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: plavix / shellfish attending: chief complaint: elective admit for r carotid stent major surgical or invasive procedure: r ica stent history of present illness: 80 yo f w/ hx of pvd, bilateral carotid dz, left cea x3 (' x 2, ' p/w l side tia), right cea x1 ('), htn, hyperlipidemia, suspected subclavian steal, and multiple tias who is admitted for elective r carotid stent. in , she had a tia with sx of left hand/arm weakness. no diplopia, dysarthria, dysphagia, aphasia, gait instability, or other focal deficits. she was worked up at an osh with mri/mra showing significant r carotid lesion. duplex ultrasaound showed right carotid restenosis >90%. she was started on plavix for stroke prevention and was discharged with planned elective right cea. she went to / hospital for attempted right cea but with significant complications from anestheia. she was given the option of re-cea or carotid angioplasty/stent and decided to go for carotid stent. she had a second tia involving right amaurosis fugax like "black curtain over the eye" lasting 5 min. this occurred after she stopped taking plavix secondary to itching. angiography revealed diffuse abdominal aortic disease with 70% tubular lesion at the level of the renal arteries, bilateral iliac disease with 80% ostial right and modest ostial left, 70% tubular left subclavian lesions before vertebrals and >90% right carotid disease at origin. also with 70% right vertebral, 99% focal left vertebrals in cea segment. pt underwent pca/stenting r carotid w/ 0% residual. of note, central aortic sbp range 30-40 mg hg above r arm cuff pressure. pt denies cp, sob, dysarthria, weakness, parasthetic, headache, visual changes. neurological hx: she has asymmetric bp in ue. she gets dizzy when she reaches up, suspicious for sublcavian steal. brain/neck mra showed 80-80% stenosis of r ica; 40 % stenosis of l ica. hypoplastic right a1 segment. carotid duplex in showing 40-60% r ica stenosis past medical history: pvd s/p bilateral ceas (l cea ' w/ redo in '; r cea w/ redo in ) copd gerd mild cri s/p hysterectomy s/p appendectomy w/ hypertensive crisis c5-6 lami right l4-5 lami s/p aaa repair social history: she is retired at age 63. previous occpuations: drafting engineer and working on computers. pt is divorced and lives alone. pt is a former smoker x 35 years. no alcohol or illicit drug use. family history: mother deceased 84, hx of alzheimer's. father deceased 55 from accident. physical exam: vs: bp 134/58 hr 81 rr 17 95% ra gen: lying in bed in nad, appears comfortable. heent: nc/at: perrl, eomi, nl op, tongue midline, neck supple, no jvd, + carotid bruits r > l, 2+ carotid pulses cor: rrr, s1, s2, iii/vi sem @ lusb lungs: clear to auscultate anteriorly abd: +bs, soft, ntnd, no guarding ext: bilateral femoral bruit, 1+ femoral pulses, 2+ dp bilaterally neuro: alert and oriented x3, cn ii-xii intact, strengths grossly . nonfocal. good repetition, good 3 objects recall. no word finding difficulties. no apraxis. pertinent results: ekg: nsr @ 73 bpm, nl intervals, nl axis. twi v2, no lvh by criteria. no st, t-wave changes. cath: . access was retrograde via the right cfa to the selective carotid and vertebral arteries. 2. abdominal aorta: severe diffuse disease at the level of the renals with a tubular 70% lesion. the thoracic aorta was a bovine type i. 3. renal arteries: bilaterally single without evidence of ostial disease. 4. rle: there was an ostial 80% cia lesion. 5. lle: the cia had modest ostial disease. 6. subclavians: the lsca had a tubular 70% lesion before the vertebral and take-offs with a mean 10 mmhg gradient across the lesion. 7. carotid/vertebral arteries: the right vertebral had a 70% origin lesion. the vertebral filled the cerebellar and pca vessels without lesions. the left vertebral had a moderate origin lesion with competitive flow at the basilar from the contralateral artery. the lcca was normal. the was widely patent and filled the ipsilateral aca, mca and the contralateral aca. the had a 99% lesion in the cea segment with ipsilateral filling of the mca only. 8. stenting of the was performed with a tapered x 30 mm acculink stent. brief hospital course: 1. carotid disease: was widely patent and filled the ipsilateral aca, mca and the contralateral aca. the had a 99% lesion in the cea segment with ipsilateral filling of the mca only which was stented with a tapered x 30 mm acculink stent. pt has allergy to shellfish so she was premedicated with benadryl, h2-blocker, and steroid prior to cath. pt's bp was controlled with iv nitroprusside post-cath, and was weaned as bp was controlled with oral agents: metoprolol 50 mg po bid, norvasc 10 mg po qd, accupril 10 mg po qd. pt was started on ticlodipine 250 mg po bid as she can not tolerate plavix. 2. htn: pt's r cuff pressure is ~30 mmhg < then the central pressure. since pt has undergone multiple cea's she was not prone to carotid sensitivity from stent placement. as above, bp initially controlled with nitroprusside to keep arm sbp 80-100. she was started on metoprolol 50 mg po bid and norvasc 10 mg po qd. she continued her accupril 10 mg po qd. 3. pvd: cath showed l subclavian artery had a tubular 70% lesion before the vertebral and take-offs with a mean 10 mmhg gradient across the lesion. pt will be scheduled for left subclavian stent in the future. she was continued on asa and lipitor. 4. chf: hx of diastolic dysfunction. pt gets lasix prn at home. lasix was held initially. but after post-cath hydration, pt found to have small crackles on exam, so iv lasix 20 mg was given once prior to discharge. medications on admission: asa 81 mg po qd, ativan 0.5 mg tid prn, nadolol 20 mg po qd, accupril 10 mg po qd, lipitor 20 mg po qpm, ranitidine 300 mg qpm, combivent inh qid: prn, lasix 30 mg po prn. discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. ticlopidine hcl 250 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. atorvastatin calcium 10 mg tablet sig: two (2) tablet po daily (daily). 4. ranitidine hcl 150 mg tablet sig: two (2) tablet po bid (2 times a day). 5. combivent 103-18 mcg/actuation aerosol sig: one (1) inhalation four times a day. 6. accupril 10 mg tablet sig: one (1) tablet po once a day. 7. amlodipine besylate 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 9. ativan 0.5 mg tablet sig: one (1) tablet po three times a day as needed. discharge disposition: home discharge diagnosis: bilateral carotid disease discharge condition: hemodynamically and neurologically stable. discharge instructions: patient was instructed to take all of the medications as directed. pt was instructed to seek medical attention (dr. , pcp, ) if she develops dizziness, blindness, weakness, numbness, gait instability, trouble with speech, or any other concerning neurological symptoms. patient needs to follow up with pcp weeks. followup instructions: provider: study where: cc clinical center radiology phone: date/time: 1:30 provider: , m.d. where: cardiac services phone: date/time: 3:00 you should follow up with your pcp 1 week for bp check. procedure: angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) diagnoses: esophageal reflux congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified peripheral vascular disease, unspecified other and unspecified hyperlipidemia personal history of other diseases of circulatory system occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction stricture of artery 

Answer: The patient is high likely exposed to