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: pulmonary embolus major surgical or invasive procedure: inferior vena cava filter placement. history of present illness: 57 year old male with recent admission for dural av fistulas s/p embolization ( and ) and recent treatment for pneumonia (bibasilar infiltrates on cta) who presented to on with calf pain and found to have bilateral le clots, pulmonary saddle embolus (bilateral) had 2 coil embolizations and was transferred to micu on past medical history: 1. left parietal intraparenchymal hemorrhage 2. left dural av fistulas x 2: embolized at on and by dr . according to records they are syncronous with one at left distal transverse sinus and proximal left sigmoid sinus with cortical venous reflux toward left side vein of and another at the left side skull base around the foramen magnum level mainly supplied from the left ascending pharyngeal with cortical venous reflux. 3.recent -basilar pna on levo/flagyl 4.recent abdominal pain s/p exlap which was unrevealing within last several days (admission ) 5.dyslipidemia 6.elevated psa 7.cervical radiculopathy social history: lives alone in home in , had been at rehab prior to this admission follwoing his ich. denies any h/o tob/etoh/drug use. works as a music teacher. family history: father had lung ca. mother had gyn ca of some sort. physical exam: vs: t:98.6 bp: 104/68, hr: 84, rr: 20, 02 sat: 98%ra gen: pleasant male, a&o x3, nad heent: perrl, eomi cv: rrr, no murmur chest: ctab, no wheezing, no crackles. abd: soft, nt nd bs+ ext: no edema, no calf pain on palpation, dp's palpable bilaterally. upper extremities also no edema or pain. pertinent results: 01:05am blood wbc-11.8* rbc-3.98* hgb-11.9* hct-35.2* mcv-89 mch-29.8 mchc-33.6 rdw-13.7 plt ct-152 06:35am blood wbc-5.4 rbc-3.70* hgb-11.3* hct-32.6* mcv-88 mch-30.6 mchc-34.8 rdw-13.8 plt ct-218 01:05am blood pt-16.8* ptt-33.0 inr(pt)-1.5* 06:35am blood glucose-94 urean-8 creat-0.9 na-139 k-4.3 cl-105 hco3-25 angap-13 01:05am blood alt-76* ast-47* ld(ldh)-413* alkphos-82 totbili-0.4 01:05am blood phenyto-3.3* 08:15am blood phenyto-13.2 . study: cta of the head with and without contrast. technique: following a no contrast head ct, axial multidetector ct images of the head were obtained during the intravenous contrast administration of nonionic contrast material. multiplanar two-dimensional reformatted images and volume-rendered three-dimensional reformatted images were obtained. comparison: prior ct of the head without contrast dated , . non-contrast head ct: again, left temporal and parietal vasogenic edema and effacement of the sulci is demonstrated. areas of high density likely consistent with embolization material in a previously known and reported vascular malformation. head cta: on the left temporal lobe, there is a subtle area of thin enhancement, measuring approximately 27.2 x 27.8 mm in size, vasogenic edema is demonstrated extending superiorly and producing effacement of the sulci. no frank evidence of vascular malformation is identified or aneurysm. normal pattern of enhancement is demonstrated in major arterial vascular structures. there is no evidence of significant midline shifting or deviation of the normally midline structures. in the multiplanar two-dimensional and volume- rendered reformatted images, there is no evidence of vascular stenosis or flow-related abnormality, hypoplasia of the a1 segment on the right is demonstrated. no aneurysms are identified. the vertebrobasilar system is patent with dominance of the left vertebral artery. no vascular malformation is identified and the embolization cast is unchanged. impression: persistent vasogenic edema with a faint and subtle area of thin ring enhancement identified on the left temporal lobe as described above, correlation with mri and mra is recommended for further characterization. . indication: dvt, assess for dvt in the bilateral upper extremities. comparison: none available. bilateral upper extremity venous ultrasound: grayscale and color doppler son images were obtained that demonstrate wall-to-wall flow in the right subclavian with normal response to respiration. there is a nonocclusive clot in the left subclavian which does not compress. the left internal jugular appears clear and demonstrates compression. there is nonocclusive clot in the left axilla, and one of the brachial veins. in the scv the clot is more echogenic and retracted and in the more distal svc and axillary vein the less echogenic material is wall-to-wall. the right internal jugular, axillary, and both brachial demonstrate wall-to- wall flow with normal compression. the right cephalic and basilic are patent. impression: nonocclusive, likly subacute dvt of the left subclavian vein extending to the axillary and one of the brachial veins. . indication: dvt on the left lower extremity, evaluate for one on the right. comparison: none available. portable right lower extremity venous ultrasound: the left common femoral demonstrates low flow. on the right, there is normal response to respiration. the right common femoral, superficial femoral and popliteal veins compress and show wall-to-wall flow with normal response or augmentation. right calf veins demonstrated. impression: no dvt of the right lower extremity. brief hospital course: patient initially presented to on with calf pain and found to have bilateral le clots, pulmonary saddle embolus (bilateral) had 2 coil embolizations and was transferred to micu on . in the icu the patient remained hd stable and had good 02 sats on room air. ivc filter placed yesterday and following cta head showed no new areas to intervene on. patient evaluated by neurosurgery and he was put on dilantin. prior to transfer to the floor the patient's dilantin level was low, he received increased dose. . #pulmonary embolus/dvt: per micu team and neurosurgery, the risk of anticoagulation given his recent intraparenchymal hemorrhage outweights the benefit of anticoagulation for pes. patient continued to sat well on room air. he was found to have a lue clot as well but per micu no plans for svc filter as clinically insignificant. -hold aspirin, hold heparin sq, absolutely no anticoagulation for 1 month. -f/u outpatient neurosurgery in 4 weeks. -tylenol for pain. . #recent left parietal intraparenchymal hemorrhage:likely vascular malformation with dural avm's and aneurysm reported on osh cta head/mri. s/p embolization of dural avm's x2. dilantin level low initially, given load in the micu and now on increased dose. -continue dilantin (increased to 200 ) . medications on admission: baclofen 10 po tid tylenol 650 prn vicodin prn dilantin 100 po tid protonix 40 levaquin 500 po daily flagyl 500 po q8 hrs discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain: maximum dose 4 g daily. 2. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day). disp:*120 capsule(s)* refills:*2* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. discharge disposition: home with service facility: vna discharge diagnosis: left lower extremity and left upper extremity deep venous thrombosis bilateral pulmonary emboli recent left parietal intraparenchymal hemorrhage tatus post av dural fistula embolization x 2 at . secondary: dysplipidemia history of cervical radiculopathy discharge condition: afebrile, normotensive, comfortable on room air discharge instructions: you have been evaluated for your leg pain. you were found to have a blood clot in the leg and in the arm as well as blood clot that had travelled to the lungs. due to your recent neurosurgical procedures, you cannot take blood thinners for these clots. you had a filter put in the inferior vena cava in order to protect you from further blood clots travelling to the lung. . you should not take aspirin or ibuprofen for the next month due to your recent neurosurgery. please discuss this at your visit with the neurosurgeons in one month. . we increased your dilantin to 200 mg twice per day. please discuss your need for this medication at your clinic visit. . please contact your primary care physician or return to the emergency room should you develop any of the following symptoms: fever > 101, chills, difficulty breathing, coughing up blood, chest pain, increased leg pain or swelling, slurred speech, numbness, tingling or weakness of either arm or leg, or any other concerns. followup instructions: you can obtain a new primary care physician at at . please call our office at to make an appointment. you can make an appointment with dr. or another male provider of your choice; it would be ideal to be seen within the next 1-2 weeks. . please contact your neurosurgeon at the for a follow up appointment within the next 3-4 weeks. if you prefer, you can follow up with the neurosurgery department at . to follow up at , call the neurosurgery department at ( to make a follow up appointment within the next weeks. procedure: interruption of the vena cava phlebography of other specified sites using contrast material angiocardiography of venae cavae diagnoses: other and unspecified hyperlipidemia cerebral aneurysm, nonruptured other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation iatrogenic pulmonary embolism and infarction personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits acute venous embolism and thrombosis of unspecified deep vessels of lower extremity 

Answer: The patient is high likely exposed to