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: aspirin / iodine; iodine containing attending: chief complaint: dizziness and vomiting major surgical or invasive procedure: none history of present illness: mr. is a 74 year old r-handed man who was admitted on after being transferred from hospital. his complaints started with a headache, on the top of his head, on . he started to vomit in the morning, while lying on the couch. at that time he felt like the room was spinning around him and he had some nausea. when the vomiting didn't stop he called 911. he was admitted with "gasteroenteritis". he couldn't walk as usual, walking like a "drunk" and noticed he was clumsy in his hands. at that point, he did not have vertigo or nausea. after a mri that showed a r-cerebellar infarct with hemorrhagic conversion and was brought to (as surgical backup is present). he was admitted neuro icu and transferred to floor once he remained stable. past medical history: cad, s/p cabg x 3 in , repeat in ami dm 2 htn pvd, bilateral fem- bypass cri (1.4-1.7) gerd paget's disease s/p cholecystectomy pud (asa related) hypothyroidism afibb (after cabg) social history: not married, no children, lives alone. retired (retail). quit smoking ' (smoked for 20 years) family history: father: mi 's, sister had cabg physical exam: vitals t 97.8 hr 60 bp 120/76 so2 95% ra rr 18 fsbs 102 i/o: 190/500(shift) general: nad heent: mmm; no icterus neck: no bruits over carotids; no lad; no jvd, supple cor: s1, s2, regular, no murmurs pulm: cta bilaterally abd: soft, nt, nd, nl bs extr: no edema, warm neurological exam: mental status: awake, alert, oriented to person, time and place. cooperative. attention: months of year backwards slowly without mistakes. registration: ; recall after 3 minutes. no dysarthria, language fluent, comprehension intact, naming intact. intact; writing not tested. no apraxia. no neglect for situation or space. cranial nerves: ii: pupils equal, round, reactive to light (direct as well as consensual). fundoscopic exam not performed. visual fields intact upon confrontation. iii, iv, vi: extraocular movements intact with bilateral horizontal nystagmus (more pronounced to the r), saccades on horizontal gaze v: facail sensation intact vii: facial movements symmetrical viii: hearing intact to fingerrub bilaterally ix-x: palate elevates in midline : strength in trapezius and sternocleidomast. intact xii: tongue protrudes in midline motor: normal bulk and tone. no fasciculations or tremor. no pronator or deltoid drift. strength full in upper and lower extremities. sensation: intact to pinprick, light touch, temperature (cold). intact vibration throughout. decreased proprioception in both toes. reflexes: dtr: symmetrical (2+), toes upgoing bilaterally. coordination: fnf slow, with dysmetria bilaterally (more on r), rebound increased, hts intact on r, slightly impaired on l. : slow bilaterally. gait: not tested pertinent results: 06:40am blood wbc-10.3 rbc-4.63 hgb-12.9* hct-39.0* mcv-84 mch-27.8 mchc-33.0 rdw-16.9* plt ct-263 06:40am blood glucose-90 urean-24* creat-1.0 na-139 k-4.3 cl-102 hco3-23 angap-18 06:40am blood calcium-9.4 phos-3.6 mg-2.1 bedside swallow: passed. regular diet. brain mri: findings indicative of acute/subacute infarct with associated blood products and edema in the r cerebellar hemisphere and mass effect on the fourth ventricle with resultant moderate hydrocephalus. old l- cerebellar stroke. mra of the head: irregularity of the flow signal of the distal right vertebral artery in the vicinity of the origin of the posterior inferior cerebellar artery could be secondary to a thrombus or a focal dissection. ct angiography: the right vertebral artery is narrowed from its entry into the foramen magnum until the take off of the posterior inferior cerebellar artery. although this area is partially obscured by dental artifacts, the finding is suggestive of a dissection. the cavernous portion of both carotid arteries shows some atheromatous change, but no evidence of dissection. the remainder of the circle of and its major branches are patent. surrounding osseous structures are remarkable for sternotomy wires on the right. visualized lung apices are clear. ct head : findings: there is no significant change from the previous study. chronic left cerebellar infarction and subacute right cerebellar infarction are again noted. there is similar compressive effect on the fourth ventricle and secondary dilatation of the third and lateral ventricles. no new regional areas of hyperdensity are appreciated. there is similar appearance to high density along the left superior tentorium. no worsening or new intracranial hemorrhage identified. no shift of the normally midline structures. impression: no significant change from prior study of . ct head : comparison with the prior head ct scan continues to show the mixed density large infarct within the medial aspect of the right cerebellar hemisphere, also occupying a portion of the vermis. there is perhaps slightly less compression of the fourth ventricle at this time. the smaller chronic left cerebellar infarct is again seen. there are no other overt interval changes identified. tee : the left atrium is mildly dilated. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. there is a 1.0 x 0.9 round echodensity seen in the left atrial appendage, likely representing an organized thrombus. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. the left ventricular cavity is mildly dilated. overall left ventricular systolic function is severely depressed. no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. impression: probable thrombus in the left atrial appendage (differential diagnosis also includes an atypical left atrial myxoma or other cardiac tumor). moderate mitral regurgitation. severe systolic left ventricular dysfunction, consistent with multivessel coronary artery disease. brief hospital course: 74 year old r-handed male with cad, dm, htn, pvd, cri presenting with nausea, vomiting, later followed by an ataxic gait and ataxia in his arms. pt. was found to have an acute r-cerebellar stroke with hemorrhagic transformation and some compression on the 4th ventricle. also old l-cerebellar stroke. mr. had some episodes of intermittent double vision, but no dizziness, headache or vomiting during the remaining course of the hospitalization. 1) neuro: acute r-cerebellar stroke with hemorrhagic transformation and compression on the 4th ventricle. the compression on the 4th ventricle has improved somewhat per ct-head . cta suggests dissection of r-vertebral artery (close to pica) although the study was not optimal. chol: 77. prior to discharge, patient was able to ambulate with assistance. lipitor should be continued, and aspirin was added after the acute phase (as the hemorrhage was not evolving). as the tee showed the possibility of a thrombus in the left atrium, coumadin was started as well. a follow up tee should be done after a month to see whether the thrombus has resolved or whether it represents a myxoma. if the finding per tee represents a thrombus, this might have caused the intitial stroke. 2) cardiovascular: patient has a history of post-op afib. during the hospitalization he was in sinus, although frequent pvc's were noted while on telemetry. amiodarone (afibb), toprol, spironolacton, valsartan were continued with adjustments in dosing to achieve optimal blood pressure control. 3) hypothyroidism: levoxyl was continued. no changes were made in dosing. 4) prophylaxis: vd boots while in bed (dvt), no complications; ranitidine (pud); colace, senna and dulcolax prn (bm) 5) diet: patient passed speech and swallow and was started on a low sodium, cardiac diet which he tolerated well. medications on admission: aldactone toprol xl lipitor asa 81 amiodarone, diovan glyburide, hctz, synthroid discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. amiodarone 200 mg tablet sig: one (1) tablet po every other day (every other day). 5. amiodarone 200 mg tablet sig: 0.5 tablet po every other day (every other day). 6. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 8. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 9. valsartan 40 mg tablet sig: two (2) tablet po daily (daily). 10. levothyroxine sodium 25 mcg tablet sig: 0.5 tablet po daily (daily). 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 12. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 13. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 14. insulin regular human 300 unit/3 ml insulin pen sig: two (2) units subcutaneous per sliding scale: follow sliding scale; 2 units for fsbs>150 and <200; 4 units if >201 and <250; 6 units if >251 and <300. 15. warfarin sodium 5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). discharge disposition: extended care facility: health care center discharge diagnosis: 1. cerebellar stroke with hemorrhagic conversion 2. left atrial appendix (thrombu or myxoma) discharge condition: good, with gait problems discharge instructions: please follow up with your pcp and at the stroke clinica as instructed below. please take your medications as instructed. if symptoms (as double vision or gait problems) worsen or if you experience nausea, vomiting, dizziness, or a severe headache, please seek medical assistance or call 911. inrs must be followed (started coumadin ), goal inr . needs follow-up in one month with his pcp regarding repeat tee to see if clot in left atrial appendage has resolved. followup instructions: please follow up at the clinic, : please call the clinic at to set up an appointment, update your demographics, and get directions (dr. . please have your inr checked and coumadin dose adjusted to keep inr 2.0-3.0. please follow up with your pcp 1 week. dr. has been informed. appointment for repeat tee (transesophageal echocardiogram) in one month: at 9am, , grizmish building, . md, procedure: diagnostic ultrasound of heart diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status intracerebral hemorrhage old myocardial infarction cerebral artery occlusion, unspecified with cerebral infarction 

Answer: The patient is high likely exposed to