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: penicillins attending: addendum: addendum to hospital course: pt's chest/abd/pelvic ct showed multilobar pe's, r perirenal stranding, and r renal cysts and calculi. no masses were noted. psa and cea were wnl. esr was wnl x2, then mildly elevated. fibrinogen was mildly elevated, and crp was elevated. the pt's facial droop improved during his course; his left hemiplegia remained (with a question of trace l index finger movement on ). the pt also appeared to have an episode of gout, with inflammation of the r 1st mtp appearing and extending over a 24-hour period; this was treated first with indomethacin and then colchicine, with significant improvement. heme/onc was consulted re: possible oncologic etiology of cva and pe's; no clear source was identified, and anticardiolipin, homocysteine, and factor viii were ordered. records regarding the pt's recent polypectomy at hospital were were requested repeatedly; at the time of this writing they had not been obtained. pt's pcp . notes that pt did have a rectal polyp with high grade dysplasia removed within the last few months. after discussions btwn neuro and heme/onc, pt was bridged to coumadin from heparin. pt remained stable and was planned for discharge to acute rehab . if inr is subtherapeutic at time of d/c, pt will continue w/lovenox until inr>2.0. discharge disposition: extended care facility: rehab at med ctr md, procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart diagnoses: other primary cardiomyopathies gout, unspecified other specified cardiac dysrhythmias personal history of malignant neoplasm of kidney other pulmonary embolism and infarction other late effects of cerebrovascular disease, facial weakness cerebral thrombosis with cerebral infarction unspecified hypertensive heart disease without heart failure other specified hemiplegia and hemiparesis affecting nondominant side 

Answer: The patient is high likely exposed to