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: history of present illness: patient presented to the emergency room. he is a 65-year-old male with a history of coronary artery disease status post cabg, status post angioplasty, history of chronic obstructive pulmonary disease, history of bladder carcinoma status post resection, with a left internal carotid artery stenosis of 90% and right internal carotid artery stenosis of 70%, and alcoholism who presents with left arm weakness. on the evening prior to admission patient felt that his left hand was weak at about 10 p.m. because he has a history of carotid stenosis he was concerned and called the emergency department at 1 a.m. he was urged to come, but because he wanted to continue to drink, he did not present to the emergency room until the morning of . his last drink was 4 a.m. on . he felt less weak. of interest, the patient presented to hospital 2 weeks prior to admission with abdominal pain. evaluation was negative and the patient was discharged to home. at the presentation in emergency room patient was noted to be ataxic with left leg weakness. he was very shaky and ativan was given. he was brought to head ct and afterwards he became somnolent with respiratory depression. patient now is admitted for continued monitoring for alcohol withdrawal and evaluation for stroke. allergies: wellbutrin causes patient to have tremors. medications on admission: 1. albuterol 3 puffs q.2h. p.r.n. 2. atrovent inhaler p.r.n. 3. flovent 1 to 2 puffs b.i.d. 4. neurontin 600 mg in the morning, then 800 mg in the evening and 800 mg at bedtime. 5. paroxetine 10 mg daily. 6. avodart 0.5 mg daily. 7. flomax 0.4 mg daily. 8. lipitor 20 mg daily. 9. metoprolol 25 mg daily. 10.aspirin 81 mg daily. 11.multivitamin. past medical history: coronary artery disease with left main trunk disease of 50% and left anterior descending artery stenosis of 90% status post angioplasty in , followed by coronary artery bypasses in . history of chronic obstructive disease with severe obstructive pattern with an fvc of 65% predicted and an fev1 of 32% predicted on inhalers. alcohol cirrhosis status post tips in with associated history of ascites. bladder carcinoma status post resection in . umbilical hernia repair in . tobacco use. history of gallstones. history of depression. habits: patient drinks 12 to 15 drinks per day. he notes that he has been in detoxification about 30 times in the past, the longest length of sobriety was 4 years. he denies any history of seizures or delirium tremors related to his alcohol abuse in the past. he is a current smoker. physical examination: vital signs: 98.6, 94, 24, o2 saturation 96% on 6 liters, blood pressure 134/70. general appearance: somnolent, responsive to sternal rub, thin and weak in appearance. skin is positive for telangiectasias on the chest. there is a median sternotomy incision which is well healed. his heent exam shows extraocular movements intact and pupils equal, round, reactive to light and accommodation. his oropharynx is clear. he has dry mucous membranes with mild glossitis with fissure tongue. he has upper and lower dentures in place. neck is supple, there are no masses or lymphadenopathy. there is no thyromegaly or carotid bruits. heart: regular rate and rhythm with normal s1, s2. lungs are clear to auscultation bilaterally. abdominal exam is soft, nondistended, right side ecchymosis extending to the lower left side and extending down to the scrotum. the right upper quadrant is tender to palpation. there is no rebound or guarding. the bowel sounds are hypoactive. there is hepatomegaly 5 cm below the costal margin. extremities show venous stasis changes with 1+ lower extremity edema bilaterally. pulse exam shows a palpable dp and pt bilaterally. neurologic exam is as follows: mental status is stuporous and arousable with voice and sternal rub. cranial nerves ii-xii are intact. motor, normal bulk and tone bilaterally. bilateral tremors. right upper and lower extremities strength is intact. left upper extremity with good strength, lower extremity at least antigravity but weaker compared to right extremity. sensation: withdraws to pain x4. coordination: shaky with finger-to-nose on the left, but might be due to weakness. ataxia with heel-to-shin on the left. gait was deferred. hospital course: patient was admitted to the medical service. ct of the abdomen was obtained in the emergency room, which showed a right rectus sheath hematoma and no evidence of intraabdominal high density fluid collection. tips in place with nodular contour of the liver likely presenting underlying cirrhosis with mild splenomegaly. there is cholelithiasis. there was moderate height loss of l1 vertebral body. the mri/mra showed a limited study of the brain demonstrating no evidence of acute infarct. chest x-ray with no evidence of acute pulmonary process. the head ct was a limited evaluation, particularly with posterior fossa secondary to patient motion. no definite evidence of intracranial hemorrhage. questionable left posterior density lesion within the mid brain. characterization was limited secondary to artifact. patient was continued on current medications at home. he was placed on sewa scale. thiamin and folate were added to his medical regimen. his cks and troponins were negative. his lfts were normal. white count was 6.5, hematocrit 36.3, platelets 225. coags were normal. vascular was consulted on . patient's ultrasound from outside hospital on demonstrated right internal carotid artery of 90% and left internal carotid artery of 70%. patient had previous similar symptoms, but left ama from the hospital. he has experienced a right amaurosis x6 in the last month with questionable drooling on the right side. no aphasia, no dysarthria. no history of stroke. no residual arm weakness. recommendations were heparin for goal ptt of 60 to 80. the cta done on showed a high grade focal stenosis at the bifurcation on the right with moderate left internal carotid artery stenosis. cardiology was consulted for perioperative assessment. recommendations were to continue his beta blocker, aspirin, and statin as well as continue the iv heparin. no further cardiac workup at this time since his last stress was negative. addiction service was consulted, but the patient was not currently interested in any substance abuse treatment. on the patient underwent a right carotid endarterectomy under general anesthesia. he was transferred to the pacu in stable condition. neurologically he was intact. there were no new deficits. he did have systolic hypertension immediately perioperatively and patient was placed on neo-synephrine for hemodynamic support. this was continued overnight and was weaned the following day. he did receive 1 unit of packed red blood cells with improvement in his systolic pressure. his systolic pressure improved and he was weaned off nitro and was transferred to the regular nursing floor for continued postoperative care. remaining hospital course was unremarkable. patient will be discharged to home stable. will continue all previous medications. to followup with dr. in 2 weeks' time. he is to call for an appointment at . he should call the office if the neck wound develops any swelling, bleeding, redness, or drainage. he is to call the office if he develops any new symptoms of stroke. discharge diagnoses: 1. carotid disease bilaterally, right greater than left, status post right carotid endarterectomy with dacron patch, angioplasty. 2. history of alcohol abuse, stable. 3. history of alcoholic cirrhosis status post tips. 4. history of coronary artery disease status post angioplasty with coronary artery bypass graft in . 5. history of chronic obstructive pulmonary disease. 6. history of benign prostatic hypertrophy. 7. history of prostatic carcinoma, resected. 8. history of depression, on medications, stable. 9. history of umbilical hernia repair. 10.history of tobacco use, current. 11.history of gallstones, asymptomatic. 12.postoperative blood loss anemia, transfused. 13.postoperative hypertension requiring vasopressor support, treated. , procedure: endarterectomy, other vessels of head and neck alcohol detoxification transfusion of packed cells procedure on two vessels procedure on vessel bifurcation diagnoses: other iatrogenic hypotension anemia, unspecified tobacco use disorder alcoholic cirrhosis of liver hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) occlusion and stenosis of carotid artery without mention of cerebral infarction hypoxemia hepatic encephalopathy occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction other and unspecified alcohol dependence, continuous alcohol withdrawal other musculoskeletal symptoms referable to limbs 

Answer: The patient is high likely exposed to