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: patient recorded as having no known allergies to drugs attending: chief complaint: right carotid artery stent placement major surgical or invasive procedure: carotid artery stent placement - history of present illness: 76yof with htn, hl, pvd, s/p ptca with stents to les and carotid artery stenosis now s/p r carotid artery stenting, no complications, transferred to ccu for monitoring. she was seen in vascular consultation with dr. on for evaluation of carotid stenosis. she was found on routine exam to have a carotid bruit several years ago and has been followed with surveillance carotid ultrasounds. her lastest study was performed on and demonstrated 70-79% stenosis of the right internal carotid artery and a 40-59% stenosis of the left internal carotid artery. . on arrival, she had labile bps, on and off neo. she was intermittently woozy, nauseous with low bp. she denies any chest pain, palpitations, sob. . on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she has chronic low back pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope. past medical history: hypertension hyperlipidemia copd pvd, s/p overlapping 6.0 x 100 mm and 7 x 28 mm dynalink stents to the right sfa in and s/p left sfa stent in with isr s/p pta on continued claudication of the right leg carotid stenosis gerd with h/o duodenal ulcer s/p pelvic hematoma and hypovolemic shock post catheterization shingles with recurrence on os in anemia s/p d&c in low back pain osteoarthritis tonsillectomy social history: she is a widow with 6 children and lives with two of her sons. she does not drink alcohol and quit smoking 10 years ago, previously smoked ppd x 50 years. family history: her older brother had a cabg in his early 70s and her father died of a stroke at age 58. physical exam: vs: bp 137/47on neo 0.8, hr 86, rr 21, 98% on 4l nc. gen: elderly female, nad, a/o x3, mood, affect appropriate. heent: sclera anicteric, perrl, eomi. no pallor or cyanosis of the oral mucosa. neck: supple without jvd. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. no murmur. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. r femoral site dry and intact but no identified hematoma. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ with bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ with bruit; femoral 2+ without bruit; 2+ dp pertinent results: admission labs: 04:56am blood hct-24.9*# plt ct-300 07:45am blood wbc-9.3 rbc-2.80*# hgb-9.4*# hct-25.9* mcv-92 mch-33.5* mchc-36.3* rdw-13.2 plt ct-273 04:56am blood plt ct-300 04:56am blood urean-11 creat-0.7 k-3.5 07:45am blood glucose-107* urean-10 creat-0.7 na-140 k-3.7 cl-108 hco3-24 angap-12 07:45am blood calcium-8.3* phos-2.4* mg-1.9 . . pertinent labs/studies: hct: 25.9 () -> 28.2 -> 25.8 () cardiac cath, : 1. selective coronary angiography in this right dominant system revealed minimal cad. the lmca had minimal distal disease. the lad was patent with mild luminal irregularities. the lcx and ramus were patent. the rca had very mild ostial disease. 2. left ventriculography was deferred. 3. resting hemodynamics demonstrated normal left and right sided filling pressures with an lvedp of 11 mmhg and an rvedp of 6 mmhg. there was systemic arterial hypertension, with a central aortic pressure of 151/61 mmhg. cardiac index was perserved at 2.6 l/min/m2. there was no gradient on pull back across the aortic valve. there was no mitral stenosis. final diagnosis: 1. coronary arteries are normal. . . labs: preop 142 104 13 agap=15 --------------- 4.8 28 0.8 estgfr: 70 / >75 (click for details) 12.5 6.9 > --- < 267 36.2 pt: 12.4 inr: 1.1 . . discharge labs: 06:09am blood wbc-6.3 rbc-2.82* hgb-9.4* hct-25.8* mcv-92 mch-33.2* mchc-36.3* rdw-14.9 plt ct-209 06:09am blood plt ct-209 06:09am blood glucose-97 urean-8 creat-0.6 na-140 k-4.1 cl-107 hco3-25 angap-12 06:09am blood calcium-8.4 phos-2.6* mg-2.0 brief hospital course: patient is a 76 year-old female with a history of hypertension, hyperlipidemia, pvd, s/p ptca with stents to lower extremities and carotid artery stenosis who presents for right carotid artery stenting. . # cad/pvd/ischemia - patient was admitted for stenting of her right internal carotid artery. patient did not have any complications from the procedure. patient required neosynepherine overnight. she had one episode of numbess and tingling in both hands on the morning of the 29th, which was concurrent with a drop in sbp to the 60's. patient was upright during this episode and her symptoms quickly resolved with lying supine. patient was continued on her plavix 75 mg daily, lipitor, and aspirin 81 mg daily. patient was ambulating on the floor prior to discharge and was asymptomatic. . # anemia: patient's hematocrit dropped during this hospital stay to 24.6 on . she was transfused one unit of blood, and her hematocrit increased appropriately to 28. patient's hematocrit again dropped to 25.9 prior to discharge. the patient was asymptomatic and was ambulating in the ccu. patient will be seen again in clinic on , where her hematocrit will again be checked. . # code - full code periprocedure, dnr/dni otherwise medications on admission: albuterol 90 mcg 1 puff ih qd fosamax 70 mg 1 tab weekly lipitor 10 mg 1 tab daily pletal 100 mg 1 tab plavix 75 mg 1 tab daily advair 250-50 mcg 1 puff ih ativan 1 mg 1 tab q hs toprol xl 100 mg 1 tab daily xopenex 15 gm 1 puff prn singulair 10 mg 1 tab daily protonix 40 mg 1 tab daily spiriva 18 mcg 2 caps daily tramadol 50 mg 1 tab prn asa 81 mg 1 tab daily vitamin c 500 mg 1 tab daily vitamin b-6 100 mg 1 tab daily vitamin b-12 250 mg 1 tab daily calcium + d 500 mg -200 units 1 tab daily iron 325 mg 1 tab daily centrum silver 1 tab daily discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: one (1) puff inhalation once a day. 2. fosamax 70 mg tablet sig: one (1) tablet po once a week. 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. pletal 100 mg tablet sig: one (1) tablet po twice a day. 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 6. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). 7. ativan 1 mg tablet sig: one (1) tablet po at bedtime as needed for anxiety. 8. xopenex hfa 45 mcg/actuation hfa aerosol inhaler sig: one (1) puff inhalation every four (4) hours as needed for shortness of breath or wheezing. 9. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. spiriva with handihaler 18 mcg capsule, w/inhalation device sig: two (2) capsules inhalation once a day. 12. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 13. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 14. vitamin c 500 mg tablet sig: one (1) tablet po once a day. 15. vitamin b-6 100 mg tablet sig: one (1) tablet po once a day. 16. vitamin b-12 250 mcg tablet sig: one (1) tablet po once a day. 17. calcium 500 with vitamin d 500 (1,250)-200 mg-unit tablet sig: one (1) tablet po once a day. 18. iron 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 19. centrum silver tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary: carotid artery stenosis peripheral vascular disease secondary: copd hypertension gerd discharge condition: good. patient's vital signs are stable and she is able to ambulate without difficulty. discharge instructions: you were admitted to the hospital for an elective carotid artery stent. after the procedure, you experienced hypotension and your hematocrit decreased. you were given one unit of rbcs and you were monitored in the ccu for two days. you are now able to walk around the ccu without difficulty. while you were here, we made the following changes to your medications: 1. we are holding you toprol xl because your blood pressure was low during this admission 2. we increased your aspirin to 325 mg daily please take all medications as prescribed. please keep all previously scheduled appointments. please return to the ed or your healthcare provider if you experience shortness of breath, chest pain, excessive fatigue, difficulty walking, unsteadiness, pain or warmth around the wound in your groin, fevers, chills, or any other concerning symptoms. followup instructions: provider: , : date/time: 11:00 provider: , md, phd: date/time: 1:30 procedure: arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: anemia, unspecified esophageal reflux unspecified essential hypertension chronic airway obstruction, not elsewhere classified peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia anxiety state, unspecified osteoarthrosis, unspecified whether generalized or localized, site unspecified other postprocedural status lumbago unspecified hereditary and idiopathic peripheral neuropathy occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction examination of participant in clinical trial 

Answer: The patient is high likely exposed to