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: left hemiparesis, transferred here from osh with "hyperdense r mca sign." major surgical or invasive procedure: intubated history of present illness: patient is a 77 year old man with afib (not on coumadin) and cancer who was last seen normal at 11:45am by his wife. at , she heard a thud and discovered him slumped over. ems transported the patient to hospital. there, he was noted to be in afib, to have left hemiparesis, and to be hypertensive to sbp = 210. he was given nitropaste and diltiazem. nchct apparently showed "hyperdense r mca sign," though we are not able to view these images directly. patient did not receive ivtpa (which i presume is because he has distant history of cerebral hemorrhage) and was transferred to for further care. here, nihss = 23 at 5:45pm loc 1 questions 2 commands 0 gaze 1 visual fields 2 face 2 motor 3 + 3 = 6 ataxia 0 sensory 2 language 3 dysarthria 2 extinction/inattention 2 ros: wife says patient has had no recent complaints. past medical history: 1. cardiac risk factors: + dyslipidemia, + hypertension 2. cardiac history: -cabg: 5 vessel cabg ten years ago at ,anatomy unknown -pacing/icd: none 3. other past medical history: unresectable cholangiocarcinoma diagnosed in who has been receiving gemcitabine chemotherapy for this disease with plans for initiation of cisplatin in the near future parotid cancer noted being considered for palliative radiation parotid gland raising the possibility that he had a second primary parotid tumor. hypertension status post cerebral hemorrhage 20 years ago peptic ulcer disease complicated by gi bleeding diverticulitis chronic renal insufficiency hidradentis suppurativa mastoid bone operation at age 5 social history: mr. is married and lives with his wife. is a former smoker, quitting 20 years ago. he used to smoke a pack a day for 40 years. he denies illicit drug use, reports occasional alcohol use. he has no children. he is retired and used to work in sales. he also used to be in the marine corps. family history: his mother died from bone cancer at age 66. his father died at age 62 from either a myocardial infarction or a stroke. his maternal grandmother died from liver cancer at an unknown age. he has no siblings. physical exam: exam: t 98.5 bp 157/82 hr 72 afib rr 10 o2sat 100% face mask gen: lying in bed, appears agitated. heent: lots of secretions from the nose. cv: irregularly irregular but no murmurs/gallops/rubs lung: clear anteriorly abd: +bs, soft, nontender ext: no edema neurologic examination: mental status: awake and alert - follow motor commands including opening eyes and showing r thumb, wiggling r toes and sticking tongue out. frequent groaning only -nonverbal otherwise. cranial nerves: l pupil larger than r (l 6mm and r 4mm) - reactive but not brisk. l facial droop. eyes cross midline. blinks to visual threat on r only. motor: normal tone on r but decreased tone on l. moves r arm and leg anti-gravity with some resistance but does not move the l. extensor posturing to noxious stim on lue only. no adventitious movements. sensation: intact to noxious stim. reflexes: 2s on r biceps and patellar but none for l. toes are upgoing bilaterally. pertinent results: ct 1. right mca territory infarction with cerebral edema and a new right basal ganglia intraparenchymal hemorrhagic transformation, with significant subfalcine herniation, effacement of the suprasellar cisterns and uncal herniation. there is no transtentorial herniation at this time. 2. small amount of intraventricular hemorrhage and entrapment of the left lateral ventricle. 3. new air-fluid levels in the sphenoid sinuses can represent acute sinusitis. clinical correlation is recommended. aerosolized mucosal thickening in the maxillary sinuses. the study and the report were reviewed by the staff radiologist. brief hospital course: patient was admitted with large left mca stroke. he was admitted to the icu and needed to be intubated on arrival. the following morning the patient was noted to have a blown r pupil and was extensor posturing in all extremities. on a repeat head ct scan he was noted to have a large hemorrhage in the area of the mca. prognosis was discussed with family and the decision to withdraw care was made. the patient expired on . medications on admission: 1. lasix 10 2. percocet 3. lisinopril 5 4. metoprolol 25mg 5. kcl 24/16 6. prochlorperazine 10 qid 7. allopurinol 150mg daily 8. xanax 0.25mg 9. amlodipine/benazepril 10. dexamethasone 4mg 11. diltiazem 120mg 12. coq 13. thiamine 14. asa 81mg daily discharge medications: none discharge disposition: expired discharge diagnosis: l mca stroke discharge condition: expired discharge instructions: none followup instructions: none md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status personal history of tobacco use chronic kidney disease, unspecified other and unspecified hyperlipidemia cerebral edema personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits cerebral artery occlusion, unspecified with cerebral infarction malignant neoplasm of parotid gland flaccid hemiplegia and hemiparesis affecting nondominant side malignant neoplasm of other specified sites 

Answer: The patient is high likely exposed to