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: codeine attending: chief complaint: headache major surgical or invasive procedure: : cerebral angiogram with coiling of the r pica aneurysm history of present illness: 61 y/o f with htn and hypercholesterolemia presents after the worse headache of her life today at 5:30 am. she states that she awoke and went to brush her teeth when she felt a sudden onset of pain that started in her neck and radiated to the frontal region of her head. she reported it as a headache that did not subside. she also reported 3 or 4 episodes of n/v associated with dizziness. she denies any change in vision or speech. head ct revealed a sah with ivh. neurosurgery was consulted for further management. past medical history: hypercholesterolemia, htn social history: lawyer, 1 drink in two weeks, denies tobacco family history: sister died of brain aneurysm at age 38 physical exam: physical exam: hunt and : 1 :4 gcs e: 4 v:5 motor:6 gen: wd/wn, comfortable, nad. heent: normocephalic, atraumatic pupils:3-2mm bilaterally eoms: intact neck: supple. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light,3 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch exam on discharge: nf pertinent results: ct head: intraventricular hemorrhage in the anterior horns of the lateral ventricles, 3rd and 4th ventricle extending into the subarachnoid space in the spinal canal. basal cisterns are not well visualized suggesting component of cerebral edema but no herniation or midline shift seen. cta head: impression: 1. prominent temporal horns of the bilateral ventricles, findings concerning for developing obstructive hydrocephalus due to known intraventricular hemorrhage. 2. 3.5 to 4.5-mm aneurysm of the proximal right pica, slightly distal to likely the source of perimedullary cisternal subarachnoid and intraventricular hemorrhage. 3. 3-mm left carotico-ophthalmic aneurysm. 4. aneurysmal dilatation of the paraclinoid segment left internal carotid artery, possibly measuring up to 11 mm. ct head: impression: 1. status post right pica aneurysm coiling. 2. unchanged extent of intraventricular hemorrhage. 3. no new focal hemorrhage. 4. no increased mass effect since nine hours ago. 5. no definite evidence of major vascular territorial infarct since coiling. : tcds prelim mild spasm in the distal right vert : tcd's: impression: abnormal tcd evaluation. there were above normal velocities seen in the bilateral middle cerebral arteries, bilateral anterior cerebral arteries, distal right vertebral artery, distal left vertebral artery, and the basilar artery. recommend repeat tcd on . brief hospital course: 61f who presented to the er with a headache, a ct showed a sah and a cta confirmed the presence of an aneurysm. the patient was immediately taken to angio for coiling. angio seal was used at the r femoral artery. post-angio the patient was awake and following commands. she admitted to the icu for monitoring. she remained in the icu following her angiogram and stent assisted coiling. she had one episode where she became slightly confused and disoriented following a dose of oxycodone, but this cleared nicely when her pain medications were held. her diet was advanced and she later did well. on she remained neurologically intact. ivf's were continued at 100ml/hr and sodium was closely monitored. she remained stable on and . she was subsequently transferred out of the icu on to the floor. tcds done prior to transfer reveled mild vasospasm in the distal right vert. patient remained asymptomatic and was maintained on iv fluids at a rate of 125cc/hr. repeat tcd's on revealed mild increased velocities in all vessels. she remained neurologically stable, on ivf and was ambulating independently. on her ivf was discontinued she was neurologically intact, tolerating po, ambulating, voiding and pain was well controlled. she was cleared for discharge home. medications on admission: lisinopril, ibuprofen, hctz, lorazepam, nortriptyline, percocet, simvastatin, ranitidine discharge medications: 1. nimodipine 30 mg capsule sig: two (2) capsule po q4h (every 4 hours) for 13 days. disp:*156 capsule(s)* refills:*0* 2. nimodipine 30 mg capsule sig: two (2) capsule po every four (4) hours for 1 days. disp:*12 capsule(s)* refills:*0* 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. nortriptyline 25 mg capsule sig: one (1) capsule po hs (at bedtime). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 7. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for headache. disp:*60 tablet(s)* refills:*0* 10. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 11. oxycodone 5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 12. ranitidine hcl 150 mg tablet sig: 0.5 tablet po hs (at bedtime). disp:*15 tablet(s)* refills:*2* 13. ibuprofen 400 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: home discharge diagnosis: subarachnoid hemorrhage interventricular hemorrhage right pica aneurysm left ica aneurysm at the cavernous left carotid/opthalmic aneurysm hyponatremia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: angiogram with coiling of a pica aneurysm medications: ?????? take nimodipine 30 mg 2 capsules every 4 hours for 13 days. your prescription has been calld in to sq. in cambrige, ma due to limited availability of the medication. ?????? take aspirin 325mg (enteric coated) once daily until follow up. ?????? continue all other medications you were taking before surgery, unless otherwise directed, you may resume taking lisinopril if your blood pressure ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room! your sodium level was somewhat low during your hospitalization, please follow up with your primary care provider for follow up the week after your discharge. followup instructions: please follow-up with dr in 4 weeks with a mri/mra brain with and without contrast ( protocol). please call to make this appointment. procedure: arteriography of cerebral arteries endovascular (total) embolization or occlusion of head and neck vessels diagnoses: pure hypercholesterolemia unspecified essential hypertension hyposmolality and/or hyponatremia subarachnoid hemorrhage cerebral aneurysm, nonruptured nausea alone visual discomfort family history of stroke (cerebrovascular) 

Answer: The patient is high likely exposed to