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: oxycontin attending: chief complaint: headaches major surgical or invasive procedure: : r mca aneurysm open clipping, cerebral angiogram history of present illness: mr. is a 55-year-old male with a history of headaches and a family history of three members who died from subarachnoid hemorrhage. he underwent routine screening mra and was found to have a right middle cerebral artery aneurysm. he had a cererbal angiogram bu tthe aneursym was not able to be successfully coiled. he presented electively for a open craniotomy/clipping past medical history: htn, arthritis, cocaine use, appendectomy social history: +tobacco, +cocaine use family history: three members who died from subarachnoid hemorrhage. physical exam: on discharge: intact pertinent results: angiogram : impression: successful clipping of the right middle cerebral artery bifurcation aneurysm with no residual filling. minimal spasm noted in the adjacent vessels. ct head : impression: status post right mca aneurysm clipping. no large intracranial hemorrhage or mass effect. expected post-surgical changes of mild frontoparietal sulcal effacement and small pneumocephalus. brief hospital course: this is a 55 year old man with history of r mca aneurysm presents for open clipping. he was taken to the or on . or course was uncomplicated and jp drain was placed. patient was transferred from or to the angio suite for angiogram to evaluate clipping. this was uneventful and he was transfered to the icu and extubated. on he was neurologically intact with some right retro-orbital headache. ct head was done and this showed no hemorrhage. his foley was removed and his diet was advanced. on he was neurologically stable. his jp drain was removed and he was cleared for transfer to the floor. pt was consulted for assistance with discharge planning and they found him stable and suitable for discharge to home. medications on admission: amlodipine - 2.5 mg tablet - 1 tablet(s) by mouth once a day hydrochlorothiazide - 12.5 mg capsule - 1 capsule(s) by mouth once a day lisinopril - 40 mg tablet - 1 tablet(s) by mouth once a day pravastatin - 40 mg tablet - 1 tablet(s) by mouth once a day selenium sulfide - 2.25 % shampoo - lather, apply to skin, shower off 10 minutes later q d x 1 week, then biweekly - no substitution sildenafil - 50 mg tablet - 1 tablet(s) by mouth 1 hour prior to intercourse aspirin - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day camphor-menthol - 0.5 %-0.5 % lotion - affected area twice a day discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/temp/ha. 2. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 3. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on pain medication. disp:*60 capsule(s)* refills:*0* 5. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 6. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 7. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: r mca aneurysm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair only after staples have been removed. ?????? you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your injury, you may safely resume taking this on xxxxxxxxxxx. ?????? if you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. medications: ?????? take aspirin 325mg (enteric coated) once daily. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for removal of your staples/sutures and/or a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. procedure: clipping of aneurysm arteriography of cerebral arteries diagnoses: tobacco use disorder unspecified essential hypertension other and unspecified hyperlipidemia cerebral aneurysm, nonruptured family history of other condition 

Answer: The patient is high likely exposed to