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: sulfa (sulfonamides) attending: chief complaint: confusion, weakness major surgical or invasive procedure: stenting of left internal carotid artery history of present illness: this is a 67 year old female who was previously admitted on with an expressive aphasia and right arm and hand weakness. she was treated with tpa with resolution of symptoms at 2 hours. mri showed minimal l hemispheric lesions. a left carotid ultrasound showed > 90 percent stenosis with velocities > 400 cm/second. her tee showed an aortic arch atheroma. sympotomatically she says she now feels back to normal, with no confusion, speech impediment, or extremity weakness. past medical history: htn hypercholesterolemia hypothyroidism s/p hysterectomy s/p l eyelid surgery social history: + current smoker ppd x many yrsrare etoh, no drugsis a librarian. lives with her son (30 yrs old) family history: no hx of stroke father:cad - mi in 50's physical exam: on admission: afebrile, vital signs stable gen: oriented, normal language, attention, calculation neck: no carotid bruit appreciated lugs: ctab cv: 2/6 systolic murmur, regular rate and rhythm abdomen: soft, nt/nd, + bowel sounds extr: warm neuro: no neglect, no aphasia, full visiual fields, eomi, perrl, face symmetric with no dysarthria, full strength bilaterall upper and lower extremities, no pronator drift, normal range of motion, normal muscular tone, normal sensation to touch throughout, normal coordination and gait pertinent results: serologies 04:36pm blood wbc-5.3 rbc-3.47* hgb-11.0* hct-32.8* mcv-95 mch-31.6 mchc-33.4 rdw-13.1 plt ct-232 01:11am blood wbc-10.7 rbc-3.26* hgb-10.4* hct-30.3* mcv-93 mch-31.9 mchc-34.3 rdw-12.9 plt ct-243 04:26am blood wbc-7.3 rbc-2.76* hgb-8.6* hct-26.2* mcv-95 mch-31.1 mchc-32.8 rdw-13.2 plt ct-178 09:40am blood wbc-6.8 rbc-3.29* hgb-10.5* hct-31.2* mcv-95 mch-31.9 mchc-33.6 rdw-13.9 plt ct-202 04:36pm blood pt-18.1* ptt-150 is hig inr(pt)-2.1 04:26am blood pt-13.8* ptt-92.6* inr(pt)-1.2 09:40am blood pt-12.8 ptt-27.3 inr(pt)-1.0 04:36pm blood glucose-100 urean-18 creat-0.7 na-140 k-4.0 cl-115* hco3-21* angap-8 04:26am blood glucose-106* urean-16 creat-0.8 na-141 k-4.4 cl-115* hco3-22 angap-8 09:40am blood glucose-149* urean-11 creat-0.9 na-142 k-3.7 cl-110* hco3-22 angap-14 04:36pm blood calcium-7.3* phos-3.2 mg-1.6 04:26am blood calcium-7.9* phos-4.1 mg-1.9 09:40am blood calcium-9.0 phos-3.7 mg-1.7 radiology cerebral angiogram: no residual stenosis s/ stenting brief hospital course: this is a 67 year old female who presented a week prior to this admission with symptoms related to a left carotid artery stenosis. she now was admitted for stenting procedure. she underwent this procedure on without complication; post-procedure cerebral angiogram revealed no residual stenosis. neurologically she remained at baseline pre and post-procedure, with no signs of mental status changes or extremity weakness or numbness/paresthesias; her cranial nerve exam was normal. she was started on aspirin and plavix which she will continue indefinitely for her stent. she was seen by the neurology stroke service for pre-procedure and post-procedure evaluation. on day of discharge she was found to have a baseline neurologic exam, good pain control, and able to ambulate. she was transfused one unit of blood for a slow drop in hematocrit secondary to dilution; her hematocrit rose appropriately. she will follow-up with dr. in 2 weeks. all questions were answered to her satisfaction upon discharge discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*40 capsule(s)* refills:*0* 4. levothyroxine sodium 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: left internal carotid stenosis discharge condition: good discharge instructions: please contact the office or come to the emergency room with any vision changes, worsening headaches, confusion, dizziness, worsening pain in your groin, or worsening bleeding from your incision site. you may shower in 24 hours.you may remove your dressing in one week. do not drive while on narcotic pain medications. followup instructions: follow-up with dr. in 2 weeks (call ) to setup a time. md, procedure: angioplasty of other non-coronary vessel(s) arteriography of cerebral arteries injection of anticoagulant percutaneous insertion of carotid artery stent(s) diagnoses: pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism occlusion and stenosis of carotid artery without mention of cerebral infarction personal history of other diseases of circulatory system 

Answer: The patient is high likely exposed to