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: bactrim / keflex / catapres / trazodone attending: chief complaint: admit for carotid angiography and possible intervention. major surgical or invasive procedure: s/p stenting of left carotid artery history of present illness: 64 year-old woman, patient of dr. , dr. , dr. , with an extensive history of cad, now s/p recent left upper lobectomy for lung cancer with an incidental finding of an old cva on head ct postoperatively prompting a workup that revealed 90% left internal carotid stenosis on duplex, vs 55% on cta of neck, now referred for left carotid angiography to more clearly define her carotid anatomy, and carotid intervention, if appropriate. events were as follows: imi - treated with stenting of the rca and lcx. found to have severe mr and was referred for surgical repair. mitral valve surgery aborted after tee at time of surgery revealed largely normal mitral valve with improvement of inferior hypokinesis compared to month prior. cardiac catheterization - total occlusion of rca stent and patent lcx stent, mild to mod mr pulmonary edema requiring intubation at an osh. transferred to and had a cardiac cath revealing t.o rca and 40% cx stenosis in prior stent. ef of 30% aicd placement cath d/t worsening chronic angina and doe and inferior ischemia on dobutamine viability study. angiography revealed 40% lad, 40% lcx isrs, rca totally occluded with distal filling via left to right collaterals. s/p unsuccesful recanalization of the rca. ffr of cx lesion demonstrated it to be a hemodynamically insignificant lesion. s/p vats, left upper lobectomy and mediastinal lymph node dissection d/t adenocarcinoma. patient d/c'd on and readmitted on d/t mental status changes and hypotension. a chest ct was done which was negative for a pe. a ct of the head was done revealing no evidence of intracranial hemorrhage, but a hypodensity at the right temporo-occipital junction. this could represent a late subacute to chronic infarct vs metastatic disease. a ct with contrast was done the following day revealing the same findings. a carotid series was therefore ordered and done on . this revealed an 80-99% stenosis of the left internal carotid artery and a <40% stenosis of the right internal carotid artery. a tte was done on . this revealed an ef of 40% with 1+mr, small to moderate sized pericardial effusion. mild symmetric lvh. hypokinesis noted in the infero-septum, inferior and infero-lateral walls. akinesis noted in the basal infero-septum and inferior wall. . the patient was subsequently referred to see dr as an outpatient who has recommended her for carotid angiography and intervention. the patient was then seen in clinic by dr. of neurology who is in agreement that the head ct scan abnormality is very likely an embolic stroke and feels that left carotid intervention is appropriate. the patient was also seen by dr. of neurosurgery who felt that it is exceedingly unlikely that the lesion on ct scan represents a malignancy vs. metastasis and cleared her to undergo a carotid procedure. he recommended repeat head ct in 3 months. . follow up studies have included: chest xray: normal post left upper lobectomy appearance. no evidence of any cardiopulmonary process. cta of neck: approximately 55% left sided carotid stenosis at the bifurcation ct of brain with and without contrast: no change of right posterior temporal-occipital region, likely represents a chronic infarct. noted to have tortuous basilar artery. basilary artery summit positioned to the left of the midline. just anterior to the summit is a 2-mm area of contrast enhancement--finding could represent very tortuous origin of left posterior cerebral artery or contigious tiny aneurysm. . in terms of symptoms, the patient denies any neurological deficits, confusion,or lightheadedness. she further denies any chest pain. she does report having dyspnea after climbing one flight of stairs. . on day of admission, she underwent carotid angiography with stent placement past medical history: s/p bronch/meds, 70 pck yr smoker, cad s/p mi x 2 and stenting x 2, s/p aicd implant, ef 33%, hypothyroid, dm< s/p hysterectomy, s/p appy, s/p varicose vein removal social history: married with two children who live close by. husband will drive her to the procedure.(+) cigarette smoking 80 ppy history, quit in , restarted in , quit again family history: (+) cad father had mi at 42yo and died. mother had cva 54yo. both sisters are healthy. physical exam: gen: wd female in nad heent: perrl, eomi neck: no bruits, no lad cv: rrr no m,r,g lung: cta bilat abd: soft, nt, nd bsna ext: no c/c/e neuro: cn ii-xii intact, a and o x 3, no focal defecits pertinent results: 09:22pm wbc-11.6* rbc-3.81* hgb-11.2* hct-32.4* mcv-85 mch-29.4 mchc-34.5 rdw-14.9 09:22pm plt count-343 . cardiac cath comments: 1. access was retrograde via the rcfa with catheter placemnt to the aortic arch and bilateral common carotid arteries. 2. the aortic arch was a type i arch with mild tortuosity of the great vessels and no angiographically significant lesions. 3. the right cca was angiographically normal. the had a mild 30% lesion at the bifurcation. the filled the ipsilateral aca and mca without cross-filling. there was mild tortuosity of the proximal intracerebral vessels. 4. the left cca was angiographically normal. the had a calcified eccentric 90% lesion at the bifurcation and filled the ipsilateral aca and mca. 5. successful stenting of the with a x 30 mm acculink stent (see pta comments). final diagnosis: 1. severe left internal carotid artery stenosis. 2. successful stenting of the left internal carotid artery. . ecg sinus rhythm with ventricular premature complexes low qrs voltages - clinical correlation is suggested brief hospital course: a/p: 64 year-old woman with question of significant carotid stenosis, referred for carotid angiography. . plan: . # s/p carotid angiography with stent placement: she had left ica stent placed on day of admission without event. developed reflex hypotension and was placed on a low dose of neo-synephrine. this was weaned and by hd #1, her bp was elevated and we resumed carvedilol and ace/lasix at home doses which were well tolerated. we continued continue asa, statin, plavix throughout admission. her mental status remained unchanged and her neuro exam was without focal defecits. she did report occasional headache which responded well to po meds. she was discharged to home on hd #2 without event. . # hypothyroidism: levothyroxine sodium 112 mcg po daily continued throughout admission. . #. dm: riss and fs qachs continued throughout admission. . # gerd: cont. ppi throughout admission. . # ppx: ppi, plavix, asa . # code: full . # comm: with pt . # disp: to home with planned follow up as outlined above. . medications on admission: ecasa 325mg daily lorazepam 0.5mg prn anxiety metformin 850mg tid prilosec 20mg daily coreg 12.5mg lipitor 60mg daily lisinopril 10mg daily celexa 60mg daily levoxyl .112mcg daily sprinolactone 25mg daily lasix 20mg daily discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 4. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 5. fioricet mg tablet sig: 1-2 tablets po every four (4) hours as needed for headache for 1 weeks: max dose 6 tablets in 24 hours. . disp:*48 tablet(s)* refills:*0* 6. spironolactone 25 mg tablet sig: one (1) tablet po once a day: to be restarted . 7. lasix 20 mg tablet sig: one (1) tablet po once a day: to be restarted . 8. metformin 850 mg tablet sig: one (1) tablet po three times a day: to be restarted . 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 10. lipitor 20 mg tablet sig: three (3) tablet po once a day. 11. citalopram 20 mg tablet sig: three (3) tablet po once a day. 12. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 13. levothyroxine 112 mcg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary diagnosis: s/p stenting of the left carotid artery secondary diagnosis: hypotension hypertension hypercholesterolemia hypothyroidism anxiety discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet please keep all follow up appointments. please take all medications as prescribed. you should restart you lasix and spironolactone tomorrow (friday), you should not restart your metformin until saturday . seek medical attention for fevers, chills, chest pain, shortness of breath, lightheadedness, or any other concerning symtpoms. followup instructions: 2. provider: , md phone: date/time: 9:30 3. provider: / phone: date/time: 4:30 4. provider: breathing tests phone: date/time: 2:40 procedure: percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism personal history of malignant neoplasm of bronchus and lung coronary atherosclerosis of unspecified type of vessel, native or graft percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction automatic implantable cardiac defibrillator in situ 

Answer: The patient is high likely exposed to