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: mevacor attending: chief complaint: code stroke; transfer from osh aftyer iv tpa major surgical or invasive procedure: tpa at outside hospital right hemi-craniectomy and partial right temporal lobecomy history of present illness: the patient is a 58yo r-handed man with cad, s/p mi, hypercholestreolemia, hypothyroidism, who is transferred to after he received iv tpa at osh. . the patient was driving in his truck this pm. he was well until about 15.00. at that thime, he pulled over to look at a map. he opened the door of his truck, bent over to look for his phone under his seat, and then fell out of the truck. when on the ground he noted that his l-side was weak. he hit his head, causing a laceration on his head. he was awake and alert and did not lose consciousness. . he was taken to an osh, where his nihss was 18. a ct head was negative for hemorrhage, but showed a hyperdense r-mca. at 16.45, iv tpa was given after consent. he was then transferred to at 17.20 and arrived at 18.20. his exam had only minimally improved, and he remained awake, alert and oriented. he had some bilateral wheezing, but we were able to hold off on intubation. his bloodpressure had been managed with extra boluses of labetolol. . nihss at osh: 18 1a. level of consciousness: 0 1b. loc questions: 0 (age and month) 1c. loc commands: 0 2. best gaze: 2 3. visual: 2 4. facial palsy: 3 5. motor arm: 0/4 6. motor leg: 0/4 7. limb ataxia: 0 8. sensory: 1 9. best language: 0 10. dysarthria: 1 11. extinction: 1 past medical history: -cad, s/p mi (' and ') and cardiac stents -hypercholesterolemia -s/p splenectomy -s/p hodgkins ' -hypothyroidism social history: smoking: not currently; in the past; ethoh: no; family history: unknown physical exam: vitals: t98.1 hr94 bp140/73 180/96 rr20 so2 98% on high flow o2 . gen: nad heent: mmm, scalp laceration neck: neck in collar, unable to assess for bruits lungs: wheezing bilaterally heart: regular rate and rhythm, normal s1 and s2, no murmurs, gallops and rubs. abdomen: normal bowel sounds, soft, nontender, nondistended extremities: no clubbing, cyanosis, ecchymosis, or edema . mental status: awake and alert, cooperative with exam, normal affect. oriented to place, month, day, and date, person; able to tell what happened today. attention: moybw. memory: registration: items; recall at 5 min. language: fluent; repetition: intact; naming intact; able to follow simple commands; clear dysarthria, no paraphasic errors. prosody: normal. apraxia not tested. l-sided neglect. . cranial nerves: ii: blinks to threat on the r, not on the left. pupils equally round and reactive to light both directly and consensually, 3-->2 mm bilaterally. disc margins sharp, no papilledema. iii, iv, vi: extraocular movements without nystagmus, decreased l-gaze. no ptosis. v: facial sensation intact to light touch and pinprick on the r, decreased on the l. vii: left facial droop. viii: hearing intact to finger rub bilaterally. ix: palate elevates in midline. xii: tongue protrudes in midline, no fasciculations. : sternocleidomastoid and trapezius normal bilaterally. . motor system: normal bulk bilaterally. tone of left extremities is decreased. strength on the r intact throughout. does withdraw l-leg to noxious. no clear movement after noxious in l-arm. . sensory system: sensation intact to light touch and temperature (cold) on the r. no sensation on the l. . reflexes: b t br pa pl right unable due to lines 1 0 left unable due to lines 1 0 toes: upgoing on the l, down on the r. . coordination: normal , , hts on the r. . gait: deferred pertinent results: 06:31pm fibrinoge-172 06:31pm pt-15.7* ptt-50.8* inr(pt)-1.4* 06:31pm plt smr-normal plt count-306 06:31pm hypochrom-normal anisocyt-normal poikilocy-occasional macrocyt-normal microcyt-normal polychrom-normal burr-occasional 06:31pm neuts-93.9* bands-0 lymphs-4.0* monos-1.4* eos-0.2 basos-0.3 06:31pm wbc-29.1*# rbc-4.60 hgb-13.8* hct-40.5 mcv-88 mch-29.9 mchc-34.0 rdw-13.7 06:31pm glucose-180* urea n-13 creat-1.0 sodium-142 potassium-3.7 chloride-107 total co2-23 anion gap-16 09:54pm ck-mb-10 mb indx-3.6 ctropnt-<0.01 09:54pm ck(cpk)-280* . cta head: dense right middle cerebral artery consistent with occlusion. left scalp hematoma. occluded right middle cerebral artery. no evidence of significant internal carotid artery stenosis. see above comment regarding the appearance of the cervical spinal canal. . mri c/l/t spine: no definite signs for epidural or subdural spinal hematoma. clearly, the hyperdensity noted on the recent ct scan could raise the question of subarachnoid hemorrhage. . ct head: there are findings consistent with an evolving large right middle cerebral artery territory infarct, with focus of intraparenchymal hemorrhage, as described above. there is associated mass effect, with a suggestion of right hippocampal herniation. . ct head: evolving large right middle cerebral artery territory infarct with a focus of intraparenchymal hemorrhage, demonstrating greater mass effect with a new subfalcine herniation and greater right hippocampal herniation as compared to the day before. . ct head: examination compared to prior study of . again is noted the extensive abnormality in the right hemisphere consistent with infarction and hemorrhage. there is increased prominence of left lateral ventricle, especially the temporal , consistent with some obstruction of the foramen of . there is increased subfalcial right to left herniation, which now measures 22 mm at the level of the foramen of . there is a small extra-axial hematoma in the region of the craniectomy site increased mass effect with increased subfalcial herniation and some developing dilatation of the left lateral ventricle. small extra-axial hematoma in the region of the prior craniectomy. . head ct: echo: the left atrium is elongated. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. lv systolic function appears mildly depressed. resting regional wall motion abnormalities include inferior and inferolateral hypokinesis. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. . no intracardiac mass/thrombus identified. brief hospital course: icu course: . neurologically: arrived within 1-2 hours of receiving iv tpa at outside hospital. repeat ct at showed persistent hyperdense mca suggesting clot. decision for intra-arterial tpa was strongly considered but family eventually decided against as medical status was tenuous (became hypotensive). he was intubated for respiratory distress. on exam, he was able to follow some commands with the right side (moving rue and rle), and could weakly withdraw the lue (extension mostly . follow up cts showed evidence of infarct and devolopment of edema which became worrisome at 36 hours. on he was taken to the or for right craniectomy and temporal lobectomy. post operative cts initially showed right frontal hemorrhage (3 x 3.5cm) and some increasing edema with significant midline shift. the edema was managed medically with mannitol 50mg iv q6 and dexamethasone 4mg iv q6 as well as keeping the head of bed at < 30 and pco2 less than 35. his exam in the first 48 hours post-op declined with some dilation and fixing of the right pupil as well as inability to follow commands. he was still withdrawing purposefully on the right and weakly on the left. . on improvement was noted on patient's exam. he was following commands by showing thumbs up and two fingers on right and could move the right toes on command. he was not able to follow any commands left and could not track with eyes. repeat ct was performed and showed evolution of the right mca stroke and hemorrhage as well as slight decrease in midline shift and sub-falcine herniation. mannitol was weaned slowly from with caution for rebound edema. dexamethasone also weaned slowly. exam improved only slightly more over the next 48 hours in that his ability to follow commands with right hand was more crisp. also began to develop some aggitation with trach care and required prn doses of propofol to keep him comfortable during nursing care. on , family began to mention desire to maintain patient's wishes and make him cmo. on they met with dr and decided on cmo status to start at midnight. after extubation, vitals remained stable and he was kept comfortable with morphine drip and prn fentanyl. . cvs: cardiac enzymes negative on admission. had some wide complex abnormal rythems (not v-tach) around . was ruled out again with cardiac enzymes and had an echo which showed ef 35%. please see results section for further detail. was noted to have bradycardia down to 30s when put on cpap on . otherwise has been in nsr while on tele. . resp: had wheezes/ronchi bilaterally suggesting aspiration on admission. intubated on admission for poor oxygenation. thought to have aspiration pneumonia and given antibiotics but then d/c'd after 24 hours. cxr on suggested question of aspiration pna in lower lobes but showed clearing. . gi: received iv protonix for prophylaxis. tube feeds started with doboff on with promote full fiber. started at 10cc and eventually titrated up to 95cc/hour. vomitted and tube feeds held for 24 hours. restarted . renal: some mild increase in bun after several days of mannitol, but corrected quickly as mannitol was weaned off. peaked at 34. creatinine never elevated. . id: started on antibiotics at admission for presumed aspiration pneumonia but d/c'd after 24 hours. sporadic low grade fevers but no spikes. persistently elevated white count but no shift. blood cultures x 3 and urine culture from admission negative. sputum culture multi-flora. . heme: persistently elevated white count but no shift. wbc around 18-23 mostly. . endocrine: continued on levoxyl alternatin doses of 100mcg qd and 200mcg qd. covered with riss. . floor course: palliative care was consulted and recommended levsin and a scopalamine patch to control secretions, ativan prn anxiety or agitation, and morphine prn pain. pt. appeared comfortable on the floor. there was no improvement in his neuro exam, and over the next several days his respiratory status became more tenuous. on at 2:15 he stopped breathing. his pupils were fixed and dilated, had had no heart sounds or breath sounds, and no palpable carotid or radial pulse. his family was notified and declined autopsy. medications on admission: -lipitor 20mg daily po -toprol xl 25mg daily po -synthroid 200mcg alternated with 100mcg daily po -ticlid ? -diltiazem 30mg daily po -omeprazole 20mg daily -vit e -mvi discharge disposition: expired discharge diagnosis: r mca ischemic stroke with cerebral edema and herniation discharge condition: expired discharge instructions: none followup instructions: none md, procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances insertion of other (naso-)gastric tube operations on two or more extraocular muscles involving temporary detachment from globe, one or both eyes lobectomy of brain diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified acquired hypothyroidism atherosclerosis of aorta percutaneous transluminal coronary angioplasty status open wound of scalp, without mention of complication compression of brain pneumonitis due to inhalation of food or vomitus cerebral edema old myocardial infarction encounter for palliative care cerebral embolism with cerebral infarction hemiplegia, unspecified, affecting unspecified side vomiting alone other accidental fall from one level to another personal history of hodgkin's disease 

Answer: The patient is high likely exposed to