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 76-year-old female with multiple medical problems including coronary artery disease, peripheral vascular disease, hypertension, insulin-dependent diabetes mellitus, hypercholesterolemia (with critical stenosis of the of the right internal carotid artery of 80% to 99%) who was admitted for stenting and for angiography. a preoperative computerized axial tomography of the head on was negative for any major vascular and territorial infarction but was positive for heavy atherosclerotic calcifications within the cavernous portions of the internal carotid arteries. a subclavian angiography, as well as carotid and cerebral angiography, showed proximal left subclavian disease, hypoplastic left vertebral artery, tortuous right brachiocephalic artery with a full 360-degree loop in the common carotid artery and right subclavian artery. there was an 80% calcified lesion at the origin of the internal carotid artery and a tortuous right common carotid artery. due to the tortuosity of her vessels, angioplasty and stent of the right internal carotid artery was unsuccessful. of note, a small type a dissection of the proximal carotid artery from the sheath position occurred during the procedure. the patient was admitted to the coronary care unit for observation after the procedure. review of systems: no fevers or chills. no chest pain. the patient denies any shortness of breath, nausea, vomiting, or lightheadedness. she also denies abdominal pain, diarrhea, and constipation. past medical history: 1. hypertension. 2. insulin-dependent diabetes mellitus. 3. hypercholesterolemia. 4. right shoulder surgery. 5. hysterectomy. 6. bilateral vein stripping and ligation. 7. right femoral artery pseudoaneurysm repair. 8. coronary artery disease with an inferior myocardial infarction in and a non-q-wave myocardial infarction in . in , coronary artery bypass graft times two with left internal mammary artery to left anterior descending artery and right internal mammary artery to first obtuse marginal. she was admitted most recently in for chest pain. a catheterization at that time showed patent grafts. 9. class iii congestive heart failure with biventricular pacemaker and an ejection fraction of 20%. 10. gastrointestinal bleed with urgent colectomy in . 11. chronic anemia. 12. chronic renal insufficiency (with a baseline creatinine of 1.3 to 2). 13. peripheral neuropathy. 14. peripheral vascular disease and claudication. 15. neurogenic bladder. allergies: she has no known drug allergies. medications on discharge: (at home she is on) 1. toprol-xl 50 mg p.o. twice per day. 2. imdur 30 mg p.o. twice per day. 3. lipitor 20 mg p.o. q.h.s. 4. neurontin 600 mg p.o. three times per day. 5. protonix 40 mg p.o. once per day. 6. lasix 80 mg p.o. three times per day (recently increased from twice per day). 7. aldactazide 25 mg/25 mg p.o. once per day. 8. humalog sliding-scale. 9. nph insulin 55 units subcutaneously q.a.m. and 32 units subcutaneously q.p.m. 10. ciprofloxacin 250 mg p.o. twice per day (started on for a urinary tract infection). social history: she denies any tobacco history. she has occasional alcohol. she lives with her husband and her daughter. she has occasional services. family history: no family history of coronary artery disease. physical examination on presentation: on examination, the patient's temperature was 99.8, blood pressure was 132/73, heart rate was 96, respiratory rate was 12, and oxygen saturation was 98% on room air. she was a pleasant, obese, elderly woman in no acute distress. obese neck, difficult to assess neck veins. she had bilateral carotid bruits (left greater than right). the lungs were clear to auscultation bilaterally anteriorly. the heart was regular in rate and rhythm. distant heart sounds. the abdomen was obese, soft, and nontender. she had no clubbing, cyanosis, or edema in her extremities. she had warm extremities with trace palpable dorsalis pedis pulses. she was alert and oriented times three. cranial nerves ii through xii were grossly intact. motor strength was in all extremities. pertinent laboratory values on presentation: white blood cell count was 12.2 on admission, hematocrit was 44, and platelets were 286. inr was 1.2 and partial thromboplastin time was 24. sodium was 137, potassium was 4.3, chloride was 92, bicarbonate was 30, blood urea nitrogen was 45, creatinine was 1.9, and blood glucose was 150. hospital course: the patient remained stable throughout her hospital course. she was given heparin six hours after the sheaths were removed. aspirin and plavix were added to her regimen. she had neurologic checks every two hours, which were stable. the patient's creatinine bumped to 2.1 but again trended down to 1.9. she was also given post catheterization intravenous fluids with lasix as well as mucomyst for its renal protective affects. the patient's hematocrit status post catheterization drifted down to 37.1, but she remained asymptomatic. condition at discharge: she was discharged in good condition. discharge status: discharge status was to home with services. discharge instructions/followup: the patient was to follow up with dr. , dr. , and with her neurologist. discharge diagnoses: 1. cerebral atherosclerosis. 2. native coronary artery disease. 3. subclavian carotid and cerebral angiography unsuccessful. 4. attempted angioplasty and stent of the right internal carotid artery requiring critical care observation overnight. medications on discharge: 1. toprol-xl 50 mg p.o. twice per day. 2. imdur 30 mg p.o. twice per day. 3. lipitor 20 mg p.o. q.h.s. 4. neurontin 600 mg p.o. three times per day. 5. protonix 40 mg p.o. once per day. 6. lasix 80 mg p.o. three times per day (recently increased from twice per day). 7. aldactazide 25 mg/25 mg p.o. once per day. 8. humalog sliding-scale. 9. nph insulin 55 units subcutaneously q.a.m. and 32 units subcutaneously q.p.m. 10. ciprofloxacin 250 mg p.o. twice per day (started on for a urinary tract infection). 11. aspirin 325 mg p.o. once per day. 12. plavix 75 mg p.o. once per day. dr 12.953 dictated by: medquist36 procedure: arteriography of cerebral arteries diagnoses: mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortocoronary bypass status occlusion and stenosis of carotid artery without mention of cerebral infarction dissection of carotid artery cerebral atherosclerosis procedure not carried out for other reasons 

Answer: The patient is high likely exposed to