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: trouble walking - transfer from an outside hospital with right basal ganglia hemorrhage major surgical or invasive procedure: or : right-sided frontotemporal craniotomy for decompression, evacuation, partial frontal lobe resection. history of present illness: mr is a 44 year-old left handed man with a past medical history significant for tobacco and alcohol abuse, remote left eye injury with a screw driver, and untreated hypertension who presents as a transfer from hospital for management of a right basal ganglia hemorrhage. there are very few documents here from . per reports the patient was intoxicated with ethanol at 1pm when he acutely noticed a change in his gait. ems was called and the patient was brought to hospital where he was found to have a right basal ganglia hemorrhage that was 3cm in it's greatest dimension. the patient was transferred here by the same ems team that initially brought the patient to and they felt that he was deteriorating. ros besides what is noted above the patient endorsed headache, visual difficulty, and slurred speech. he has also been stressed out, as he has been unemployed, frequently intoxicated and unable to pay his rent - eviction is imminent. he is aware of diminished sensation on the left side. the patient denied hearing changes, language problems, memory difficulty, difficulty swallowing, dizziness, lightheadedness or vertigo, or falls. the patient denied fever, wt loss, appetite changes, cp, palpitations, doe, sob, cough, wheeze, nausea, vomiting, diarrhea, constipation, abd pain, fecal incont, dysuria, nocturia, urinary incontinence, muscle or joint pain, hot/cold intolerance, polyuria, polydipsia, easy bruising, depression, or psychotic sx. past medical history: - htn - he told the neurology attending that he was told that he had htn that needed control, but that didn't follow up with this recommendation. - alcohol abuse. - smoking. - remote left eye injury with a screw driver. social history: lives in , unemployed. etoh - told me 8-10 beers per day. told attending 12 per day. smoking - 1ppd for 25 years. illicits - remote hx of cocaine and marijuana use. no heroin. family history: father has alcohol dependence. mother is healthy. physical exam: vitals: t:97.6 p:90 r:21 bp:140/98 sao2:98%ra general: awake, cooperative, nad. heent: left eye traumatic - remote, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. attentive, able to name dow backward without difficulty (asked not to backwards because "it is hard for me to talk"). language is fluent with intact repetition and comprehension. normal prosody. there were no paraphasic errors. pt. was able to name both high and low frequency objects. unable to read. speech was dysarthric. able to follow both midline and appendicular commands. pt. was able to register 3 objects and recall at 5 minutes. the pt. had good knowledge of current events. there was no evidence of neglect - he thought his left arm was mine. in describing the cookie theft picture he thought there were two people in it. there was no evidence of apraxia. -cranial nerves: olfaction not tested. pupil on right is 3 to 2mm and brisk. on the left the eye is post surgical. i think he has a vf defect on the left in addition to neglect. there is no ptosis bilaterally. funduscopic exam revealed no papilledema, exudates, or hemorrhages on the right. eomi with limited gaze to the left. facial sensation intact to pinprick. left lmn facial droop. hearing intact to finger-rub bilaterally. palate elevates symmetrically. 5/5 strength in trapezii and scm bilaterally. tongue protrudes in midline. -motor: normal bulk, tone throughout. no pronator drift bilaterally. no adventitious movements noted. no asterixis noted. delt tri we fe ff c5 c6 c7 c6 c7 c8/t1 l extends to noxious only -----------------> r 5 5 5 5 5 5 ip quad hamst df pf l2 l3 l4-s1 l4 l5 s1/s2 triple flexion to noxious only ----------> 5 5 5 5 5 5 -sensory: left arm and leg diminished to noxious. though his limbs moved he denied any sensation. on the right sensation was intact to light touch, pin, cold, vibration, and joint position. -coordination: no intention tremor, dysdiadochokinesia noted on right. no dysmetria on fnf on right. - reflex: no clonus tri bra pat an toes c5 c7 c6 l4 s1 cst l2 2 2 2 2 up r2 2 2 3 2 down -gait: not tested. pertinent results: 04:05pm blood wbc-10.3 rbc-4.83 hgb-15.8 hct-44.8 mcv-93 mch-32.7* mchc-35.3* rdw-13.1 plt ct-243 04:05pm blood pt-12.8 ptt-30.6 inr(pt)-1.1 04:05pm blood glucose-94 urean-9 creat-0.9 na-140 k-3.9 cl-104 hco3-26 angap-14 04:05pm blood alt-37 ast-37 alkphos-89 02:24am blood albumin-4.0 calcium-9.4 phos-3.7 mg-2.1 04:05pm blood asa-neg ethanol-116* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 03:40pm blood type-art po2-374* pco2-40 ph-7.40 caltco2-26 base xs-0 04:20pm blood freeca-1.08* ct/cta of head : 1. moderate increase in the size of the right basal ganglial hematoma with new areas of hemorrhage, which are less dense than expected, raising the possibility of active bleeding, ? bleeding disorders/anemia. 2. development of new intraventricular hemorrhage, in the right lateral ventricle and third ventricle. 3. significant mass effect, with cerebral edema on the right side, with 1.3 cm shift of the midline structures to the left side. 4. patent major intracranial arteries. no obvious abnormal vascularity noted around the hematoma. however, the vascular lesion, within the hematoma itself cannot be excluded on the present study. to consider followup evaluation for vascular lesions after resolution of the hematoma. in addition, mri/conventional angiogram or close followup ct head can be considered. repeat ct : post-operative change of a right craniotomy status post evacuation of an intraparenchymal bleed is again noted. there is decrease in the overall amount of pneumocephalus. the degree of mass effect and intracranial hemorrhage is not overall changed from prior study. the degree of intraventricular hemorrhage is also stable without evidence of hydrocephalus. prominence of the left temporal is stable. the suprasellar cistern remains patent. scleral band over the left orbit is grossly unchanged. brief hospital course: the pt is a 44 year-old left handed man with pmh significant for tobacco and alcohol abuse plus untreated htn who presents as a transfer from hospital for management of a right basal ganglia hemorrhage. etiology of the hemorrhage is somewhat uncertain. htn is likely given the history of untreated high blood pressures. patient was initially admitted to neuro icu service with neurosurgery following. overnight, he required frequent valium for etoh withdrawal (severe diaphoresis and tachycardia). patient became more somnolent the next morning which may have been due to vailum but repeat ct/cta showed increased hemorrhage with midline shift 13~14mm to the left. patient was emergently taken to or per neurosurgery where he underwent right-sided frontotemporal craniotomy for decompression, evacuation, partial frontal lobe resection. he was successfully extubated the next mornind and repeat ct showed no new hemorrhage with stable midline shoft ~9mm to the left as was seen in post-operative imaging. he was continued on ciwa for etoh withdrawal with tapering standing ativan plus as needed ativan. also, given hemorhage and surgical evacuation, he was empirically loaded with phenytoic for seizure prophylaxis and was continued on 100mg tid for maintenance. he gradually became more arousable but remains l hemiplegic with some withdrawal of lle to noxious stimuli but no movement on lue even with noxious stimuli. he started to speak more on pod #3 but his speech remained heavily dysarthric. since transfer to the neurology floor, his speech has continued to improve. in addition, his awareness regarding his left hemiparesis has improved. on the floor, he no longer needed the ativan, and his anti-hypertensive medication doses were optimized. he has been evaluated by speech and swallow and is on the appropriate diet as follows: 1. continue po diet of ground solids, nectar thick liquids. 2. po meds: crushed in puree 3. 1:1 supervision with all po. maintain aspiration precautions including: a) feed only when awake/alert b) sit fully upright for all po c) alternate bites and sips d) provide verbal cues to clear l side of oral cavity e) if presents with fatigue, cease meal. consider 6 small meals instead of 3 large ones as needed. he has had a regular low sodium / heart healthy consistency: ground; nectar prethickened liquids supplement: ensure pudding breakfast, lunch, dinner crush po meds, give 6 small meals, and 1:1 supervision with meals on the neurology floor. he has been evaluated by pt and ot and he needs close supervision and appropriate precautions when he is mobilised due to his left hemiparesis and left sided neglect. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). 3. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 10. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 11. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). discharge disposition: extended care facility: - discharge diagnosis: right basal ganglia hemorrhage discharge condition: left eye is blind (old screw driver injury). left sided neglect, dense left hemiparesis with flexion withdrawal to noxious stimulus in the left leg, and a flaccid left arm. discharge instructions: you have had a stroke with hemorrhage, and required surgery to remove the clot. you will have a dull headache for a long time due to the surgery, please take tylenol. your blood pressure needs to be under control, you should give up smoking and drinking alcohol. if you experience worsening symptoms such as: loss of consciousness, worsening weakness, please go to your nearest ed. followup instructions: with dr in weeks (stroke/neuro)(, your facility will call to organize a time that is convenient for them to take you to the appointment. md procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: unspecified essential hypertension intracerebral hemorrhage compression of brain other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to