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: lamotrigine attending: chief complaint: 68f with recent r ica stenting on , 80-90% stenosis, now with l stroke symptoms s/p l cas major surgical or invasive procedure: procedure: left carotid stent placement. history of present illness: this is a woman with left hemispheric tia who has an extensive history of coronary artery disease, status post mi in need for cabg. she previously had right carotid stenting and then developed left hemispheric symptoms, and was shown by cta to have severe, greater than 80% stenosis of the left carotid. past medical history: history: stent placement, : r carotid . past medical history: -epilepsy since mid 20s, manifesting as staring and garbled speech -htn -hypothyroidism -hld -right hemisphere watershed stroke in -bilateral severe carotid stenosis -cad with 3 vessel disease -cad social history: she is a widow. her husband passed away from esophageal cancer in . she does not have any children. she had 5 miscarriages. she used to work in a factory that made smoke detectors. that is where she met her longtime friend who looks after her and is present during this hpi. family history: there is no family history of stroke or epilepsy. her father passed away from a ruptured aortic aneurysm. he had insulin-dependent diabetes. her mother passed away from an mi at age 49. physical exam: physical exam vital signs: temp: 97.6 rr: 18 pulse: 68 bp: 102/64 neuro/psych: oriented x3, affect normal, nad. neck: no masses, trachea midline, thyroid normal size, non-tender, no masses or nodules, abnormal: b/l carotid bruits. nodes: no clavicular/cervical adenopathy, no inguinal adenopathy. skin: no atypical lesions. heart: regular rate and rhythm. lungs: clear, normal respiratory effort. gastrointestinal: non distended, no masses, guarding or rebound, no hepatosplenomegally, no hernia, no aaa, abnormal: r lower abdomen/groin with residual hematoma, nondraining, soft. rectal: not examined. extremities: no popiteal aneurysm, no femoral bruit/thrill, no rle edema, no lle edema, no varicosities, no skin changes. pulse exam (p=palpation, d=dopplerable, n=none) rue radial: p. lue radial: p. rle femoral: p. popiteal: p. dp: p. pt: p. lle femoral: p. popiteal: p. dp: p. pt: p. pertinent results: 02:00am blood wbc-8.6 rbc-3.08* hgb-10.0* hct-28.7* mcv-93 mch-32.4* mchc-34.7 rdw-16.8* plt ct-287 10:28pm blood wbc-8.6 rbc-2.81* hgb-9.0* hct-26.7* mcv-95 mch-31.9 mchc-33.7 rdw-16.5* plt ct-278 02:00am blood plt ct-287 10:28pm blood plt ct-278 02:00am blood glucose-130* urean-9 creat-0.6 na-132* k-4.2 cl-102 hco3-23 angap-11 08:23pm blood glucose-160* urean-12 creat-0.7 na-136 k-3.2* cl-105 hco3-22 angap-12 02:00am blood calcium-8.2* phos-3.5 mg-2.4 brief hospital course: is a 68yo rhw with epilepsy and recent r carotid stenting who was discharged to rehab on . she presented to osh with r aphasia and right sided weakness; the aphasia significant improved within an hour and the right sided weakness improved as well, though there is still significant weakness compared to documented neurological exams prior to this admission. due to the improvement, tpa not given at osh. mri head performed and did not show evidence of acute stroke, though 85% l ica stenosis noted on cta. she was transferred to for further mangagement. she was seen by dr. , who epileptologist during the admission. it is not believed that this episode was a seizure as it is not similar to any of her prior seizure semiologies and her right hemiparesis is persisting too long to be considered paralysis. this episode is more likely a tia. the concern is that she has symptomatic left carotid stenosis as this was likely tia and needs intervention for her carotid. she had carotid dopplers that showed 80-99% obstruction of l ica. she continues to have mild r hemiparesis and speech is normal. she was seen by the surgery service and it was decided she would undergo a carotid artery stent. this was uneventfull with out sequele gyn onc service called to discuss the right ovarian mass and how this would impact surgery. they noted that a pelvic mri could be obtained for further evaluation, but that they would not be able to determine the pathology without resection and that this could not be done currently given her surgical risks. they recommended to proceed with any planned cartoid/coronary intervention. medications on admission: synthroid 75', atorvastatin 80', plavix 75', zonisamide 400'', asa 325', lopressor 25', mvi, colace, ranitidine 150', miralax discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 3. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 4. zonisamide 100 mg capsule sig: four (4) capsule po bid (2 times a day). 5. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain: prn for pain. disp:*30 tablet(s)* refills:*0* 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 8. phenobarbital 60 mg tablet sig: one (1) tablet po twice a day for 2 days: taper to 30 mg po tid. disp:*4 tablet(s)* refills:*0* 9. phenobarbital 30 mg tablet sig: one (1) tablet po twice a day for 3 days: taper to 15 mg po tid. disp:*6 tablet(s)* refills:*0* 10. phenobarbital 15 mg tablet sig: one (1) tablet po twice a day for 3 days: taper to 15 mg po qd. disp:*6 tablet(s)* refills:*0* 11. phenobarbital 15 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: tia symptomatic left carotid stenosis pelvic mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of and endovascular surgery carotid stent discharge instructions medications: ?????? if instructed, 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 ?????? you should not have an mri scan within the first 4 weeks after carotid stenting ?????? call and schedule an appointment to be seen in weeks for post procedure check and ultrasound 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 office. if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: , md phone: date/time: 8:30 provider: lab phone: date/time: 12:30 provider: , md phone: date/time: 1:30 , md, office phone: ( please cal to make an appointment regarding your pelvic mass procedure: percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension unspecified acquired hypothyroidism hematoma complicating a procedure occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia old myocardial infarction epilepsy, unspecified, without mention of intractable epilepsy hemiplegia, unspecified, affecting unspecified side diplopia unspecified noninflammatory disorder of ovary, fallopian tube, and broad ligament 

Answer: The patient is high likely exposed to