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: no known allergies / adverse drug reactions attending: chief complaint: s/p syncopal event major surgical or invasive procedure: none history of present illness: pt is a 78m who presents as transfer from osh with bifrontal contusions and traumatic sah after a syncopal event. pt does recalls feeling dizzy prior to falling and that is all he can remember. he currently complains of headache and nausea with two episodes of emesis here at . he has no neck pain, no complaints of weakness in extremities, photophobia, b/b dysfunction, speech difficulty past medical history: afib previously on coumadin, pvd, cad with cabg and stenting, htn, hyperlipidemia, chf social history: the patient has been sober since age 43. he smoked from ages 16-50 and smoked 3pcks/day at the max. denies other drug use. used to work for computer company but now works parttime. he lives with his wife. family history: father died age age 66 of liver ca and had heart disease prior to that. otherwise non-contributory. physical exam: o: t: bp: 140/78 hr: 90 afib r 14 o2sats 95 gen: wd/wn, comfortable, nad. heent: pupils: perrla eoms appear full neck: c collar in place, no cervical tenderness to palpation. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light,2mm to 1 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift toes downgoing bilaterally pertinent results: cxr : no acute cardiopulmonary abnormalities. cta chest : 1. no evidence of pulmonary embolus, as questioned. no pneumonia, effusion, or pneumothorax. 2. marked prominence of the right atrium, with relative diminutive caliber of the right ventricle. this could reflect ebstein's anomaly, and correlation with echocardiography is recommended. 3. intermediate density filling defect within the left atrial appendage, concerning for thrombus, which could also be further evaluated with echocardiography. ct head : stable appearance of brain, with right frontal, subinsular, and parietal infarcts; bifrontal and right temporal hemorrhagic contusions; mild subarachnoid, subdural, and intraventricular hemorrhage; and 3-mm rightward shift of the falx cerebri, with slight entrapment and dilation of the left lateral ventricle. mr : hemorrhagic contusions in the bifrontal and right temporal lobe. other sequelae of trauma are stable. acute infarcts in the right frontal and parietal lobe. mra of the circle of demonstrates patency of the proximal intracranial vasculature. distal vasculature cannot be assessed due to excessive motion artifact. mra of the neck demonstrates no significant stenosis. ct c/a/p 1. no acute injury in the abdomen or pelvis. 2. 5-mm right lower lobe pulmonary nodule and 3-mm left lower lobe pulmonary nodule. criteria, followup with dedicated chest ct can be performed at 12 months if patient has no risk factors for malignancy. if patient has risk factors for malignancy, then dedicated chest ct is recommended in 6 to 12 months. 3. abdominal aortic aneurysm measuring up to 4.5 cm. ct c-spine 1. no acute fracture or malalignment. 2. multilevel degenerative change with mild narrowing of the spinal canal. this can predispose to cord injury in the setting of significant trauma. ct head 1. increasing size of hemorrhagic contusions within the frontal lobes bilaterally and in the right temporal lobe as described above. 2. diffuse subarachnoid hemorrhage overlying the parietal, occipital, and temporal lobes bilaterally. 3. stable appearance of nondisplaced fracture of the left frontal bone. carotid ultrasound impression: right ica <40% stenosis. left ica <40% stenosis. echocardiogram the left atrium is markedly dilated. the right atrium is markedly dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 40-45 %) global hypokinesis most prominent in the inferior and infero-lateral walls. there is no ventricular septal defect. the right ventricular cavity is mildly dilated with normal free wall contractility. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate to severe tricuspid regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. laboratory data: 03:10pm blood wbc-10.2# rbc-3.87* hgb-13.3* hct-37.7* mcv-97 mch-34.4* mchc-35.3* rdw-13.4 plt ct-156 05:35am blood wbc-13.8* rbc-3.95* hgb-13.6* hct-38.6* mcv-98 mch-34.5* mchc-35.3* rdw-13.3 plt ct-189 03:10pm blood neuts-74.6* lymphs-21.4 monos-3.1 eos-0.3 baso-0.6 03:10pm blood pt-14.5* ptt-21.9* inr(pt)-1.3* 12:35pm blood pt-15.0* ptt-64.4* inr(pt)-1.3* 03:10pm blood glucose-164* urean-20 creat-1.1 na-140 k-2.8* cl-100 hco3-21* angap-22* 05:35am blood glucose-116* urean-25* creat-1.1 na-139 k-3.8 cl-107 hco3-21* angap-15 06:05am blood alt-22 ast-31 ck(cpk)-88 alkphos-75 03:10pm blood ctropnt-<0.01 06:05am blood ck-mb-3 ctropnt-0.01 03:10pm blood calcium-9.4 phos-1.6* mg-1.5* 05:35am blood calcium-8.4 phos-2.8 mg-2.0 05:45am blood caltibc-302 ferritn-456* trf-232 06:25am blood ammonia-8* 09:39am blood freeca-1.07* brief hospital course: is a 78-year-old man with past medical history notable for atrial fibrillation, who had been anticoagulated on coumadin until approximately six days prior to his initial admission for colonoscopy, chf, coronary artery disease status post cabg in , and a prior stroke approximately 10 years ago with some residual right-sided weakness who is currently admitted to the neurology inpatient stroke service. in the setting of his coumadin being held, he had sustained a fall and had significant hemorrhagic contusions to his bilateral frontal and anterior temporal lobes and had been taken care of by the neurosurgical service. during this time, his coumadin was continued to be held. neurology became involved in his care on at which time there was some concern for a change in behavior including some greater lethargy. an mri showed right-sided large wedge-shaped infarcts, likely cardioembolic in etiology. on general physical exam the morning of , the patient is afebrile, but is tachycardic to the low 100s with an irregularly irregular rhythm. his lungs sound clear; however, there is a machine-like murmur to his heart that seems to encompass both the systolic and diastolic phases of the rhythm. he is also somewhat tachypneic about 24 with peak respiratory rate of 30 breaths per minute last night. on neurological exam, the patient can make some brief verbal utterances, but is largely obtunded and inattentive. his left eye seems somewhat skewed upward at baseline; however, he appears to be able to look fully both to the right and to the left, with horizontal eye movements. he was uncooperative with the formal motor exam, though he was able to raise all extremities against gravity. reflexes were symmetric, though he did appear to have an upgoing left toe. while on the nsurg service he became more somnolent. he was found to have a partial right mca (inferior division territory) infarction. the exam findings of mild weakness on the left and extinction to dss fit with a medium-sized right parietal infarct. a clot was seen in left atrial appendage on a cta of the chest. patient placed on heparin will montitor with ct in am of he was continued keppra 500 for seizure prophylaxis. for the uti he was kept on the antibiotic:bactrim (uti/escherichia coli - end ). patient was unable to swallow and required a feeding tube. palliative care was consulted and goals of care were addressed. after lengthy discussions with the family the decision was made for comfort measures only and no escalation of care. he was therefore made comfortable and no further work up of his conditions was made. medications on admission: ?asa 325 and plavix 75, albuterol mdi, simvastatin, benicar, atenolol, lasix discharge medications: 1. lorazepam intensol 2 mg/ml concentrate sig: 1-2 mg po q2 hours as needed for anxiety. disp:*30 ml* refills:*0* 2. morphine 20 mg/ml solution 4-10 mg/hr basal rate 2-5 mg bolus q 15 minutes as needed dispense 100ml refill 6 (six) *hospice patient 3. scopolamine base 1.5 mg patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 4. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q2h (every 2 hours) as needed for agitation. discharge disposition: extended care facility: house nursing & rehabilitation center - discharge diagnosis: bifrontal contusions traumatic subarachnoid hemorrhage acute right frontal and parietal lobe infarctions uti acute hypokalemia chronic diastolic heart failure discharge condition: mental status: confused - always. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: dear mr. , you were admitted to the hospital for bruises and bleeding in your brain after a fall. you were also found to have a stroke during your admission. it was determined with your family that your care would be focused on your comfort only. followup instructions: as determined by nursing home facility md procedure: enteral infusion of concentrated nutritional substances diagnoses: esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status hypopotassemia paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia long-term (current) use of anticoagulants encounter for palliative care cerebral embolism with cerebral infarction abdominal aneurysm without mention of rupture fall from other slipping, tripping, or stumbling chronic diastolic heart failure other alteration of consciousness peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness benzodiazepine-based tranquilizers causing adverse effects in therapeutic use muscle weakness (generalized) phenothiazine-based tranquilizers causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to