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: naproxen / diltiazem / propranolol attending: chief complaint: dizziness major surgical or invasive procedure: none history of present illness: patient is an 85 year old woman with past medical history of hypertension, hypercholesterolinemia, and vertebral aneurysm who presents with dizziness. she awoke on the morning of admission with sense of dizziness and dysequilibrium like things were moving around her. the sensation was worsened with head movements and present in all positions. she denied any nausea, diplopia, or neck pain. when she walked, felt unsteady and had to hold onto things to steady herself. she then had developed a pain which she is unable to characterize further all over her head that build up to but is now . she also complained of photophobia but denied any visual, speaking, or swallowing difficulties. of note, she did have a cough but no fever in past week. she denied any recent trauma or neck manipulations. her neighbor came over and then called 911; patient was then taken to hospital where she was found to be hypertensive to 200/100. a non-contrast head ct was negative and she refused spinal tap. records indicated that she was hospitalized two weeks ago at this for dizziness and hypertension. patient says that she has been having dizzy spells with sitting and standing up. the spells last a few minutes. patient had mri/mra of head for these dizzy spells 6 months ago which showed aneurysm in the "cavernous." she saw a neurosurgeon at who told her surgery not indicated at that time. past medical history: 1. hypertension 2. hypercholesterolinemia 3. vertebral artery aneurysm 4. angina 5. appendectomy 6. cataract surgery 7. left lumpectomy social history: she lives alone. uses a cane to walk. she formerly worked as a secretary. she denies any tobacco, alcohol or drug use. family history: no family history of seizure, stroke, or aneurysm. physical exam: exam: temp 98.3, hr 85, bp 186/103, rr 16, oxygen 99% on room air. gen: no acute distress. neck: supple. no carotid bruits. limited cervical range of motion. cv: regular rate and rhythm with no murmurs, gallops, or rubs. lung: clear to auscultation bilaterally. abd: soft, nontender. ext: no edema. refused hallpike manuever. neurologic examination: mental status: awake and alert, cooperative with exam, normal affect. oriented to person, place, and date. able to do months of year backwards but skips one month. recalled --> with prompting at 5 minutes. language fluent with good comprehension and repetition; naming intact. no dysarthria or paraphasic errors. no apraxia, no neglect. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 3 mm bilaterally. visual fields are full to confrontation. fundus: clear optic disc margins. acuity: 20/30 ou, os, od iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations, intact movements. motor: normal bulk and tone bilaterally. no tremor. full power throughout except right deltoid and bicep 4+/5. no pronator drift. sensation: intact to light touch, pinprick, temperature (cold), vibration, and propioception. reflexes: hyperreflexive except trace ankle jerks bilaterally. grasp reflex absent. toes were downgoing bilaterally. coordination: normal on finger-nose-finger, rapid alternating movements and heel to shin also normal. normal mirror test. gait: wide based, negative romberg. test ended due to patient's nausea. pertinent results: 05:30pm wbc-6.2 rbc-4.17* hgb-12.0 hct-34.5* mcv-83 mch-28.7 mchc-34.7 rdw-14.5 05:30pm neuts-67.4 lymphs-24.5 monos-5.2 eos-2.1 basos-0.7 05:30pm plt count-251 05:30pm pt-13.0 ptt-24.2 inr(pt)-1.1 05:30pm glucose-93 urea n-12 creat-0.6 sodium-141 potassium-3.8 chloride-102 total co2-28 anion gap-15 05:30pm ck(cpk)-75 05:30pm ck-mb-notdone ctropnt-<0.01 05:30pm sed rate-12 08:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 08:00pm urine color-straw appear-clear sp -1.009 mri of the brain without iv contrast: there is no intracranial mass effect or hydrocephalus. several foci of t2 signal hyperintensity are demonstrated within the subcortical and periventricular white matter of both cerebral hemispheres consistent with chronic microvascular infarction. no acute infarction is identified. two tiny foci of low signal is seen within the left thalamus and left temporal lobe on susceptibility sequences, may be areas of tiny hemorrhage or mineralization. there are symmetric, large, bilateral cavernous carotid aneurysms identified (please see below for measurements). there is opacification of the right mastoid air cells. the remaining visualized paranasal sinuses are clear. the remaining osseous and soft tissue structures are unremarkable. mra of the circle of : there are bilateral, symmetrically-appearing cavernous carotid aneurysms identified. the left cavernous carotid aneurysm measures 2.1 x 1.7 cm, and the right cavernous carotid aneurysm measures 2.0 x 2.1 cm. normal flow signal is demonstrated within these aneurysms. normal flow signal is present within both vertebral arteries, basilar artery, both posterior inferior cerebellar arteries, both anterior inferior cerebellar arteries, both superior cerebellar arteries, both middle cerebral arteries, both posterior cerebral arteries, and intracranial portions of the carotid arteries. an azygous anterior cerebral artery is present. there are no areas of significant stenoses identified. the posterior communicating arteries are not well visualized. mra of the carotids and vertebral arteries: continuous flow signal is demonstrated within both vertebral arteries, both common carotid arteries, and both internal carotid arteries without evidence of significant stenosis or ulceration. carotid dopplers: minimal wall-thickening involving the internal carotid arteries bilaterally. however, the peak systolic velocities bilaterally are normal, as are the ica to cca ratios. there is also normal antegrade flow in both vertebral arteries. brief hospital course: patient is an 85 year old woman with history of hypertension, hypercholesterolinemia, and anerysm who presented with dysequilibrium and headache. her neurologic exam was nonfocal but we felt her history of dysequilibrium without nausea was suggestive of central process such as stroke or cervical vertigo. we initially recommended mri/mra of the brain to evaluate for any stroke or aneurysm. her neurologic symptoms resolved shortly after admission. mri/mra on provided no evidence of hemorrhage or acute infarction. mri/mra also revealed large, bilateral cavernous carotid aneurysms without evidence of thrombus. no areas of significant stenoses were identified. carotid series revealed minimal bilateral ica plaque, with no appreciable associated stenosis. surgery was consulted for possible treatment for the aneurysms, and an angiogram was performed on . during the angiogram, patient had onset of left sided hemiparesis. on mri, diffusion weighted images showed several areas of increased signal are involving both cerebral hemispheres as well as the pons. no corresponding abnormalities are seen on the flair and t2 weighted images. these findings were indicative of acute posterior circulation infarcts involving the brain stem and cerebellum, likely due to showering of the emboli during angiogram. there was no evidence of hemorrhage seen. she was transferred from neurology stroke service to the neurology/neurosurgery intensive care unit on for blood pressure management. on , she was considered to be clinically stable and was transferred back to the neurology stroke service. on she developed worsening shortness of breath with a productive cough, low grade fever, and increased white blood cell count. chest x-ray was consistent with pneumonia, presumably due to aspiration. flagyl and levoquin were started for emperic treament of pneumonia as well as a concomitant urinary tract infection. she responded to the antibiotics, and her mental status improved slightly. picc line was placed for long term antibiotic therapy and parenteral nutrition. post-angiogram and subsequent stroke, patient was kept npo due to swallowing difficulties and aspiration risk. she transiently had an nasogastric tube for nutrition and medication administration. after tube was removed, family refused replacement. they also refused peg placement, stating that patient did not want to be kept alive by artificial means. conversations with her primary care physician confirmed this. subsequently, plan was made between patient's family and the medical team that patient would receive parenteral nutrition and antibiotics with frequent reassessment of her neurologic status and plan of care. after several days of therapy, the patient's mental status was unimproved and recurrent aspiration lead to further respiratory compromise. family changed goal of care to comfort measures onlyon and patient died from respiratory failure later that evening. medications on admission: 1. lovastatin 40 mg po qd 2. isosorbide 10 mg po qid 3. verapamil 40 mg po tid 4. nifedepine 10 mg po qd 5. trazodone 100 mg po qhs discharge medications: not applicable discharge disposition: home with service discharge diagnosis: 1. stroke 2. aspiration pneumonia leading to respiratory failure 3. urinary tract infection 4. bilateral cavernous carotid aneurysms 5. hypertension 6. hypercholesterolinemia 7. vertebral artery aneurysm 8. angina 9. history of appendectomy 10. cataract surgery . left lumpectomy discharge condition: deceased. discharge instructions: not applicable. followup instructions: not applicable. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances arteriography of cerebral arteries diagnoses: pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension acute respiratory failure cerebral aneurysm, nonruptured personal history of other malignant neoplasm of skin pneumonitis due to inhalation of food or vomitus cerebral embolism with cerebral infarction iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to