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: patient recorded as having no known allergies to drugs attending: chief complaint: headache and vision loss major surgical or invasive procedure: avm embolization history of present illness: 70rhw h/o le edema and transferred from osh after presenting with sudden onset of right frontal ha and loss of left peripheral vision at yoga earlier today, found on osh nchct to have a right occipital iph. pt reports being at yoga class earlier today and having sudden onset of a right frontal sharp, nonthrobbing headache associated with loss of her peripheral vision on the left. she doesn't recall doing any particular strenuous motion when it occurred. she's been doing yoga for 6 mos. she drove home although she admits to only being able to hear the "whoosh" of and not actually being able to see the oncoming cars driving by her on her left. she turned into her driveway and crashed into the left side of her garage; subsequently backed up, adjusted and parked her car in the garage. she then proceeded to call her son who came over immediately and called 911. she was taken to an osh where bp 133/80 in nsr and plt 256. no record of coags were sent with her. nchct showed a right occipital hemorrhage. she was given decadron 10mg x1 and transferred to ed. en route, she developed nausea and vomited carsickness per pt. repeat nchct here in ed is unchanged. reports that headache no with no improvement of vision, no residual nausea or vomiting. no recent med changes, stressors or changes from her routine. denies prior headaches, diplopia, hearing changes, dysphagia, dysarthria, weakness, numbness/tingling, vertigo, incoordination, urine or bowel incontinence, fall, cough, diarrhea. reports that she gets hot flashes like fevers in the morning or when coming back to bed from the br which she's had since her 50s that have been unchanged. past medical history: le edema hyperchol gerd phlebitis in her legs b/l denies bleeding/clotting disorder social history: quit tob 30 yrs ago, smoked from age 17 to 40 ~ ppd. occ etoh. retired office manager family history: brother had surgery for a brain aneurysm. sister has valvular/ht dz and is s/p pacer. brother s/p splenectomy and required transfusions physical exam: t- 95.5 bp- 129/78 hr- 88 rr- 16 99 o2sat 2l gen: lying in bed, nad heent: nc/at, moist oral mucosa neck: supple, no carotid or vertebral bruit cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema, varicosities in legs l>r neurologic examination: ms: general: alert, awake, normal affect orientation: oriented to person, place, date, situation attention: +moybw. follows simple/complex commands. no alien hand. reads 2nd half of sentence "on the radio last night" "top" "ma" despite moving paper to right of center when . speech/: fluent w/o paraphasic errors; comprehension, repetition, naming and intact memory: registers and recalls at 5 min l/r confusion: touches left thumb to right ear praxis: able to brush teeth cn: i: not tested ii,iii: dense left homonymous hemianopsia, perrl 4mm to 2mm, fundi without obvious abnormality iii,iv,v: eomi, no ptosis. no nystagmus v: sensation intact v1-v3 to lt vii: facial strength intact/symmetrical viii: hears finger rub bilaterally ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue protrudes midline, no dysarthria motor: normal bulk and tone; no tremor, asterixis or myoclonus. no pronator drift. delt tri we fe grip c5 c6 c7 c6 c7 c8/t1 l 5 5 5 5 5 5 r 5 5 5 5 5 5 ip quad hamst df pf l2 l3 l4-s1 l4 l5 s1/s2 l 5 5 5 5 5 5 r 5 5 5 5 5 5 reflex: no clonus tri bra pat an plantar c5 c7 c6 l4 s1 cst l 2 2 2 2 2 flexor r 2 2 2 2 2 flexor sensation: intact to light touch, cold, vibration and proprioception throughout. no extinction to dss. coordination: finger-nose-finger normal, heel to shin normal, rams normal. gait: narrow based but mildly unsteady due to vff. romberg: negative pertinent results: 06:30am blood wbc-5.4 rbc-4.17* hgb-12.2 hct-35.5* mcv-85 mch-29.2 mchc-34.3 rdw-13.2 plt ct-279 05:50am blood wbc-9.8 rbc-4.71 hgb-13.8 hct-39.7 mcv-84 mch-29.4 mchc-34.9 rdw-13.3 plt ct-319 07:50pm blood wbc-7.3 rbc-4.61 hgb-13.2 hct-38.2 mcv-83 mch-28.7 mchc-34.6 rdw-13.5 plt ct-295 06:30am blood plt ct-279 06:30am blood pt-13.0 ptt-28.9 inr(pt)-1.1 05:50am blood plt ct-319 05:50am blood pt-13.0 ptt-27.4 inr(pt)-1.1 07:50pm blood plt ct-295 07:50pm blood pt-12.7 ptt-26.9 inr(pt)-1.1 08:00pm blood esr-22* 08:00pm blood aca igg-6.2 aca igm-8.8 06:30am blood glucose-89 urean-14 creat-1.0 na-140 k-3.5 cl-104 hco3-26 angap-14 05:50am blood glucose-142* urean-12 creat-0.9 na-139 k-3.7 cl-103 hco3-25 angap-15 07:50pm blood glucose-123* urean-12 creat-0.9 na-139 k-3.4 cl-104 hco3-25 angap-13 07:50pm blood alt-13 ast-19 alkphos-73 totbili-0.5 07:50pm blood lipase-33 06:30am blood calcium-8.7 phos-3.3 mg-2.0 05:50am blood calcium-9.2 phos-3.6# mg-2.0 cholest-179 07:50pm blood calcium-9.1 phos-1.6* mg-2.0 08:00pm blood homocys-15.0* 05:50am blood triglyc-61 hdl-58 chol/hd-3.1 ldlcalc-109 : wbc 6.1 rbc 3.41* hgb 10.0* hct 29.1* mcv 85 mch 29.4 mchc 34.5 rdw 13.5 platelet 287 ct head w/o contrast : there is a 4 x 1.6 cm parenchymal hemorrhage in the right posterior parietal lobe with surrounding vasogenic edema without significant mass effect or shift of normally midline structures. there are no other foci of hemorrhage or intraventricular extension. the ventricles and sulci are normal in size and configuration. the osseous and soft tissue structures are unremarkable. mri brain : 1. no significant change in the size of the acute hematoma in the right occipital lobe compared to the ct scan done a few hours earlier. mild surrounding edema, unchanged. 2. peripheral enhancement noted in the margins of the hematoma; a few vessels are identified within the periphery on the tof angiogram, which is somewhat technically limited. hence a vascular abnormality cannot be definitively excluded as a cause of the hematoma. it is unclear if these vessels are abnormal or represent normal vessels displaced by the hematoma itself. a follow study after resolution of the hematoma including the area of interest or a conventional diagnostic angiogram can be performed for better assessment of any vascular lesions. if a followup mr angiogram is considered, please mention on the indication to include the area of abnormality completely on the mr angiogram. cta : no change in appearance of right occipital parenchymal hemorrhage with a small amount of surrounding vasogenic edema. a few prominent vessels are seen in the vicinity of the hematoma; however, exact etiology of the lesion remains uncertain as it could be obscured in the setting of acute hematoma. differential diagnosis continues to include vascular malformation such as avm, or cavernoma, hypertensive hemorrhage, as well as underlying mass lesion cannot be excluded. followup mri after resolution of the hematoma is recommended to evaluate its underlying cause. ct head : there is a slight increase in the right occipital parenchymal hemorrhage with surrounding area of vasogenic edema. this may be in part due to recent intervention and placement of embolization coils. there is no new midline shift, effacement of the quadrigeminal cistern or hydrocephalus. there is no acute vascular territorial infarct. brief hospital course: this 78 yo f was at yoga class when she experienced the sudden onset of headache and then subsequent loss of left sided vision. brain imaging revealed a right occipital bleed. subsequent mra and ct-angio were equivocal about the source of bleed. however, subsequent conventional angiography revealed the presence of an avm. the pt underwent formal visual field testing with dr. where she was found to have a left homonymous hemianopsia. she was transferred to the neurointerventional service for embolization of the avm on . she tolerated the procedure well. her right groin was closely observed and there were no post-embolization complications. her neuro exam was also closely observed and remained stable to the time of discharge. neuro exam prior to discharge: she is alert and awake, orientated x 3. she continues to have a left homonymous hemianopsia. her strengh and sensation is full throughout. reflexes are full and symmetric. medications on admission: hctz 25mg qd fosamax ca with d 600mg qd mvi lipitor 10mg qd protonix 40mg qd vitamin c 500mg qd aspirin 81mg qd discharge medications: 1. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 2. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for headache: do not take more than 6 tablets per day. disp:*20 tablet(s)* refills:*0* 3. outpatient medications please continue to take all outpatient medications as previously prescribed by your doctor. discharge disposition: home with service facility: homecare discharge diagnosis: right occipital intracerebral hemorrhage right occipital avm left homonymous hemianopsia discharge condition: good discharge instructions: discharge instructions: -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 does stop, call our office. - if bleeding does not stop, call 911 for transfer to closest emergency room please take dilantin as prescribed for a total of 3 months. followup instructions: follow-up appointments: please call ( to schedule an appointment with dr. , to be seen in 4 weeks. you will need a ct scan of the brain without contrast for this appointment. please follow up with your pmd in weeks. please obtain follow up mri in weeks and thereafter schedule an appointment with dr. . procedure: arteriography of cerebral arteries endovascular (total) embolization or occlusion of head and neck vessels diagnoses: esophageal reflux pure hypercholesterolemia intracerebral hemorrhage anomalies of cerebrovascular system 

Answer: The patient is high likely exposed to