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: levaquin / lovastatin / fenofibrate attending: chief complaint: vertigo this morning major surgical or invasive procedure: cerebral angiography intubation history of present illness: the pt is a 70 year-old woman with a history of cad, hypothyroidism and depression who presents following an episode of vertigo this morning. patient was intubated at the time of arrival to , so history was obtained from medical records and the patient's son. reportedly at 7:30am the patient reported sudden onset of severe vertigo accompanied by nausea and vomiting, to the extent that she was unable to stand or walk. she called ems, however they had to call the police department to get into the house, as the patient was so vertiginous she was unable to even walk to the door to let them in. she was taken to , and apparently on evaluation there she was initially reportedly 'neurologically intact' aside from a mild nystagmus and gait instability. she underwent a nchct which showed evidence of prior infarcts, however no new hemorrhage or infarct. arrangements were made to transport her to for further evaluation, and arrived at 9:45am. in the process of obtaining signout and preparing her for transport, they report that she acutely decompensated, developing left facial droop, left arm and leg weakness, and dysarthria and swallowing difficulties. she was noted to be quite agitated, flailing her arm and leg on the right side. given the acute decline, the decision was made to intubate her, which was done at 10:07am, and then she was immediately transferred to , arriving at 10:49am. past medical history: - hypothyroidism - cad s/p stenting, - s/p cea - depression - prior tias, which son describes as transient left sided weakness that resolved. social history: unknown family history: unknown physical exam: p: 40 r: 16 bp: 160/80 sao2: 100% intubated general: intubated, sedated, not following commands. heent: nc/at, 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 (performed off sedation, ~1 hour after patient received fentanyl, versed and succinylcholine for intubation) -mental status: not responsive to verbal or painful stimuli -cranial nerves: pupils 2mm and minimally reactive. sluggish corneals, negative oculocephalics. intact gag. -motor/sensory: flaccid paralysis throughout. triple flexion vs. withdrawal on the right leg to painful, stimuli, otherwise no response in other limbs. -dtrs: tri pat ach l 1 1 1 1 1 r 1 1 1 1 1 plantar response was extensor on the right, mute on the left. pertinent results: eeg this is an abnormal video eeg due to the presence of a slow background, reaching a maximum of 6 hz. this represents a moderate encephalopathy. it is also abnormal due to the presence of l>r hemisphere bursts of delta slowing, suggesting additional focal subcortical dysfunction, though the tracing cannot specify the etiology. there were no electrographic seizures in the recording. mri/a 1. multiple acute/subacute infarcts, both in the supra- and infratentorial compartments as described above. 2. lack of flow related enhancement in the right vertebral and the right posterior cerebral artery, are consistent with occlusion. brief hospital course: patient was admitted to the icu service after tpa was given and it was determined that she was not a candidate for intervention due to b/l vertebral artery occlusion. she was intubated and during hospital course she became less responsive and stopped moving her extremities or withdrawing to painful stimuli. eeg was consistent with encephalopathy, but no evidence of seizures. discussion with family memebers revealed that she would not want to live like this and the decision wa smade with her son to not trach/peg and to make her comfort measures only. patient was extubated with family present and died within 24 hours. medications on admission: unknown on admission discharge medications: deceased discharge disposition: expired discharge diagnosis: stroke (top of the basilar syndrome) basilar artery thrombosis discharge condition: deceased discharge instructions: ms. developed severe vertigo with progression to left side hemiplegia and slurred speech. initially to hospital and then transferred to , iv tpa started upon here and she was taken to angio suite; thrombectomy not possible, but ia tpa given. no improvement clinically. she was made comfort measures and pronounced on at 13:50. followup instructions: n/a procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent arteriography of cerebral arteries closed [endoscopic] biopsy of bronchus video and radio-telemetered electroencephalographic monitoring diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery acute kidney failure, unspecified unspecified acquired hypothyroidism occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits cerebral embolism with cerebral infarction do not resuscitate status hyperosmolality and/or hypernatremia leukocytosis, unspecified hypercalcemia hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified occlusion and stenosis of basilar artery with cerebral infarction occlusion and stenosis of vertebral artery with cerebral infarction bipolar i disorder, most recent episode (or current) depressed, unspecified atherosclerosis of other specified arteries 

Answer: The patient is high likely exposed to