably did not entirely cover this area. the severe left proximal internal carotid stenosis is best visualized on the two-dimensional time- of- flight images. on the right side, on both the two- and three-dimensional time-of- flight images, a probable moderate to severe right carotid stenosis at the bifurcation, and moderate to severe right proximal internal carotid stenosis is also seen. impression: the head mri shows evidence of widespread patchy increased t2 signal. these are are consistent with chronic small vessel ischemic infarcts. the mr angiogram of the circle of shows no definite evidence of stenosis or aneurysm. the mr angiogram of the neck is significant for a severe left internal carotid artery stenosis beyond the bifurcation, with mild stenosis at the bifurcation. on the right, there is evidence of moderate to severe stenosis at the bifurcation and in the proximal internal carotid artery. procedure date: ,: radiology detail - ccc record # history: 80 y/o man s/p bivalve icd placement. r/o rv lead dislodgement. comparison: . chest ap: the tip of the right ventricular lead appears to have rotated into the right atrium. the right atrial and coronary sinus leads are in unchanged position. cardiac and mediastinal and hilar contours are stable in appearance. pulmonary vasculature is normal. the lungs are clear. there are no pleural effusions. osseous and soft tissue structures are unremarkable. impression: displacement of right ventricular icd lead into the right atrium. procedure date: ,: radiology detail - ccc record # history: defibrillator lead change. chest, pa and lateral: the heart is normal in size. a difibrillator is present on the left anterior chest wall, and there are two rv leads and a single ra lead. there is no pneumothorax. there are no signs of failure and there are no focal infiltrates. nodular calcifications in the left mid lung zone are likely related to previous granulomatous disease. there is no mediastinal adenopathy. there is no effusion or bone destruction. procedure date: brief hospital course: admitted for stent placement in the left ica. pt. returned from cath with 1.5 mcg/kg/min of phenylephrine, successfully weaned. pt. experienced brief bouts of non-specific bilateral radiating numbness but with consistently normal cnii-xii exam; likely transient vagal depression nature. the patient also has a biventricular icd implanted, which was interrogated prior to the stent procedure. it was determined that the rv lead/icd had become dislodged. the defibrillator function was disabled, leaving the device operating as an ra/lv ddd pacer. cxr indicated that the rv lead had ascended into the ra. the pacer function began to be impaired by erroneous sensing, with pacing occuring on the st segment leading to brief aberrant nsvt runs. ep put the icd into (sense-only) mode, and the patients leads were then percutaneously resited satisfactorily as confirmed by repeat cxr. icd function was tested and found to be satisfactory. the patient did well after carotid stenting and icd lead revision and was subsequently discharged home with assistance in stable and improved condition. medications on admission: 1. lasix 20mg po qd 2. glucophage 500mg po bid 3. glyburide 5mg po qd 4. prevacid 30mg po qd 5. lisinopril 20mg po qd 6. asa 325mg po qd 7. oxycodone 5mg po q4-6h:prn pain 8. plavix 75mg po qd 9. simvastatin 40mg po qd 10. digoxin 0.125mg po qd 11. setraline 50mg po qd discharge medications: 1. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day): do not stop this medicine until speaking with dr. . disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). 3. sertraline hcl 50 mg tablet sig: one (1) tablet po qd (once a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. digoxin 125 mcg tablet sig: one (1) tablet po once a day. 6. glyburide 5 mg tablet sig: one (1) tablet po once a day. 7. glucophage 500 mg tablet sig: one (1) tablet po twice a day. 8. prevacid 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. zocor 40 mg tablet sig: one (1) tablet po once a day. 10. oxycodone hcl 5 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. 11. percocet 5-325 mg tablet sig: one (1) tablet po every hours as needed for pain. disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: 1. l internal carotid artery stenosis s/p angioplasty and stenting 2. dislodged pacemaker and icd lead s/p revision 3. congestive heart failure 4. diabetes mellitus discharge condition: stable and improved discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 2l -contact your primary care physician should you experience any lightheadedness, dizziness, shortness of breath or chest pain. -do not restart your lisinopril without checking with dr. . the visiting nurse will call his office next week after checking your blood pressure. followup instructions: 1. please call to schedule an appointment next week with dr. at ( to follow up for your pacemaker. 2. contact dr. office to schedule an appointment at ( to be seen the same day as dr. . procedure: angioplasty of other non-coronary vessel(s) arteriography of cerebral arteries other operations on heart and pericardium insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) other nonoperative cardiac and vascular measurements diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled paroxysmal ventricular tachycardia occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified angina pectoris mechanical complication of automatic implantable cardiac defibrillator old myocardial infarction asbestosis 

Answer: The patient is high likely exposed to