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 stenosis major surgical or invasive procedure: carotid angiography right carotid artery stent placement history of present illness: mr. is a 53 year old man with a history of hypertension, hyperlipidemia, tobacco abuse, alcohol abuse, and carotid artery disease s/p bilateral carotid endarterectomy in the past who presents for elective carotid angiography and stent placement for critical re-stenosis of the right ica. the patient initially presented with transient right sided vision loss in and was found to have 90% right sided carotid artery stenosis, for which he underwent a cea. in , the patient underwent cea of his left carotid artery when he was discovered to have an 80% stenosis on serial ultrasounds. he had been following up regularly for his carotid artery disease with no further neurologic symptoms, and was noted to have an 80% right ica stenosis on surveillance ultrasound at hospital in of this year. the patient followed up on with a neck cta here at where it was confirmed that he had a significant right ica stenosis, though cta estimated the stenosis to be ~55-60% at the origin of the right ica/ carotid bulb. given the results of his cta, he was referred for elective carotid stent placement and also enrolled in the study. . prior to admission, the patient states that he has been feeling well without any neurologic symptoms of blurred vision, amarosis fugax, slurred speech, facial droop, or focal extremity weakness. he denies any history of stroke, pulmonary embolism, chest pain, palpitations, shortness of breath, syncope, cough, abdominal pain, diarrhea, black stools, paresthesias, muscle weakness, or recent fevers, chills or rigors. all of the other review of systems were negative. past medical history: 1. cardiac risk factors: (-) diabetes, (+) dyslipidemia, (+)hypertension 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: . #carotid artery disease - s/p right carotid endarterectomy in and a left carotid endarterectomy in - amarosis fugax of the right eye prior to r cea in - : carotid duplex ( hospital) tight right 80% ica carotid stenosis, minimal (20-49%) left ica stenosis. - ~55-60% stenosis at the origin of the right ica/ carotid bulb with a calcified plaque. # laryngeal ca dx in ' s/p xrt, no chemo, no surgical resection social history: -tobacco history: (+) - 60 pk year history of tobacco use, but quit in ' after laryngeal ca diagnosis -etoh: (+) 4-8 beers daily, up to 20 beers in one day, last drink the evening prior to admission 1.5 beers. denies history of dts or seizures related to alcohol withdrawl. -illicit drugs: none - lives at home with his wife, works as a tractor driver 6 days/week driving up to 400 miles/day family history: mother died of mi age 53, father with asbestosis related lung ca, sister with skin ca, no other family history of arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: t=afebrile bp=142/83 hr=72 rr=17 o2 sat=97% on ra general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. poor dentition with no upper teeth. neck: supple without distended jvp. carotid endarterectomy scars noted bilaterally. cardiac: regular rate, normal s1, s2. no extra heart sounds, no rubs, no thrills, or lifts. lungs: unlabored respirations, no accessory muscle use. mild upper airway inspiratory/expiratory wheezes near trachea, no crackles, or rhonchi. abdomen: soft, ntnd. no tenderness. abd aorta not enlarged by palpation. extremities: no c/c/e. no femoral bruits. skin: warm and well perfused without rash pulses: right: carotid 2+ femoral 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ dp 2+ pt 2+ pertinent results: morning of : wbc 6.5, hct 36.9, plt 242 na 138, k 4.3, cl 105, co2 23, bun 14, cr 1.0, gl 105, ca 8.7, mg 2.2, po4 4.3 brief hospital course: 53 year old man with history of tobacco abuse, alcohol abuse, carotid artery disease s/p bilateral endarterectomies, who presents for elective carotid angiography and stent placement for asymptommatic critical right ica stenosis. hospital course by problem: . #carotid artery disease: had successful stent placement to the right carotid artery without complications. when he first arrived he was on a nitro drip for blood pressure control. this was weaned off without any need for additional medications. the morning of he was slightly hypertensive after walking around and was given an extra 10mg of lisinopril on top of his home dose of 20mg. his neurologic status did not change and his peripheral pulses remained strong. he continued his home dose of aspirin, plavix and lipitor and was discharged on 30mg of lisinopril daily. the morning prior to discharge he had some soreness at his femoral access site that resolved with percocet. . #alcohol abuse: patient has a history of heavy alcohol use, typically 4-8 beers a day. he denies any previous history of withdrawal symptoms or seizures, and says that his last drink was , the day prior to surgery. he was monitored closely with a ciwa scale, and was given three 10mg doses of valium because he was feeling anxious and was noted to be tremulous. he did not want to talk to social work about his drinking habit. medications on admission: lipitor 10 mg po daily plavix 75 mg po daily (started ) lisinopril 20mg po daily aspirin 325mg po daily folic acid 3mg po daily vitamin b daily discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: three (3) tablet po daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po once a day. 5. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain for 2 days. disp:*4 tablet(s)* refills:*0* 6. lisinopril 30 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: right carotid artery stenosis discharge condition: stable discharge instructions: you had a stent placed in your right carotid artery because increasing stenosis (blockage) of the artery was putting you at risk for a stroke. you were then admitted to the cardiac care unit overnight for close observation of your blood pressure and neurologic status. your blood pressure was high at first, but stabilized and you are now ready to go home. . the following changes were made to your medication regimen: 1) your dose of lisinopril was increased from 20mg once daily to 30mg once daily. 2) you were given a small amount of percocet for pain relief for the next day. you should only take this medication as needed for severe pain. you should not drive, operate heavy machinery, or make important decisions while taking this medication. please make sure you continue taking aspirin, plavix, crestor, folic acid and vitamin b every day. do not stop taking any of your medications without checking with your doctor. . please call you doctor immediately or go to the emergency room if you develop any symptoms of slurred speech, weakness of your legs or arms, blindness, or drooping of one side of your face. followup instructions: please follow up with , the nurse practitioner who works with dr. in one month. they will contact you to make an appointment, but if they do not, please call (. . you should also follow-up with your primary care physician, . from medical associates within 1-2 weeks. you can contact his office at . md, procedure: alcohol detoxification 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: unspecified essential hypertension peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits examination of participant in clinical trial personal history of irradiation, presenting hazards to health other and unspecified alcohol dependence, continuous personal history of malignant neoplasm of larynx 

Answer: The patient is high likely exposed to