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: iodine attending: chief complaint: aphasia and r hemiparesis major surgical or invasive procedure: cerebral angiogram and l ica stent placement history of present illness: the pt is a 63 y/o man with hx of dm, htn, hld, osa, bph and depression who first presented to caritas hospital with complaints of difficulty with ambulation. on sunday he fell on ice, landing on his buttocks. he denies any trouble with ambulation at that time or head trauma. on monday he was doing ok. on tuesday felt off balance and drove to his pcp at . there his pcp suggested that he go to the ed and the patient drove himself there. on admission his sbp was 170-180. he was admitted to the telemetry floor and seen by neurology there. a carotid u/s was completed that suggested stenosis vs dissection. an mr was then completed without fat sats. this demonstrated a left sided watershed infarct with left ica occlusion. he was then transferred to for further care. here he is aphasic and was able to answer rare questions appropriately with one word answers. he states he fell on his bum, denies trouble ambulating afterwards. states he had not hit his head or neck. past medical history: osa ht dmii hld depression bph social history: retired. works at to pass time. no sig tobacco, etoh. drugs. lives with wife has 2 kids family history: none significant for strokes, mi's reported. physical exam: admission exam: vitals: t: 99.2 p:86 r: 24 bp:156/93 sao2:96% general: awake nad heent: nc/at neck: supple, no carotid bruits appreciated. pulmonary: lungs cta bilaterally cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft. skin: no rashes or lesions noted. neurologic: -mental status: alert. was able to answer rare questions appropriately like "fell" knew he was in "mass" but asked the city. i asked what year "" and the season "don't know" did not follow commands was able to sometimes mimic. -cranial nerves: i: olfaction not tested. ii: perrl 3 to 2mm iii, iv, vi: appear eomi . v: unknown vii: r facial droop viii: n/t ix, x: palate elevates symmetrically. : n/t xii: tongue protrudes in midline. -motor: no tremor noted. left throughout right not holding arm against gravity. was able to hold leg out against gravity 5-/5 and quads . other groups not tested. -sensory: grimace to pain b/l -dtrs: 2 throughout with right side more brisk plantar response was extensor on the right discharge exam: awake, very alert and interactive. says yes, no, i don't know and some words. can name glasses and thumb. r ptosis. r lower facial weakness. r hemiparesis strength 0/5. r toe upgoing. pertinent results: 06:40am blood wbc-10.0 rbc-4.08* hgb-12.4* hct-35.5* mcv-87 mch-30.4 mchc-34.9 rdw-12.7 plt ct-389 09:35pm blood pt-12.4 ptt-25.6 inr(pt)-1.0 09:35pm blood glucose-197* urean-15 creat-0.8 na-137 k-4.2 cl-100 hco3-27 angap-14 01:55am blood calcium-8.4 phos-2.5* mg-2.1 cholest-129 01:55am blood triglyc-75 hdl-63 chol/hd-2.0 ldlcalc-51 02:57am blood %hba1c-6.8* eag-148* 09:35pm blood tsh-1.8 tox screen negative imaging: mri brain multiple acute infarcts in the left mca-aca watershed, left ica and mca territories as described above. these have increased, since the prior study of , in size and number with some new foci in the interval. correlate clinically for risk factors. repeat assessment of the vessels can be considered , if necessary, when the patient is cooperative. nonvisualization of the arterial flow void in the left internal carotid artery. the intracranial arteries are better assessed on the prior mr angiogram study. mri brain 1. slightly more confluent area of infarction, but similar distribution in left mca/aca watershed territory. 2. restoration of the normal left ica flow void post-stent. 3. no interval hemorrhage head ct similar appearance and distribution of white matter edema compared with patient's recent mri. there is no new mass effect transthoracic echo the left atrium and right atrium are normal in cavity size. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. brief hospital course: # l ica dissection and l aca/mca infarcts: patient presented with r hemiparesis and global aphasia. he had been transferred from osh, where he had been giving aspirin but no heparin. he had reportedly worsened from being able to lift right arm, to dense right hemiparesis per his family. we immediately reviewed the imaging, felt the vessel imaging more concerning for l ica dissection, and started heparin drip. we obtained stat mri to evaluate for increased extension of the stroke, and to determine what the possible salvagable area might be if he were to receive intervention. based on this study, dr. decided to pursue intervention. patient was taken to neuro ir suite for cerebral angiogram and l ica stenting. patient was transferred to the neuro icu post-procedure. he required nicardipine drip to maintain sbp 120-140. he was transitioned to po antihypertensives with goal sbp <160. he was started on asa and plavix. his neuro deficits remained relatively stable despite the intervention and imaging that did show restoration of flow through l ica. he was transferred to the neuro floor on . his exam did improve in terms of attempts at interaction, with ability to appropriately answer yes/no, i don't know, name a few objects, follow a few commands. medications on admission: bupropion (sustained release) 150 mg po qam citalopram 40 mg po/ng daily insulin sc omeprazole 40 mg po bid lisinopril 10 mg po/ng daily simvastatin 40 mg po/ng daily aspirin 325 mg po/ng daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. bupropion hcl 150 mg tablet sustained release 24 hr sig: one (1) tablet sustained release po qam (once a day (in the morning)). 3. citalopram 40 mg tablet sig: one (1) tablet po once a day. 4. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 9. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 10. hydralazine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours): hold for sbp<120 11. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 12. insulin lispro 100 unit/ml solution sig: per sliding scale subcutaneous asdir (as directed). discharge disposition: extended care facility: hospital - discharge diagnosis: l internal carotid dissection l mca infarct discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. neuro status: global aphasia, r hemiparesis discharge instructions: you were admitted with right sided weakness and difficulty speaking. you were found to have a carotid dissection, or tear in the blood vessel, which caused a stroke. you underwent an procedure to place a stent in the vessel. you were started on blood thinners to prevent further damage. followup instructions: provider: , md phone: date/time: 11:30 clinical center md procedure: non-invasive mechanical ventilation arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) dissection of carotid artery cerebral artery occlusion, unspecified with cerebral infarction aphasia hemiplegia, unspecified, affecting unspecified side 

Answer: The patient is high likely exposed to