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: patient recorded as having no known allergies to drugs attending: chief complaint: speech impairment major surgical or invasive procedure: intubation and mechanical ventilation history of present illness: 74 y/o russian speaking female with hx hypertension, hyperlipidemia, gerd, depression, osteoma left skull and ?spindle cell neoplasm/leomysis cutis on knee, and apparent hx skin cancer s/p bx few mo ago, for excision the day after admission - presents with difficulty speaking and understanding on the evening of admission. she had apparently been in usoh at 6:20pm when she was taking care of her grandchild. sometime after 7pm, her husband felt that she was having some difficulty talking and that she was "not making sense." she was speaking slowly, with some slurred words, and though the words were correct in and of themselves, they were out of context and didn't fit with each other. she was also speaking in fragmentary sentences. initially, she seemed to comprehend what was said to her. her husband helped her to bed, though he noted that she had no obvious weakness or facial droop noted, nor difficulty with gait. he called their son at 7:50, who arrived at 8:15pm and felt that she was not understanding what was said to her. she repeated "i'm feeling better, i'm feeling better" but otherwise did not say much. her daughter had called ems and she was brought to where sbp initially elev to 200. in retrospect (on ros) she seemed slightly unstable on feet prior night. she has had no c/o headache, visual or hearing changes, trouble speaking/swallowing prior to this event, weakness/numbness anywhere, and she has not fallen/hit head. she has had a chronic cough (productive, no hemoptysis) over months. she has also c/o cp at night. no wt loss/f/c/gi c/o except for constipation, and no urinary/msk c/o. she has had some memory problems for several months (remembering names, etc.) she has c/o some insomnia, fatigue recently, and itching of the ears, but all other ros neg. past medical history: hypertension hyperlipidemia gerd depression osteoma left skull spindle cell neoplasm/leomysis cutis on knee skin cancer s/p biopsy several mo ago social history: lives with husband does not smoke or drink; former accountant, has two children. family history: no cancers, strokes or seizures in the family physical exam: t 96.3 bp initially 202/96 (down to 142/48 when seen), hr 80s, rr 18 98%ra->95%2l in er general appearance: well appearing initially heent: moist mucus membranes, clear oropharynx neck: supple, no bruits heart: regular rate and rhythm, no murmurs lungs: poor insp effort, no apparent crackles/rhonchi/wheezes abdomen: soft, nontender +bs extremities: warm, well-perfused skull & spine: no ttp along spine mental status: alert and interactive, but cannot answer questions appropriately with russian interpreter at bedside (asks interpreter "how are you" but this is only sentence heard, occasionally says 1 word). followed commands to open/close eyes; opened her mouth when asked to stick out tongue. no other commands. cranial nerves: the visual fields had +blink to threat bilat, unable to assess fully; optic discs are normal in appearance. eomi with no nystagmus, no apparent gaze preference/neglect; +brisk corneal bilat, pupils 2.5->2 briskly bilat, no facial droop, smile symmetric, tongue/palate midline. hearing + to voice. motor system and sensory: difficult to assess due to limited commands - provides resistance on l arm better than r, and l leg slightly better than r - full strength at bilat ips, foot plantarflexion, but everywhere else limited by ability to follow commands. w/d l side to stim better than r, but moves both sides well. remainder of sensory exam limited by comprehension. reflexes: the tendon reflexes are trace throughout, with upgoing toe on r, down on l. coordination: no obvious ataxia with mvmt, copied f-n with hand->nose instead, but did not appear tremulous or dysmetric. gait: could not assess exam after acute decompensation: (was alert initially, but at 12:30am rapidly decompensated - had apparent seizure <1min of appearing stiff, staring straight, foaming at the mouth, with decreased responsiveness afterwards) no response to verbal, +eye opening to sternal rub, moans; l pupil 4mm/nonreactive, r pupil 2mm->1.5 sluggish, corneals intact bilat, +nasal tickle, +ocr, w/d l side vigorously to stim, but r side only slight w/d to stim. pertinent results: admission labs: wbc 11.3 d h/h 13.4/39.3 plt 255 n:62.5 l:31.4 m:4.4 e:1.0 bas:0.7 pt: 11.5 ptt: 21.0 inr: 1.0 ua neg x 30 protein hct: multiple foci consistent with acute intraparenchymal hemorrhage within the left temporal and parietal lobes as described above, with probable hemorrhage also within the temporal of the left lateral ventricle without subfalince herniation. primary diagnostic consideration is amyloid angiopathy. repeat hct: marked interval enlargement of the left temporal parenchymal hemorrhage, with marked increase in mass effect producing compression of the left lateral ventricle and dilatation of the right lateral ventricle, probable subfalcine and possible uncal herniation. note added in attending review: there is definite evidence of subfalcine and uncal herniation, as there is medial displacement of the uncus of the right temporal lobe, as well as effacement of the right perimesencephalic cistern and slight rotation of the midbrain and distortion of the ipsilateral ambient cistern. there is no evidence of ipsilateral pca territorial infarction. brief hospital course: 74 y/o russian speaking female with hx hypertension, hyperlipidemia, gerd, depression, osteoma left skull and ?spindle cell neoplasm/leomysis cutis on knee, and apparent hx skin cancer s/p bx few mo ago presents with difficulty speaking and understanding, initially found on exam to have mixed aphasia with both sensory and motor components, no repetition, subtle r sided weakness, head ct with multiple foci of hemorrhage (lobar). several hours later, she acutely decompensated with seizure, l blown pupil, uncal herniation on ct with large expansion of l temporal lobe bleed. she was given pht 1.2 g and mannitol 50 g and intubated. etiology of hemorrhage is unclear, with concern for metastases given multiple foci of hemorrhage, though still possible that the bleed was from an underlying vascular anomaly, htn or amyloid; the family denied trauma. neurosurgery had been called and, after a discussion with the family, it was determined that the patient would not have wanted surgical intervention at this stage in her course. despite being started on mannitol and hyperventilated, the patient continued to worsen. she slowly lost all brainstem reflexes. she was taken off the propofol but remained unresponsive. after 24hours off all sedation, she had a formal brain death exam, which was notable for absence of all brain stem reflexes, including apnea response. she was declared brain dead on and all supportive measures were withdrawn. the family was at the bedside. medications on admission: medications prior to admission on omr: astelin 137mcg--two sprays twice a day atenolol 25mg--one by mouth every day atorvastatin calcium 10 mg--one (1) tablet po once a day. clonazepam 0.5mg--one tablet at night as needed for anxiety omeprazole 20mg--twice a day rhinocort 32mcg--2 squirts in each nostril twice a day for allergies (family only able to confirm: atenolol, "stomach med," vitamin e and mvi - all others per omr) discharge medications: not applicable discharge disposition: expired discharge diagnosis: left temporal hemorrhage uncal herniation brain death discharge condition: expired discharge instructions: not applicable followup instructions: not applicable md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances diagnoses: esophageal reflux unspecified essential hypertension intracerebral hemorrhage compression of brain malignant neoplasm of bones of skull and face, except mandible 

Answer: The patient is high likely exposed to