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: chocolate flavor attending: chief complaint: claudication-->re-look le angiography. claudication-->elective peripheral vascular angiography major surgical or invasive procedure: s/p pta of l sfa & cfa, athrectomy of r cfa, pta/stent (3) of r sfa & pta of r tpt history of present illness: this 67 year old man has a history of hypertension, hyperlipidemia, tobacco abuse, cad s/p cabg and known pvd, s/p many prior le interventions. mr presents for a relook le angiography. the patient's daughter reports that about three weeks ago her father began to have recurrent leg claudication, occurring with walking about half a block. she is unclear on which leg may be bothersome. after his last revascularization, for a brief period, he had some improvement of his claudiation, which has returned since. . in terms of cardiac symptoms, he has no chest discomfort. he does have dyspnea with activity such climbing up one flight of stairs. it is worse with the recent increase in humidity. he is on oxygen 2l via nasal cannula at night while sleeping. past medical history: -htn -cad s/p cabg (: () lima to lad, svg to ramus) -pvd s/p multiple interventions (see below) -cigarette smoking 1ppd/50+yrs -polio as a child -bph -emphysema/copd, uses 2 liters nasal cannula at hs -hyperlipidemia -s/p lung resection 40+ years ago after a stab wound -right inguinal hernia repair -back pain -cataracts (surgery scheduled for ) -: paroxysmal atrial flutter peripheral vasc. history includes: abi: 0.51 right, 0.59 left lower extremity angiogram: right- internal iliac artery occluded. external iliac artery occluded at the exit to the cfa. the cfa had a short occlusion to the sfa/pfa bifurcation with the pda filling the distal sfa. left- common iliac artery was normal. external iliac artery was occluded at the bifurcation with the internal iliac artery. common femoral artery occluded. sfa patent below the occlusion. s/p successful right cfa and intervention with cryoplasty to the sfa. : successful recanalization of the followed by atherectomy and stenting le angio: (right brachial artery access): rle: diffuse disease in the cia. iia with an 80% stenosis. cfa totally occluded. lle: moderate diffuse disease of the cia. prior eia stent with an 80% lesion and no flow down the external iliac artery. sfa totally occluded proximally. attempt at revascularization of the left eia unsuccessful. : (access via left brachial artery):pta of the origin of the left internal iliac artery with a 5.0 mm balloon. successful pta of the totally occluded rcfa and sfa with a 4.0 balloon. lle angiography: prior stent and cfa patent with a distal dissection noted in the cfa with ulceration. sfa flush occluded at the origin, pfa patent with collateralization of the distal sfa. successful recanalization of the left sfa with pta using a 5.0 mm balloon. successful cryoplasty of the , lcfa into the . :mri of le: mild atherosclerotic disease in the iliac arteries and le's. no hemodynamically significant stenosis present. mri/mra of abdomen (limited examination): moderate focal stenosis of the origin of the celiac artery. diffuse narrowing of the left common iliac artery with approximately a 7 mm long segment of moderate to severe stenosis in the proximal left common iliac artery, about 5mm from its origin. possible severe stenosis at the origins of the internal iliac arteries. several areas of mild stenosis in the right external iliac artery. no definite flow seen in the right sfa consistent with occlusion. lle: (limited due to opacification)-appearance of flow in the left sfa although evaluation is limited. flow in the popliteal appears less than compared to the right. flow in the left at to the level of the ankle noted with poor appearing flow in the distal left anterior tibial and dorsalis pedis arteries. social history: pt lives alone in . close with daughter. drinks 3+ a day & smokes (as above). family history: (-) fhx cad physical exam: vs: 107/53, hr 70's, o2 92% ra gen- a&ox3, nad chest-ctab heart- (post-procedure) r fem site: (-) hematoma or ooze, (+) bruit--consitent with baseline l fem site: (-) hematoma or ooze, (+) bruits--consitent with baseline r brachial site: mild bruit (-) hematoma or ooze pertinent results: angiography & pta -- *** not signed out *** final diagnosis: 1. diffuse and critical bilateral cfa, sfa disease. 2. successful pta of the lcfa 3. succesful pta of the 4. successful pta and stenting of the 5. successful pta of the popliteal perforation 6. successful pta of the rcfa. . art dup ext up uni lmtd right findings: no pseudoaneurysm or av fistula involving the right brachial access site. a focal area of velocity elevation in the brachial artery just above the antecubital fossa is identified, reaching 486 cm/sec. this indicates a high-grade stenosis in this area. . angiography & pta -- *** not signed out *** final diagnosis: 1. occluded rba treated with pta 2. occluded rcfa treated with stenting and thrombectomy brief hospital course: mr presents for a relook le angiography. he has a ho multiple lle interventions in the past. he also has a background of cabg, current smoking and copd. . he underwent angiography & pta of lcfa & , pta and stenting of the , pta of the popliteal perforation, pta of the rcfa. following the procedure, the pt underwent duplex scan of his right arm, which suggested a significant obstruction in his r brachial artery. the pt was taken back to the cath lab for further evaluation with angiography. during catheterization, the pt was found to have occluded rba treated with pta. he was also found to have occluded rcfa treated with stenting and thrombectomy. . the pt recovered well from the procedures. however, his hct dropped and he was transfused 2uprbcs. the drop was thought to be due to blood loss & fluids given peri-procedure. his hct repsonded appropriately to the transfusion. he was discharged following transfusion. medications on admission: aspirin 325mg daily zestril 20mg daily hctz 12.5mg daily metoprolol 75mg tablets twice a day colace 100mg twice a day folic acid 1mg daily theophylline 200mg one tablet daily lipitor 40mg daily prednisone 5mg daily pletal 100mg twice a day digitek .25mg daily every morning plavix 75mg daily methocarbamol 750mg three times a day thiamine 100 daily percocet 1-2 tablets every 8 hours prn mvi advair 500/50 twice a day spiriva 18mcg one puff once a day albuterol inhaler, prn albuterol nebulizer 2-4 times per day cromolyn sodium 20mg (nebulizer)2-4 times per day omeprazole 40mg daily ambien 10mg prn at bedtime ensure plus one can daily discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): for refills please call dr. . disp:*30 tablet(s)* refills:*11* 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. zestril 20 mg tablet sig: one (1) tablet po once a day. 4. hydrochlorothiazide 25 mg tablet sig: 0.5 tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). 6. colace 100 mg capsule sig: one (1) capsule po twice a day. 7. folic acid 1 mg tablet sig: one (1) tablet po twice a day. 8. theophylline 200 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po daily (daily). 9. lipitor 40 mg tablet sig: one (1) tablet po at bedtime. 10. digitek 250 mcg tablet sig: one (1) tablet po once a day. 11. methocarbamol 500 mg tablet sig: 1.5 tablets po tid (3 times a day). 12. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 13. advair diskus 500-50 mcg/dose disk with device sig: one (1) inhalation twice a day. 14. spiriva with handihaler 18 mcg capsule, w/inhalation device sig: one (1) inhalation once a day. 15. albuterol 90 mcg/actuation aerosol sig: one (1) inhalation every six (6) hours as needed. 16. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 17. ambien 10 mg tablet sig: one (1) tablet po at bedtime. 18. ensure liquid sig: one (1) po once a day. 19. prednisone 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary: pvd anemia seconday: cad bph copd htn hyperlipidemia discharge condition: stable vs: 107/53, 70's, 92% ra labs: hct 34.5 (after tranfusion of 2uprbc's), plt 339, k 4.4, buncr 10/0.7, alt 17, ast 24, ck 86 r fem site: (-) hematoma or ooze, (+) bruit--consitent with baseline l fem site: (-) hematoma or ooze, (+) bruits--consitent with baseline r brachial site: mild bruit (-) hematoma or ooze discharge instructions: -continue taking all of your medications as directed. -take aspirin 325mg & plavix 75mg daily. do not stop these medications unless directed by dr. are not longer taking pletal -you need to return in 2 weeks for an intervention on your left leg & right brachial artery in your arm, you will be called regarding scheduling this. -seek immediate medical attention for any recurrent symptoms, temperature change, pain or discoloration of your extremities, any issues with your groin site including fever or any other concerning symptom. followup instructions: -dr. will call you tomorrow to check on you. if you have any questions, you may try to reach him at his office, phone: (. -you have an appointment at in the vascular lab at on monday, , time: 10:00. this is for a vascular study. please call if you need directions or have any questions phone: - please make an appointment to see your pcp, . in 1 week. -return to lab in 2 weeks for lle & r brachial intervention. procedure: angioplasty of other non-coronary vessel(s) angioplasty of other non-coronary vessel(s) aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells suture of cranial and peripheral nerves procedure on four or more vessels suture of cranial and peripheral nerves procedure on four or more vessels transposition of cranial and peripheral nerves insertion of two vascular stents insertion of three vascular stents diagnoses: anemia, unspecified tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified atherosclerosis of native arteries of the extremities with intermittent claudication coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia atherosclerosis of native arteries of the extremities with rest pain personal history of poliomyelitis arterial embolism and thrombosis of upper extremity 

Answer: The patient is high likely exposed to