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: the patient is a 51-year-old right-handed male with no past medical history who was in his usual state of health until 10 am on the morning of admission, when he was driving with his brothers and had the sudden onset of slurred speech and left-sided weakness. he was initially brought to the emergency department where a ct was performed suggestive of a right internal carotid artery occlusion. he was transferred to for further evaluation. past medical history: motor vehicle accident in with a hospital course, severe injuries as well as a left arm injury. medications on admission: none. allergies: the patient has no known drug allergies. social history: he has a history of tobacco use. family history: noncontributory. physical examination: at the time of admission he was afebrile, heart rate 67, blood pressure 160/87, respiratory rate 16, saturating 99% on room air. generally he was a well-developed, well-nourished middle-aged man appearing sleepy and disoriented. heent examination showed no evidence of trauma. mucous membranes were moist. neck had a faint carotid bruit on the right. lungs were clear to auscultation bilaterally. cardiac examination was regular with no murmurs. abdomen was soft and nontender with positive bowel sounds. extremities were 2+ without edema. neurologic examination showed his eyes closed spontaneously, opened them easily. he was oriented to person, place and time. language was fluent but dysarthric, extinction to double simultaneous stimuli on the left. cranial nerves showed his visual acuity was grossly intact. pupils were 4 to 3 mm bilaterally. gaze was deviated to the right however his eyes did move to the left. he denied diplopia and nystagmus. he had a complete left facial paralysis. tongue and palate were symmetric. motor examination showed tone was normal on the right side; left side was flaccid with barely a flicker of movement with his left arm. the right side was normal with 5/5 strength. reflexes were 2+ on the right as well as the left initially with flexor plantar responses bilaterally. sensation was decreased to pinprick on the left and extinction to double simultaneous stimuli on the left. coordination was intact on the right, unable to assess on the left. gait was deferred. laboratory data: on admission white count was 7, hematocrit 43.8, platelet count 233, sodium 139, potassium 4.3, chloride 101, bun 12, creatinine 1.0, glucose 97, calcium 9.5, inr 1.1. hospital course: the patient is a 51-year-old man with no significant past medical history who presented with sudden onset of a dense left hemiplegia, hemisensory loss and neglect affecting the face, arm and leg. these findings were consistent with an acute right mca infarct. he had an mri and was within the window of the 3-6 hours after the event started so he received iv tpa per the defuse protocol. afterward he was admitted to the neurology intensive care unit. he had no significant improvement after the iv tpa. he had a repeat mri image after the first one. he had evidence on mri of infarcts in the proximal right mca territory which was consistent with a right internal carotid artery stenosis. his blood pressure was controlled. he had a transesophageal echocardiogram while he was in the unit which showed no evidence of thrombus with a normal ejection fraction. he was started on aspirin. he had carotid ultrasound studies which showed bilateral internal carotid artery stenosis of 80-99% on the right. on the left he had a 60-69% stenosis. there was antegrade flow in both vertebral arteries. based on these findings it was felt that the patient could benefit in the future from a right carotid endarterectomy. the case was discussed with dr. , who has agreed to do the procedure in six weeks' time after discharge. he had a head ct while he was in the unit because of worsening mental status which showed a slight amount of 1 cm of hemorrhagic transformation in the area of the acute infarct with no extension of the blood into the lateral ventricle. he continued in the unit for most of the beginning of his hospital course. he was then transferred briefly to the floor, however while on the floor he again felt some nausea and vomiting, headache and worsening mental status. his head ct again showed a slight area of hemorrhage into the area of previous infarct, again with no extension into the lateral ventricle. he was sent back to the unit for closer observation and he eventually improved and did well and was transferred back to the neurology floor six days after admission. on examination at that time he was awake, oriented to hospital, had some agnosia of his left-sided weakness as well as continued extinction to double simultaneous stimulation on the left. he continued to have a dense left hemiparesis which did not improve significantly. initially it was considered while he was still in the unit whether or not to start him on coumadin given his severe right internal carotid stenosis, however given his hemorrhagic transformation he was just placed on an aspirin. he had lipid levels checked. he also had a hypercoagulable work-up sent, the results of which were back at this time and were unremarkable. he was ruled out for myocardial infarction. he was seen by the swallowing team who felt that he was doing quite well and recommended a soft diet with thin liquids and whole medications, bolt upright with meals, no straws, with small single sips, and aspiration precautions. he was seen by physical therapy and it was decided that he needs an acute rehabilitation. discharge status: improved. discharge diagnoses: 1. acute right middle cerebral artery infarction. 2. right internal carotid artery stenosis. 3. left internal carotid artery stenosis. 4. difficult to control hypertension. 5. hypercholesterolemia. 6. hemorrhagic transformation into acute infarct. discharge medications: 1. pepcid 20 mg p.o. b.i.d. 2. lipitor 10 mg p.o. q. day. 3. aspirin 325 mg p.o. q. day. 4. tylenol 325 to 650 mg p.o. q. 4-6 hours p.r.n. follow up: the patient is to follow up with dr. and with dr. . , m.d. dictated by: medquist36 d: 07:45 t: 08:33 job#: procedure: diagnostic ultrasound of heart injection or infusion of thrombolytic agent diagnoses: pure hypercholesterolemia unspecified essential hypertension occlusion and stenosis of carotid artery without mention of cerebral infarction cerebral artery occlusion, unspecified with cerebral infarction 

Answer: The patient is high likely exposed to