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: addendum: the patient was finally discharged on given difficulties with the transfer to rehabilitation facilities. chief complaint: acute onset dysarthria, dizziness, lack of balance major surgical or invasive procedure: , retrieval. history of present illness: history of present illness: 57 yo (last name ) man who had acute onset dysarthria, dizziness, lack of balance in kitchen at 11:30 am this morning. 911 was contact. by arrival, he had gcs of 6, was intubated and brought to hospital. cth was performed which demonstrated hyperintensity in basilar artery concerning for basilar thrombosis and pt was transported to for management. tpa was not given at osh with concerns for recent procedures performed: ia tpa and . he actually presented ~ 1 week prior with similar symptoms of episode of dizziness and unsteadiness on his feet. he went to hospital where mr revealed acute stroke of vermis and l cerebellar hemisphere. he was noted to have afib and had sinus pause for 4 sec prompting pacemaker placement (placement complicated by small pneumothorax). he was discharged with no deficits per osh and on statin and plavix. past medical history: unknown social history: no etoh, drugs or smoking family history: non-contributory physical exam: physical exam: at admission, he normotensive and afebrile. he appears confused and mildly aggitated writhing in the bed and pulling the covers off. he had bled slightly from his penis after pulling out his catheter earlier this am. he is alert, oriented to hospital but says 197- for date. he knew he was in , but not which hospital. he follows commands. he is able to name low frequency words. he uses word answers appropriately and appears to have good comprehension. on cn: he has a dense left field cut. his pupils are both small around 2mm, with left being smaller than right. both are reacitve. he has bilateral ptosis left more than right, but this is improved slightly from yesterday. he has a skew deviation with the left eye abducted. he is able to adduct the right eye, abduct the left eye incompletely and has partial downgaze of the left eye. he also now has just slight abduction of the right eye which is an improvement from yesterday. motor wise he has a flacid hemiplegia of the right arm which is improving so that he as bicep, 4- tricep, and 4 in finger flexors. he can move the right leg antigravity, but it was difficult to formally test his strength. he has dense sensory loss to lt in the right face, arm and leg. coordination seems limited mostly by weakness of the right arm. pertinent results: pertinent results: imaging: cth/a/p: increased mtt, decreased blood flow and blood volume in the right cerebellum and occipital lobe. occlusion of the distal basillar and right p1 with dense appearance on the non-contrast, compatible with thrombosis. right vertebral artery non patent except mid-cervical segment, becomes attenuated in the upper cervical segment and probably fills retrogradely in the intracranial segment. carotid arteries and major branches are patent. echocardiogram: normal. 02:55pm pt-12.7 ptt-21.0* inr(pt)-1.1 02:55pm plt count-190 02:55pm wbc-10.2 rbc-4.58* hgb-14.1 hct-39.9* mcv-87 mch-30.7 mchc-35.2* rdw-12.7 02:55pm estgfr-using this 02:55pm glucose-134* urea n-17 creat-0.9 sodium-140 potassium-4.7 chloride-106 total co2-22 anion gap-17 06:15pm pt-13.1 ptt-26.4 inr(pt)-1.1 06:15pm plt count-155 06:15pm wbc-6.7 rbc-3.85* hgb-11.8* hct-33.1* mcv-86 mch-30.7 mchc-35.7* rdw-12.6 06:15pm tsh-1.4 06:15pm triglycer-231* hdl chol-21 chol/hdl-4.7 ldl(calc)-32 06:15pm albumin-3.7 calcium-8.2* phosphate-3.8 magnesium-2.3 uric acid-3.8 cholest-99 06:15pm ck-mb-5 ctropnt-<0.01 06:15pm lipase-28 06:15pm alt(sgpt)-22 ast(sgot)-25 ld(ldh)-186 ck(cpk)-362* alk phos-48 tot bili-0.5 06:15pm glucose-99 urea n-14 creat-0.8 sodium-140 potassium-4.2 chloride-109* total co2-22 anion gap-13 06:26pm type-art po2-291* pco2-38 ph-7.41 total co2-25 base xs-0 brief hospital course: brief hospital course: mr has remained stable after his ia-tpa and procedure. there has been no further strokes afterward. he was successfully extubated and transferred to the floors. we believe his stroke was most likely due to an arterial disection (given the lack of cardioembolic source and his recent left cerebellar stroke). however, we could not clearly visualize definitive data on cta confirming this idea. hence, he has been started on plavix and coumadin. he needs to remain on the plavix till he reaches a stable inr goal of . he has received ot, pt and speech evaluations. he is an excellent rehabilitation candidate. medications on admission: medications on admission: plavix 75 qd zestril 5 mg qday flunisolide 2 spray qday zocor 40 mg hs motrin prn discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 3. warfarin 6 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: vertebral occlussion s/p and procedure with left pca stroke. discharge condition: his exam is remarkable at discharge for a one and a half syndrome in resolution, spared upgaze (recovered)a right field cut. he does have a rigth facial droop. he also presents an umn pattern of weakness in his rigth hemibody (). discharge instructions: you have been admitted with a stroke. you have had intra-arterial tpa and retrieval of the clot. you need to inmediately call your pcp or return to the er if you had sudden vertigo, or -vision, or problems swallowing. you have been started on blood thinners (coumadin) to prevent new strokes from happening. the inr goal is . you will have your inr checked frequently to achieve this goal. followup instructions: you will follow up with dr. at 2:00pm at , building, . you will need a repeat mri in 2 weeks. please call to book your appointment. you need your inr checked everyday till you reach the goal of stable levels. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours injection or infusion of thrombolytic agent arteriography of cerebral arteries diagnoses: atrial fibrillation cardiac pacemaker in situ aphasia hemiplegia, unspecified, affecting unspecified side cerebral thrombosis with cerebral infarction dissection of vertebral artery homonymous bilateral field defects other facial nerve disorders unspecified disorder of eye movements 

Answer: The patient is high likely exposed to