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: history of present illness: this is a 58 year old woman previously seen by dr. for aneurysm coiling in and in , returning for a right craniotomy and clipping of a right cerebral artery aneurysm. the patient was seen in the clinic and admitted on the day of surgery. physical examination: on examination, the patient was afebrile with vital signs stable. the patient was alert, oriented. the patient was neurologically intact with no deficits. she was strong, five out of five, throughout all extremities, no drift. her reflexes on examination were symmetric throughout. sensation in her peripheral limbs were symmetric and intact. cranial nerves ii through xii were intact. pupils were equal and reactive. she had full extraocular movement and no diplopia. her face was symmetric. her tongue was midline protrusion. past medical history: 1. hypothyroidism. 2. right middle pulmonary lobe syndrome. 3. twenty pack year history of smoking. 4. two prior aneurysm coils. 5. history of tubal ligation. 6. status post partial hysterectomy. allergies: she is allergic to penicillin and sulfa. medications prior to admission to hospital: 1. effexor 75 mg three times a day. 2. ativan 1 mg three times a day p.r.n. 3. levoxyl 100 micrograms once a day. 4. estradiol 1 mg once a day. 5. trazodone 50 mg q. h.s. medications in the hospital: 1. codeine 30 mg intravenously q. four hours p.r.n. 2. clindamycin 600 mg q. eight hours times three doses. 3. nipride. 4. tylenol p.r.n. 5. zofran p.r.n. 6. pepcid 20 mg twice a day. 7. preadmission medications. hospital course: on , she underwent surgery for right craniotomy and clipping of the right mca aneurysm. the procedure was uneventful and she tolerated the surgery very well. she was stable postoperatively and no issues arose. postoperatively, she was transferred to the intensive care unit for close monitoring where she stayed for two days. she developed left hemiparesis postoperatively which gradually improved. she underwent an angiogram which confirmed good clip placement. she recovered full strength over the next day postoperatively and then was transferred to the floor service. she completed her stay on the floor service with no new issues. she was discharged home on . discharge instructions: 1. she is to follow-up with dr. in four weeks. 2. she has been informed to have her staples removed in seven to ten days after the day of surgery. condition on discharge: she was neurologically intact and stable on the day of discharge. discharge diagnoses: 1. right middle cerebral artery aneurysm. , m.d. dictated by: medquist36 procedure: clipping of aneurysm arteriography of cerebral arteries diagnoses: unspecified acquired hypothyroidism cerebral aneurysm, nonruptured 

Answer: The patient is high likely exposed to