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: penicillins / percocet attending: chief complaint: basilar aretery aneurysm major surgical or invasive procedure: cerebral angiogram with coiling of a basilar artery aneurysm history of present illness: mr. is a 69 y/o male well known to our service. he had been treated endovascularly for a ruptured basilar artery aneurysm with coils, subsequently he underwent a stent assisted re-coiling past medical history: neurologic - basilar artery trunk aneurysm s/p coiling (by dr. ) c/b post-op l pca/occipital hemorrhage and seizure (electrographic and clinical correlate, characterized by slowed speech) cardiovascular - atrial fibrillation (on warfarin), htn, hl urologic - bph social history: married, lives with wife in . retired police officer. past tobacco use, quit in , previously smoked 10 yrs. occasional etoh. no illicits. family history: diabetes mellitus (mother). htn (mother). abdominal aortic aneurysm (mother). coronary artery disease (father). physical exam: mental status: grossly normal to conversation. alert, oriented. able to relate history without difficulty. attentive. speech was not dysarthric. language is fluent with intact repetition and comprehension, normal prosody, and normal affect. there were no paraphasic errors. able to read without difficulty (to the left). -cranial nerves: i: olfaction not tested. ii: perrl, 3 to 2.5mm slightly sluggish (looks like cataract on the right, maybe left too). dense right homonymous hemianopsia sparing central vision; no gross left-hemifield deficits. ** iii, iv, vi: eoms conjugate and full. there is a slight, conjugate, right-beating nystagmus present in all positions including sometimes primary/neutral position, this is exaggerated looking to either side (still right- fast-phase in all directions). there is a significant torsional component to it especially pronounced when the amplitude increases most when he looks to the right). v: facial sensation intact and subjectively symmetric to light touch and pin v1-v2-v3. vii: no ptosis, no flattening of either nasolabial fold. normal, symmetric facial elevation with smile. brow elevation is symmetric. eye closure is strong and symmetric. viii: hearing intact to finger-rub at wrist-length bilaterally, but slightly less sensistive on the right (as previously documented). ** hit lateralizes to left- head turn (no change or corrective saccade on head-turn to the right; beats of rightward nystagmus on head turn to the left) ix, x: palate elevates symmetrically with phonation. : equal strength in trapezii bilaterally. xii: tongue protrusion is midline. -motor: no drift. no asterixis. no tremor or fasciculations were observed. normal muscle bulk and tone; no flaccidity, hypertonicity, or spasticity noted. delt bic tri we ff fe io | ip q ham ta l 5 5 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 5 5 5 5 5 5 -sensory: no gross deficits to light touch or pinprick in hands/feet, arms/legs, face. joint position sense is normal in both lower extremities (great toes). eyes-closed finger-to- testing revealed no proprioceptive deficit (did not miss ). -reflexes (left; right): biceps (++;++) triceps (++;++) brachioradialis (++;++) quadriceps / patellar (++;++) -soleus / achilles (0/+;0/+) -coordination: finger--finger testing and heel-knee-shin testing with no dysmetria or intention tremor. no dysdiadochokinesia noted on rapid-alternating movements. -gait: stands without difficulty. good initiation. narrow-based, normal stride and arm swing. stands on either foot, but has more difficulty balancing on the right. turns normally. able to walk on heels, toes. tandem gait with minimal difficulty. romberg absent. exam on discharge: nonfocal exam, angio site soft, + pulses pertinent results: 04:40am blood pt-11.1 ptt-45.2* inr(pt)-1.0 04:30am blood pt-11.6 ptt-44.7* inr(pt)-1.1 04:20pm blood pt-10.8 ptt-43.7* inr(pt)-1.0 10:00am blood pt-11.1 ptt-43.5* inr(pt)-1.0 brief hospital course: mr. was admitted on to undergo an elective re-coiling of a basialr artery aneurysm. the procedure was performed under general anesthesi; four coils were placed in the base of the aneurysm. after the procedure the patient was extubated and transferred to the intensive care unit on a heparin drip. he was bridged to coumadin with heparin for his afib. he recieved 7.5mg coumadin on and 10mg on . his heparin gtt remained stable. his inr remained non-therapeutic. he was discharged home on with the plan to continue coumadin 10mg daily and f/u with his pcp on . medications on admission: atenolol 25 mg daily 250mcg daily finasteride 5mg daily keppra 1000mg simvastatin 40mg daily diovan 40 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 3. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 4. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 5. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 6. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. valsartan 40 mg tablet sig: one (1) tablet po daily (daily). 9. warfarin 5 mg tablet sig: two (2) tablet po once a day: 10mg saturday and sunday. disp:*10 tablet(s)* refills:*0* 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). discharge disposition: home discharge diagnosis: basilar artery aneurysm 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: ?????? 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 to make an appointment to see dr. in 6 months with an /mra: please touch base with you pcp on monday for labs and coumadin dosing. procedure: arteriography of cerebral arteries endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coils diagnoses: unspecified essential hypertension atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) cerebral aneurysm, nonruptured long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to