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: lisinopril attending: chief complaint: dizziness major surgical or invasive procedure: peg tube placement history of present illness: 89 yo rh woman with as, htn who presents after fall last night. she stood up from sitting position and felt lightheaded. she then fell on her rear without loc or head injury. she felt unwell with nausea and emesis, followed by generalized weakness. she was unable to get up off floor and was unable to crawl. she slept on floor and after several failed attempt to crawl to phone when her family called her, she was found on the floor by her son in law ~10am this am. she continued to have generalized weakness and nausea/emesis for which she was brought in to ed for further evaluation. with fall and generalized weakness, cth was obtained which demonstrated r frontal calcified mass (likely meningioma) and neurology was consulted for further evaluation. patient now c/o l frontal dull ha. after admit found to have a l facial droop. the patient was unaware of a facial droop but reported that she had difficulty swallowing since yesterday evening. she also noted seeing double when looking at the clock on the wall but denied diplopia otherwise. she also denied dizziness, room spinning, nausea, ha, numbness, weakness or oscillopsia. exam as bellow. pt taken urgently to ct and which showed a l cerebellar subacute infarct. her last known well time was not known, therefore thrombolysis was not considered. she was then taken in the afternoon to mri. past medical history: 1) hypertension social history: has three children, divorced. former school teacher. has never used tobacco, alcohol, or illicit drugs. family history: daughter with hypertension, otherwise unknown. physical exam: o: 109/45 hr 60's 91% ra ms: awake, alert, no dysarthria, fluent speech, able to read and name without difficulty. cn: pupils 2->1 mm bilaterally, eomi but with l beating nystagmus with end gaze to the l. no diplopia in any position. decreased pin and temperature over the l side of the face in v1-3 with diminished corneals and nasal tickle on the l. l nlf flattening (even when teeth in place). tongue midline, palate elevates symmetrically. + gag. nl tongue movements bilaterally. able to turn head and shrug shoulders bilaterally as well. motor: l drift, full strength otherwise, except at the l hs and df; l leg externally rotated however reflexes: 1+ in the ue bilaterally, 2 at the l patellar w/ crossed adductor on the l. no ankle jerks. toes mute bilaterally. pertinent results: 06:20am blood wbc-5.9 rbc-3.43* hgb-10.1* hct-30.7* mcv-89 mch-29.4 mchc-32.9 rdw-14.2 plt ct-195 04:57pm blood wbc-8.2 rbc-4.11* hgb-12.2 hct-36.3 mcv-88 mch-29.8 mchc-33.7 rdw-14.2 plt ct-217 06:20am blood neuts-72.0* lymphs-16.8* monos-4.0 eos-6.8* baso-0.4 07:05am blood pt-15.9* ptt-34.7 inr(pt)-1.4* 04:30am blood glucose-114* urean-22* creat-1.2* na-145 k-3.9 cl-111* hco3-24 angap-14 06:20am blood alt-54* ast-52* alkphos-52 totbili-1.0 09:00am blood ck-mb-5 ctropnt-0.05* 06:25am blood ck-mb-13* mb indx-3.9 ctropnt-0.11* 08:45pm blood ctropnt-0.13* 04:30am blood calcium-9.1 phos-3.1 mg-2.3 06:25am blood triglyc-85 hdl-52 chol/hd-3.2 ldlcalc-96 06:25am blood tsh-0.37 06:06am blood hbsab-negative hbcab-negative hav ab-positive 06:06am blood hcv ab-negative mri/mra : 1. acute infarct in the left cerebellar hemisphere, extending into the left side of the medulla, with a short segment occlusion/ near-total of the lft distal vertebral artery in the v4 segment, as well as nonvisualization of the left posterior inferior cerebellar artery. if further evaluation is necessary regarding the flow in the vertebral artery, cta can be considered as there is some discrepancy in the flow pattern in the cervical vertebral artery between the 2d tof and gado mra neck. 2. 3.0 x 3.5 cm extra-axial lesion in the right parietal region, representing a meningioma, but aggressive in appearance, with extension into the adjacent bone marrow. histologic confirmation is necessary, to exclude other aggressive etiology. 3. atherosclerotic disease involving the common carotid arteries and thecervical internal carotid arteries proximally on both sides with mild-moderate stenosis in the proximal cervical internal carotid artery, without flow limitation. brief hospital course: the patient was transferred to the neurology service from ccu after medullary/cerebellar stroke was discovered. this was felt due to left vertebral artery occlusion, causing left-sided ataxia, left-sided horner's, left facial loss of pain/temperature and right hemibody loss of pain/temp and dysphagia, the latter of which required peg for feeding. she was maintained on heparin and started on coumadin. heparin should be discontinued once inr is in the target range of . for blood pressure, she was started on metoprolol. she was incidentally found to have large frontal meningioma. it did not contribute to her presentation and will be followed clinically. she has neurology follow-up arranged with dr. - the plan is to stop cpumadin after 1-3 months. she has had elevated bp's during the admission we have been working on getting better control. over the past 2 days she has had brief episodes of bradycardia while on the metoprolol, so we are holding today's doses and starting losartan. goal sbp 110-160. she also has been constipated over the last few days, colace was recently started. medications on admission: asa atenolol hctz benzacar discharge medications: 1. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 2. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 3. heparin (porcine) in d5w 25,000 unit/250 ml parenteral solution sig: one (1) intravenous asdir (as directed). 4. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). - holding for bradycardia 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 7. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). discharge disposition: extended care facility: hospital discharge diagnosis: left vert occlusion resulting in left cerebellar and lateral medulla infarct discharge condition: improved discharge instructions: you were found to have a stroke affecting the vessels in the back of your head. your main symptoms are clumsiness, decreased sensation and difficuly swallowing. you should not take anything by mouth until your are cleared by speech therapy. you had a peg-tube placed so you can be fed while waiting for your swallowing to improve. followup instructions: provider: , md phone: date/time: 2:00 md procedure: percutaneous [endoscopic] gastrostomy [peg] diagnoses: unspecified essential hypertension acute kidney failure, unspecified aortic valve disorders occlusion and stenosis of carotid artery without mention of cerebral infarction benign neoplasm of cerebral meninges occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction occlusion and stenosis of vertebral artery with cerebral infarction dysphagia, unspecified 

Answer: The patient is high likely exposed to