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: mr. is a 58-year-old male who, prior to admission, had a carotid noninvasive study that revealed greater than 90% stenosis of his left carotid artery; thus, a left carotid endarterectomy was indicated. hospital course: on , the patient was admitted to and underwent a left carotid endarterectomy without shunt, as well as endarterectomy of the external carotid artery via a second arteriotomy with dacron patch. the patient was unable to be aroused in the operating room at the end of the operation. at this time, he was found to have bilateral upgoing toes. the patient was moving in response to pain in the left arm and the bilateral lower extremities. because the patient could not be extubated, the patient underwent another procedure with the preoperative diagnosis being a left internal carotid artery occasional with postoperative diagnosis actually being an open internal carotid artery on the left. the procedure, at that point in time, was a re-exploration of the neck on the left side, and on the table arteriography which showed a patent internal carotid artery. it was presumed at this time that the patient had suffered an intraoperative stroke. thus, the stroke team was involved in the patient's management as well as the surgical intensive care unit team. on examination by the stroke team, the patient was intubated and still withdrawing to pain with the left arm. the eyes were oriented toward the left side, and there seemed to be a right hemiplegia of the arm and bilateral babinski signs. at this time, they felt that this was most likely a left middle cerebral artery region stroke and recommended a magnetic resonance imaging of the head. this magnetic resonance imaging revealed a large left middle cerebral artery, a left anterior cerebral artery, and a right anterior cerebral artery infarct. it was felt that the right anterior cerebral artery infarct was likely secondary to a hypoplastic right a1 segment of the circle of with perfusion of the right anterior cerebral artery from the left anterior circulation. on , the patient's neurologic examination appeared to deteriorate further. the patient was found to have decerebrate posturing and continued to have bilateral babinski signs. at this time, neurosurgery was consulted. they felt that there was no surgical options that could improve the patient's situation. later that evening, at 6:30 p.m., the patient was found to have pupils that were fixed at 4 mm. the intensive care unit attending was made aware of this. neurology was reconsulted. they suggested decadron and hyperventilation therapy. because the patient's clinical examination suggested the possibility of brain death at this time, on , an apnea test was performed over 10 minutes, and no respiratory effect was detected. pco2 increased from 44 to 72. the oxygen saturation was greater than 94% throughout. this result was consistent with brain death. this was done by the intensive care unit staff. on , a spec scan was done to confirm brain death, and this scan showed no brain uptake. on examination, the patient continued to have no brain stem reflexes. on , at 12:40 a.m., the patient again had a clinical examination as well as an apnea test that showed that the patient was brain dead. the intensive care unit attending and dr. discussed this with the patient's wife. the medical examiner was informed of the patient's brain death, and the case was declined by dr. . the patient's wife wished that her husband's internal organs be donated. at this time, the organ bank took over the care of the deceased patient and harvested the patient's organs. discharge diagnoses: final diagnosis was stroke and brain death, status post left carotid endarterectomy. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances arteriography of cerebral arteries endarterectomy, other vessels of head and neck diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled occlusion and stenosis of carotid artery without mention of cerebral infarction pneumonitis due to inhalation of food or vomitus old myocardial infarction morbid obesity hyperosmolality and/or hypernatremia alcoholic cardiomyopathy iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to