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: mr. is a 37-year-old male with no past medical history who developed a sudden onset of right face, arm, and leg weakness on associated with some sensation of confusion, speech difficulties, as well as right sided numbness. this lasted about 30 minutes and resolved. he had an identical five minute episode in with right-sided hemiplegia, numbness and speech difficulties which resolved spontaneously, but he did not seek medical attention at the time. he saw his primary care physician after the second episode who sent him for an mri and he was referred to the emergency room at . the mri was read as "total occlusion of left mca." the patient denied any loss of consciousness, nausea, vomiting, or recurrence of episode after . the patient also denied any constitutional symptoms over the last five or six months. patient was on no medications with no known drug allergies when he presented to the emergency room. he denies history of trauma, headaches or neck pain. family history: no history of cerebral vascular disease or myocardial infarctions in his family and no recurrent history of thrombosis or miscarriages in his family. social history: the patient did smoke heavily one to two packs per day for several years and continually smokes. the patient is also a moderate alcohol user. he drinks six beers per day. he denies intravenous drug use and last used cocaine greater than ten years ago. he works as a furniture ispector for furniture company. his work requires lifting heavy furniture. physical examination: vital signs were as follows: blood pressure 130/60. pulse 70. respiratory rate: 16, afebrile. pertinent positives on physical examination: the patient had no carotid bruits, had normal heart sound, s1, s2 with a regular rate and rhythm. chest was clear to auscultation. patient had excellent dorsalis pedis pulses with no evidence of any cyanosis, clubbing or edema in extremities. on neurological examination, the patient's mental status was oriented to person, place and time with fluent speech, comprehension, naming and repetition was intact. patient had no neglect, agnosia, apraxia and was able to register and recall properly. patient had normal thought content and affect. pertinent positives on neurological examination is as follows: patient's cranial nerves were intact. tone was normal with no pronator drift or adventitious movement. patient had throughout on power testing. deep tendon reflexes were 2+/4 throughout. plantar reflexes were downgoing. on coordination exam, patient had no dysmetria or ataxia. patient's gait was narrowed based and stable, and he was able to perform romberg exam without difficulty. sensory exam was intact to light touch, pinprick, vibration, joint position sense and temperature throughout. pertinent laboratories, x-rays, electrocardiograms and other test findings as follows: patient was admitted and had elevated cholesterol at 301 with elevated triglycerides at 616 on admission. mri/mra from outside hospital shows tiny linear foci of diffusion weighted imaging along left deep periventricular white matter in a watershed distribution. there is also an area of diffusion weighted abnormality in the left insular cortex. mra at the outside hospital showed occlusion of left mca main stem with no flow signal throughout the entire left mca and its distal branches. normal flow is seen in both aca arteries, throughout the posterior circulation and carotid system. hospital course: the patient was started on iv heparin and admitted to the neuro intensive care unit at for close neurological checks and for angiogram. a conventional angiogram revealed complete occlusion of the left middle cerebral artery with some degree of retrograde collateral flow through the aca and posterior circulation. the patient had a transesophageal echocardiogram attempted in the intensive care unit which he did not tolerate, therefore, a transthoracic echocardiogram was performed the following day, which showed a negative bubble study times three for patent foramen ovale investigation, as well as normal right ventricular and left ventricular function. the transthoracic echocardiogram also showed no pericardial effusions. during the intensive care unit stay, toxicology screen was negative, blood cultures were taken, which were negative, and a hypercoagulable work-up was sent. fibrinogen, esr, antithrombin iii and protein c & s all returned within normal limits. anca level was negative and was negative. prothrombin mutation was pending at the time of discharge. factor v leiden mutation was also pending. angiotensin-converting enzyme levels were high at 198 with normal range being 9 to 67. it was felt that the patient's mca occlusive disease was likely due to intracranial atherosclerosis. however, the possibility of an obstructive clot could not be entirely excluded. the patient was then transferred to the floor with goal of therapy being heparinization while patient was being given coumadin for anticoagulation. the intention was to continue anticoagulation for a few months and to reassess 1) the status of his intracranial circulation and collateral flow; 2) tee; and 3) his neurological status to determine if life-long anticoagulation vs. antiplatelet therapy is indicated. however, the patient's inr remained persistently low despite higher doses of coumadin for 5 days. the patient's insurance refused to cover bridging therapy with lovenox on an outpatient basis, and the patient was maintained on iv heparin. dr. , who subsequently covered the stroke service, felt that it is unsafe for the patient to be discharged on coumadin given concerns about his job duties and future compliance. the patient was started on antiplatelets instead. the patient was also started on a nicotine patch and a statin for his elevated cholesterol profile during his inpatient stay. he was advised multiple times by all members of the health care team to stop smoking and to minimize his alcohol consumption as these are significant risk factors leading to his entire left mca occlusion. the patient was also informed to be in compliant with his medication and to follow-up with his primary care physician and stroke neurologist as written in discharge paperwork. he was asymptomatic throughout his hospitalization. condition on discharge: stable. discharge status: improved and stable. discharge diagnosis: 1. s/p transient left hemispheric ischemia. 2. hypelipidemia 3. left mca occlusion discharge medications: 1. atorvastatin 10 mg po q.d. 2. plavix 75 mg qd 3. aspirin 325 mg qd 4. nicotine 21 mg patch for smoking cessation. follow-up plans: the patient will follow-up with primary care physician, . and with dr. in clinic on . patient will also be scheduled for an outpatient tee and will be contact with its exact timing. , m.d. dictated by: medquist36 procedure: arteriography of cerebral arteries diagnoses: pure hypercholesterolemia tobacco use disorder pure hyperglyceridemia unspecified transient cerebral ischemia cerebral atherosclerosis other abnormal glucose 

Answer: The patient is high likely exposed to