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: the patient is a 34-year-old male with a past medical history of migraine headaches. the patient was seen in the emergency room for complaints of left facial palsy. he subsequently underwent an mri of the head and mr angiogram which revealed two internal carotid aneurysms, one on the left and one on the right. he returns now after seeing dr. on for further assessment. he reports complaining of headache for approximately two years and migraine headache about 2 weeks prior to admission with some difficulty with memory and recall accompanied by word finding difficulties. past medical history: significant for an ulcer. he has had no past surgery. allergies: codeine. medications: tagamet, amitriptyline, celebrex and lasix for borderline hypertension. physical examination: he is awake, alert, oriented times three. his speech was fluent. cranial nerves were intact except for slight weakness of the left facial nerve. he is able to move all extremities with good strength bilaterally in symmetric fashion and no pronator drift. cerebellar testing, finger to nose was normal bilaterally. tandem gait was intact. sensation intact throughout. reflexes 1+ in the upper extremities, biceps, triceps and 2+ at the knees and 1 at the bilateral ankles. mri scan revealed two internal carotid artery bifurcation aneurysm. hospital course: the patient was admitted on and underwent left ica bifurcation aneurysm clipping with no intraop complication. postoperative vital signs were stable. the patient was afebrile. he was monitored in the pacu overnight. he was neurologically intact, awake, alert, oriented times three, moving all extremities with no drift. extraocular movements intact. pupils equal, round and reactive to light. he was transferred to the regular floor. vital signs remained stable. he has been afebrile. he has been out of bed ambulating, tolerating a regular diet, voiding spontaneously. the patient is being discharged on in stable condition to home with follow-up with dr. in two weeks time. discharge medications: on discharge, dilaudid 2-4 mg po q 4 hours prn and fioricet 1-2 tablets po q 6 hours prn for pain. vital signs remained stable. the patient was afebrile, in stable condition, at the time of discharge to home with follow-up with dr. in two weeks time. , m.d. dictated by: medquist36 procedure: clipping of aneurysm diagnoses: esophageal reflux tobacco use disorder unspecified essential hypertension asthma, unspecified type, unspecified cerebral aneurysm, nonruptured bell's palsy 

Answer: The patient is high likely exposed to