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: codeine / sudafed attending: chief complaint: l hand and arm numbness/weakness major surgical or invasive procedure: none history of present illness: events / history of presenting illness: 78 yo m with pvd s/p cea and right internal carotid artery stenting in , s/p left iliac and left renal artery stent, transfered from osh for left arm numbness. the patient reports that he awoke yesterday with numbness in his entire left hand, left fingers curled, difficulty moving his left arm and poor coordination with his left arm. specifically, he had numbness and an inability to hold his pants while trying to button them. these symptoms lasted several minutes but resolved on arrival at the ed. they waxed and waned for the next two days during his admission. he denied any blurred vision, no slurred speech, no drooling, no numbness or weakness in any other ext, no imbalance, no confusion. he did endorse transient numbness in left upper lift and left side of his tonque that lasted several minutes, occured once and did not return. . at the outside hospital, he was ruled out for mi. a neurology consult was obtained and was concered for acute stroke vs right carotid stent dysfunction w/impaired cerebral perfusion. he had a head ct, which showed no hemorrhage or acute stroke. a bp range of 150-160 was recommended to avoid relative hypoperfusion. mri and echo were recommended but not performed due to concerns of safety with his stents and lack of time prior to transfer respectively. . the patient has a history of concern for tia. he had carotid artery tenting in for symptoms of ue numbness. prior to the revascularization procedure he had two episodes of right sided numbness and tingling. it was thought that he had a symptomatic lesion by symptoms as well as ultrasound. however, angiography revealed non-significant disease in the left carotid system with an 80% lesion in the right. therefore, the was stented in 2/. past medical history: cad pvd s/p iliac and renal pci s/p cea - b/l - 10 years ago bph anxiety cva - lacunar confirmed by mri on r>l spinal stenosis bipolar copd arthritis social history: soc hx: lives in nursing home, where he has been since his falls. he has 5 children, 4 in , 1 son local. used to be a carpenter. son's telephone: (h) tob: 70 pack-years, quit 2 years ago alcohol: none now, moderate in the past illicits: none family history: fam hx: mother died of chronic heart disease, father had kidney trouble, 2 sisters have dm. no hx sudden death or seizures. physical exam: at time of discharge: heart rrr no m/r/g lung ctab abd ntnd +bs ext: no c/c/e pulses 2+ pedal and radial, symmetric neuro: cn 2-12 intact, motor strength in lue slightly weaker () as compared to rue. lower ext strength 5/5 and symmetric. no sensory deficits to light touch on extremities. reflexes 2+ and symmetric. pertinent results: 02:53am blood wbc-4.8 rbc-3.51* hgb-10.6* hct-30.8* mcv-88 mch-30.3 mchc-34.6 rdw-13.3 plt ct-186 02:53am blood plt ct-186 02:53am blood glucose-110* urean-24* creat-1.2 na-141 k-3.8 cl-102 hco3-34* angap-9 02:53am blood mg-2.0 06:00am blood triglyc-163* hdl-32 chol/hd-4.3 ldlcalc-74 brief hospital course: assessment and plan: 78 yo m with pvd s/p cea and right internal carotid artery stenting in , s/p left iliac and left renal artery stent, transfered from osh for left arm numbness and weakness thought to be a subcortical stroke. no further progession overnight (). . # left arm numbness: neuro consulted who found l hand weakness and a small l pronator/parietal drift but no other parietal signs. this would be consistent with an embolic stroke to the r subcortical area. no mri secondary to pt too anxious and refuses mri. r cca disease is likely the source. echo study neg for asd or thrombus. pt had multiple transient episodes of l hand numbness/weakness and left upper lip numbness during hospitalization. pt gained more strength in left arm/hand during hospitalization. bp goal 140-160 for good brain perfusion and amlodipine, b-blocker, and lisinopril held during admission. pt had one episode of decreased bp and was given bolus and laid flat. he was on hep drip with goal ppt 60-70 to decrease sx. patient was continued on asa and plavix. pt to have common carotid stent placed by dr. and then transferred to ccu. procedure occured without complication. . in ccu, pt's systolic blood pressure was maintained in the 110 to 145 range with nitro drip. this was discontinued prior to discharge and pt maintained his pressures in this range even after ambulating. neuro exam notable for only slight weakness of lue compared to rue. . #. cad: patient is s/p balloon angioplasty years ago and mi ruled out at osh. he was continued on aspirin 325 mg tablet but b-blocker and ace held during admission to allow for better perfusion to the brain. patient was continued on atorvastatin. atenolol restarted on day of discharge. . # anxiety: patient was continued on ativan, olanzapine, and paroxetine. he refused mri while in hospital to look for stroke secondary to anxiety. . # bph: pt continued on finasteride . #. code: full confirmed with patient . medications on admission: 1. aspirin 325 mg daily 2. clopidogrel 75 mg daily 3. ativan 0.25mg hs 4. olanzapine 2.5 mg qhs prn 5. paroxetine hcl 30 mg daily 6. atenolol 25 mg tablet daily 7. atorvastatin 40 mg daily 8. finasteride 5 mg daily 9. lisinopril 5 mg daily 10. amlodipine 5 mg daily discharge medications: medications to be restarted immediately: . 1. aspirin 325 mg daily 2. clopidogrel 75 mg daily 3. ativan 0.25mg hs 4. olanzapine 2.5 mg qhs prn 5. paroxetine hcl 30 mg daily 6. finasteride 5 mg daily 7. atorvastatin 40 mg daily . medications to be started with goal systolic blood pressure in 120-130 range: . 8. atenolol 25 mg tablet daily (to be restated first when sbp above 130) 9. lisinopril 5 mg daily (to be restarted second after atenolol has already been started and sbp persistently above 130) 10. amlodipine 5 mg daily (to be restarted last, after both of the above medications have been started and as tolerated) . blood pressure medicines should be held for sbp less than 110 discharge disposition: extended care facility: skilled nursing & rehabilitation discharge diagnosis: primary diagnosis right subcortical stroke 40% stenosis of right common carotid with plaque in place pvd . secondary diagnosis: cad s/p balloon angioplasty pci renal and iliac discharge condition: stable discharge instructions: you were admitted from an osh with new symptoms of numbness and weakness in the left hand that came and went. you also had transient numbness of your left upper lip and left tongue. neurology came and saw you and you likely had a right subcortical stroke. we would normally do an mri but you refused because it makes you too anxious to be in an enclosed space. we did a ct scan of your head and found no bleed or evidence of tumor. we did a ct angio and an ultrasound of your neck vessels. you had some stenosis and plaue in your right common carotid artery. you were started on iv heparin to hopefully improve your transient symptoms. you were taken to the cath lab and a stent was placed in your right common carotid artery. there were no complications. some of your blood pressure medicines have been held, you should discuss restarting them with dr. next week. if you develop an inability to speak or move normally you should return to the hospital immediately. followup instructions: dr. : 1:45pm at on wed in dr. office. please call your pcp to make an appointment within the next two weeks: poor, d. procedure: arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents procedure on single vessel intravascular imaging of extracranial cerebral vessels diagnoses: coronary atherosclerosis of native coronary artery chronic airway obstruction, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status anxiety state, unspecified atherosclerosis of renal artery other and unspecified angina pectoris bipolar disorder, unspecified spinal stenosis, lumbar region, without neurogenic claudication occlusion and stenosis of carotid artery with cerebral infarction 

Answer: The patient is high likely exposed to