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: carotid stenosis right. major surgical or invasive procedure: r cea with stent history of present illness: 70 y.o male with 80 - 99 % r ight carotid stenosis, by doppler past medical history: htn, paf, htn, copd, pe , cabg 4 vz social history: pos tobacco pos alcohol family history: non contrib physical exam: male nad right surgical bandage over carotid supple, farom dhft in place neg lymphandopathy, supra clavicular nodes cta rrr benign neg c/c/e palp fem/dp/pt b/l pertinent results: wbc-9.6 rbc-3.64* hgb-11.9* hct-34.3* mcv-94 mch-32.7* mchc-34.7 rdw-14.5 plt ct-236 pt-13.2 ptt-47.5* inr(pt)-1.2 glucose-81 urean-26* creat-0.7 na-141 k-3.6 cl-105 hco3-25 angap-15 calcium-9.2 phos-3.3 mg-2.1 video oropharyngeal swallow: study is performed in conjunction with speech and swallow therapy. various consistencies of barium were administered orally. the patient demonstrated a moderate to large amount of aspiration with both thin and nectar thick liquids. there was an effective but inconsistent spontaneous cough response. the aspiration occurred during and following swallowing. there is premature spillage of liquids to the level of the valleculae. there is minimally diminished laryngeal elevation and there is normal epiglottic deflection. there is a small to moderate amount of residue within the piriform sinuses. there is a suggestion of narrowing in the region of the pharyngeal esophageal junction, which was difficult to evaluate due to patient positioning. impression: 1) aspiration of liquid consistencies with effective but inconsistent spontaneous cough response. 2) possible narrowing in the region of the pharyngoesophageal junction. this was difficult to evaluate due to patient positioning. if direct visualization is not being considered, than ap and lateral soft tissue radiographs of the neck could be performed for further evaluation. ekg atrial fibrillation with rapid ventricular response left axis deviation - anterior fascicular block old anteroseptal infarct possible biventricular hypertrophy since previous tracing of , atrial fibrillation is new intervals axes rate pr qrs qt/qtc p qrs t 108 0 102 362/ radiology final report chest (portable ap) reason: respiratory distress portable chest film shows the lungs to be clear without evidence of pulmonary edema. post surgical changes with mediastinal wires and clips. conclusion: clear lungs. no evidence for pulmonary edema. brief hospital course: pt admitted {pt pre-oped ) pt undergoes rt cea with stent and selective carotid angiogram. the stent was placed due to very high bifurcation and plaque extension. pt tolerated the procedure well. . pt transfered to the pacu in stable condition. pt found to have hematoma over surgical site. slight difficulty breathing it was also found that the pt's tongue deviates to the right, slightly swollen. pt started on steroids. anesthesia feels that he did not need to reintubated. pt transfered to the sicu for observation. pt feeling better. pt transfered to th vicu. still c/o difficulty swallowing. nitro weaned off, home meds started. a-line dc'd. pt recieves levonex bridge untill coumadin restarted for pe. dr from ent to evaluate. pt remained npo. speech and swallow consult obtained. likely neuropraxia of cranial nerve xii and ix pt fails speech and swallow study. coumadin started pt fails video swallow. pt recieves dhft under flouro. pt requests to leave hospital with dhft. ent, pt to follow up. gi for peg placement (pt on lovenox sq ) would have to reverse to have peg tube placed. recommended to have pt readmitted under dr service, have pt reversed off coumadin and leovenox. then cosult gi for peg placement. medications on admission: gabapentin ambien cipro folic acid discharge medications: 1. enoxaparin sodium 100 mg/ml syringe sig: one (1) subcutaneous q12h (every 12 hours): please stop when your inr is 2-2.5. disp:*14 100mg/ml* refills:*1* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. warfarin sodium 2.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) for 1 doses: please take your usual dose. have your pcp your inr. discharge disposition: home with service facility: vna discharge diagnosis: r carotid stenosis tongue neuropraxia post / op (ix palsy) difficulty swallowing post / op discharge condition: stable discharge instructions: please have your inr monitered. goal is 2-2.5. you may restart and take at your usual dose. when your inr is at goal, you may stop your lovenox. you have a dobbhoff feeding tube. you have to crush your meds and take as directed. if your feeding tube becomes clogged please go to the er. you also need to have a peg placement. you have to be readmitted for this. call dr office and schedulae a date. the reason for the readmission is that you need to come off your coumadin and recieve heparin while you in the hospital. you have a surgical incision. if this incision gets bigger, becomes red, has discharge. or if you experience fever and or chills call dr office immediatly. you are taking lovenox, this is a bridge untill your inr becomes 2-2.5. you may have a tendacy to bleed. if you bleed at the surgical site or get bruising please notify dr or your pcp. followup instructions: please schedule an appointment with dr in 1 week. his number is . he may admit you for peg placement. when you call to make the appointment let him know this. call ent. number given. make appointment with. have pcp inr. procedure: arteriography of cerebral arteries endarterectomy, other vessels of head and neck percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) diagnoses: unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation hematoma complicating a procedure other nervous system complications occlusion and stenosis of carotid artery without mention of cerebral infarction other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction other disorders of glossopharyngeal [9th] nerve 

Answer: The patient is high likely exposed to