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: no known allergies / adverse drug reactions attending: chief complaint: worst headache of life major surgical or invasive procedure: coil embolization of two right mca aneurysms history of present illness: this is a 49 year old african american woman who awoke from sleep in the middle of the night and had the sudden onet of a severe, disabling headache. after several seconds, the magnitude of the headache decreased somewhat, but remained severe and did not remit. she was brought to ed, where ct head and cta head demonstrated subarachnoid hemorrhage and 2 right mca aneurysms. she was hypertensive to sbp 200 on presentation, and this was rapidly controlled. she c/o headache, suboccipital/neck pain. no diplopia, numbness, weakness, paresthesias. mild nausea, no emesis. no prior similar episodes. past medical history: pmhx: hiv,diagnosed 22 years ago, no haart, last cd4 659, vl 21k hepatitis c emphysema sarcoid htn abnormal pap smears social history: lives in , works as medical tech at community health center - tobacco: 30 years x 1ppd, "in process of quitting" - etoh: social - illicits: denies current, + in past family history: father lung cancer, mother throat cancer physical exam: on admission physical exam: hunt and 1 t: 97.5 hr: 84 bp: 203/103 resp: 18 o(2)sat: 100 awake and alert oriented x3 speech fluent with good comprehension and repetition no dysarthria or paraphasic errors pupils equally round and reactive to light visual fields are full to confrontation extraocular movements intact bilaterally no abnormal nystagmus facial strength and sensation intact and symmetric hearing intact to finger rub bilaterally palatal elevation symmetric sternocleidomastoid and trapezius normal bilaterally tongue midline without fasciculations meningismus with neck flexion normal bulk and tone bilaterally no abnormal movements, tremors strength full power throughout no pronator drift sensation intact to light touch toes downgoing bilaterally non-dysmetric on finger-nose-finger on discharge: full motor, no pronator drift, a&ox3 pertinent results: cta 1. extensive subarachnoid hemorrhage in the basal cisterns and sylvian fissures bilaterally and in the right parietal lobe as described above. 2. 5 mm x 7 mm sized multilobulated right mca bifurcation aneurysm. 3. 4 mm sized right m1 segment mca aneurysm angio ms. underwent cerebral angiography and coil embolization of two aneurysms arising from the right middle cerebral artery, one from the right mca bifurcation and a second aneurysm arising from the right m1 segment. both aneurysms were successfully embolized. this was uneventful and there were no complications cxr there is hyperinflation of the lungs and upper lobe predominant emphysema. diffuse predominantly mid and lower lobe interstitial lung opacities are present, representing either atypical/opportunistic infection (such as pneumocystis), dependent distribution of interstitial edema or inflammatory airway disease mimicking interstitial lung disease. the cardiomediastinal shilhouette and hilar are normal. there is no pleural effusion and no pneumothorax. cxr mild pulmonary edema has improved over the past 12 hours. heart size is normal. small region of atelectasis persists at the base of the left lung, but obscures what may have nodule visible on . when feasible, conventional chest radiograph should be obtained normal tcd evaluation. there was no evidence of vasospasm. normal tcd evaluation. there was no evidence of vasospasm. cta head w&w/o c & recons 1. new subcentimeter low-attenuation focus in posterior right parietal subcortical white matter, suspicious for interval subacute infarction, perhaps embolic. 2. interval clearing of the extensive diffuse subarachnoid blood, with no new hemorrhage, and no evidence of development of hydrocephalus. 3. status post coiling of the the aneurysms at both the bifurcation and the m1 segment of the right mca, with associated metallic artifact, limiting the evaluation of immediately-adjacent parenchyma mr head w/o contrast 1. small subacute infarct in posterior right parietal subcortical white matter with punctate focus (or foci) in the overlying cortex; these are likely embolic in nature. 2. no acute infarction elsewhere. 3. status post recent coiling of two mca aneurysms, with no evidence of new hemorrhage. brief hospital course: ms. was admited to the neurosurgical intensive care unit and taken to the angio suite immediately after her arrival where she was intubated and sedated. we were able to coil two aneurysms in the proximal and distal right mca. she was extubated following the procedure and recovered in the icu. she remained stable on heparin gtt overngiht. she was started on aspirin therapy. her diet and activity were advanced the following morning. baseline tcd's were performed on and were negative for vasospasm. she was moved oob on and tcd repeat was negative. she continued to have headache on and prednisone was started. tcds showed some above normal velocities of mca/aca on left but not high enough to be considered true vasospasm. on she was neurologically stable and tcd's revealed above nl vel of mca, ok in comp to -at, therefore there was not concern. she continued to have headache on and tcd which showed velocities in the high end of normal range and no spasm. she remained neurologically intact and was transferred to the floor.on , cta head was done which was negative for vasospasm. there was a question of a very small occipital infarct. mri head was ordered for further evaluation. her exam remained stable. on , mri head confirmed small subacute infarct in occipital region, but since patient remained stable on exam, no intervention is needed. her na level was 132 and ivf was restarted. on , patient reported slight headache otherwise stable. on , patient was tolerating pos and ambulating independently. she was discharged home with no services. **it was discovered during this admission that she does not have sarcoidosis althouth some recent omr note mention this in the history. she saw a pulmonologist for chronic mediastinal lymphadenopathy and elevated ace levels. he was not convinced of this and it is noted in his omr note from . medications on admission: none discharge medications: 1. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours) for 12 days. disp:*144 capsule(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 5. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: five (5) ml po q6h (every 6 hours) as needed for cough. 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: two right mca aneurysms discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms. - you were admitted to the for subarachnoid hemorrhage after a right middle cerebral artery aneurysm rupture. two aneurysm on that same vessel were found. you were admitted to the icu and both aneurysms were treated endovascularly and are considered secured. you may need additional treatment in the future if imaging demonstrates the need for more imaging. angiogram with embolization of 2 right mca aneurysms 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 *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! followup instructions: please call our office to schedule a follow up appointment with dr. . the number to call is . please call your primary care physician within two weeks of discharge - a small pulmonary nodule was noted on chest xray that will require out patient follow up procedure: arteriography of cerebral arteries arterial catheterization endovascular (total) embolization or occlusion of head and neck vessels diagnoses: tobacco use disorder chronic hepatitis c without mention of hepatic coma subarachnoid hemorrhage other emphysema cerebral embolism with cerebral infarction asymptomatic human immunodeficiency virus [hiv] infection status 

Answer: The patient is high likely exposed to