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: aneurysm major surgical or invasive procedure: cerebral angiogram history of present illness: ms. is a 59-year-old female who presented to the on with a history of double vision. she was found to have a small vessel stroke. subsequently, she had an extensive workup, which included a cta and an mri, which showed an aneurysm. the diplopia is mainly horizontal and was not associated with other symptoms including nausea, vertigo, lightheadedness, or tinnitus. the diplopia resolved and she opted to proceed for a cerebral angiogram with stent assisted coiling. past medical history: htn hyperlipidemia. gerd. diabetes mellitus on omr but not per her. social history: the patient has smoked 1-two packs of cigarettes a day for 35 years, has an average of one drink a month, has not used recreational drugs. she works full time as a laboratory assistant. family history: mother died with colon cancer. father died with heart attack. at 67 one sister has a thyroid condition. physical exam: pre-hospital: the patient was awake, alert, oriented x3. she has language. speech was fluent with good comprehension. cranial nerves: pupils are equal and reacting to light. visual fields are full to confrontation. there was no ptosis. extraocular movements were intact bilaterally. there is mild horizontal diplopia on right extreme gaze. facial sensation was intact bilaterally. facial strength was symmetric bilaterally. hearing was intact to voice and palate elevation is symmetric. sternocleidomastoid and trapezius are normal. tongue was midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements. strength was throughout. there was no pronator drift. sensation is intact to light touch. reflexes were and symmetric except the ankle jerks, which were not elicited. toes were downgoing. coordination was normal post-procedure: no change to exam. pertinent results: 01:17pm pt-12.1 ptt-88.7* inr(pt)-1.1 01:17pm plt count-222 01:17pm neuts-61.7 lymphs-34.4 monos-2.5 eos-1.1 basos-0.3 01:17pm wbc-9.9 rbc-3.50* hgb-10.8* hct-31.2* mcv-89 mch-30.9 mchc-34.7 rdw-14.0 01:17pm calcium-8.3* phosphate-4.3 magnesium-1.9 01:17pm estgfr-using this 01:17pm glucose-121* urea n-14 creat-0.5 sodium-143 potassium-3.9 chloride-112* total co2-23 anion gap-12 brief hospital course: ms. was admitted to on and underwent a cerbral angiogram with stent assisted coiling with dr. on . she was on asa and plavix post-op. she was taken to the icu. her angioseal was pulled 1 hr post op and she had a 4 hr post-procedure neuro/groin check without complications. she did not have acute complications while in the hospital. her exam remained intact and unchanged. her operative note is as follows: preliminary reportdate of service: . preliminary reportpreoperative diagnosis: anterior communicating artery aneurysm. preliminary reportattending physician: , .d. preliminary reportassistant: , m.d. preliminary reportanesthesia: general. preliminary reportprocedure performed: left internal carotid artery arteriogram. preliminary reportstent-assisted coil embolization of anterior communicating artery aneurysm preliminary reportwith enterprise 28 mm x 4.5 mm stent and target coils. right common femoral preliminary reportartery arteriogram. preliminary reportdetails of procedure: the patient was brought to the angiography suite. preliminary reportanesthesia was induced in the supine position. following this, both groins preliminary reportwere prepped and draped in a sterile fashion. access was gained to the right preliminary reportcommon femoral artery using a seldinger technique and a 5 french vascular preliminary reportsheath was placed in the right common femoral artery. we now catheterized the preliminary reportabove-mentioned vessels and ap, lateral filming along with three-vessel preliminary reportangiography was done. following this, a 6 french neuron was placed in the preliminary reportleft distal internal carotid artery. the left internal carotid artery and the preliminary reportleft anterior cerebral artery were catheterized with a sl-10 microcatheter and preliminary reporta synchro wire. following this, the distal right a2 was catheterized and preliminary reportusing an exchange-length synchro wire, a prowler plus select catheter was preliminary reportplaced in the distal anterior cerebral artery. we now deployed an enterprise preliminary report28 mm x 4.5 mm stent starting in the proximal right a2 extending along the preliminary reportentire length of the left a1. this covered the neck of the aneurysm and the preliminary reportvessels that originated from the aneurysm. following this, a sl-10 preliminary reportmicrocatheter was used to enter the aneurysm and multiple target coils preliminary reportstarting with a 4-mm 360 was placed to obliterate the aneurysm. at the end of preliminary reportthe procedure, all the vessels were patent. preliminary reportright common femoral artery arteriogram showed significant disease of the preliminary reportright common femoral artery puncture site. therefore the sheath was left in preliminary reportplace to be removed after anticoagulation was withdrawn. preliminary reportfindings: left internal carotid artery arteriogram shows filling of the left preliminary reportinternal carotid artery along the cervical, petrous, cavernous and preliminary reportsupraclinoid portion. an anterior communicating artery aneurysm is seen which preliminary reportmeasures approximately 4.5 x 4 mm. preliminary reporttwo right a2 vessels and the left a2 originate from the aneurysm. preliminary reportleft internal carotid artery arteriogram status post coil embolization with preliminary reportstent-assisted coiling shows that all the vessels including the left a1, the preliminary reportright a2 along with the two branches and the left a2 are patent and the preliminary reportaneurysm is completely occluded. preliminary reportright common femoral artery arteriogram shows that the right common femoral preliminary reportartery is significantly diseased. preliminary reportimpression: underwent cerebral angiography and coil preliminary reportembolization of anterior communicating artery aneurysm. the procedure was preliminary reportuneventful. the right common femoral artery sheath was left in place to be preliminary reporttaken out later. medications on admission: -plavix (has been taking for 5 days pre-procedure) -atorvastatin 40 mg tablet sig: two (2) tablet po at bedtime: continue for 2 months at 80mg and after repeat lab studies can decrease to 40mg daily per pcp. 10mg daily -citalopram 20mg daily -amlodipine 10mg daily -ativan 0.5 mg hs prn anxiety discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*12* 3. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 7. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: acomm aneurysm (coiled) 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 followup instructions: 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 closes procedure: arteriography of cerebral arteries endovascular (total) embolization or occlusion of head and neck vessels diagnoses: esophageal reflux tobacco use disorder unspecified essential hypertension other and unspecified hyperlipidemia cerebral aneurysm, nonruptured 

Answer: The patient is high likely exposed to