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: this is a 24 year old white female with a history of strenuous activity such as a cough, laugh or moving strenuously causing severe headaches and neck pain, multiple times a day. she has a history of neck pain secondary to a car accident in but more recently had noted increasing symptoms with physical activity. a previous physical examination raised the question of a heart murmur, but an echocardiogram was done at the in and ruled that out. there is no recent history of illness and her previous medical history is essentially unremarkable. social history: she smokes approximately two cigarettes per day. occasionally drinks alcohol but confines this primarily to beer. past surgical history: 1. tonsillectomy in . allergies: she has no known allergies. physical examination: she was alert and oriented, with vital signs stable. blood pressure 122/64; heart rate 85; she was 5'2" and 94 pounds, and noted to be well developed and in no acute distress. there was positive gag reflex bilaterally. no lymphadenopathy or thyroid masses and the entire head, eyes, ears, nose and throat was unremarkable. the chest showed symmetrical breath sounds bilaterally and clear to auscultation. heart rate was regular in rhythm with no murmur, no gallop or no rubs. the abdominal examination was unremarkable with soft, nontender, nondistended abdomen and bowel sounds present in all four quadrants. no hepatosplenomegaly was noted. the peripheral pulses were intact with no cyanosis, clubbing or edema. visual fields were equal throughout. right eye acuity was 20/20; left eye acuity 20/20. cranial nerves ii through xii intact. muscle and sensory examination intact. due the clinical findings and the findings on outpatient radiographic studies of the head and neck, the patient was admitted to the hospital for planned suboccipital craniectomy and decompression of a chiari malformation. hospital course: the patient was taken to the operating room on the day of admission , where under general endotracheal anesthetic, the patient underwent a suboccipital craniectomy with c1 laminectomy and duraplasty for decompression of the chiari malformation. the patient tolerated the procedure well and went to recovery room stable. the postoperative course was essentially unremarkable and she was subsequently discharged home on the morning of the , with follow-up to see dr. in the clinic in approximately two weeks' time. condition at discharge: stable and improved. . , m.d. dictated by: medquist36 procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other exploration and decompression of spinal canal other repair of cerebral meninges diagnoses: compression of brain 

Answer: The patient is high likely exposed to