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 was initially evaluated in the emergency room. he is a 63-year-old male with blue index finger for three days. he reports onset of pain without changes in his index finger and right hand. the patient denies chest pain. past medical history: coronary artery disease status post angioplasty ten years ago, hypercholesterolemia. denies diabetes, hypertension or stroke. family history: there is a strong family history of myocardial disease. father with a myocardial infarction after the age of 50. allergies: denied. medications: none. social history: he is divorced. he has four grown children. he admits to two drinks per day and has smoked for 40 pack years. physical examination: in the emergency room, 97.7, 88, 16, 149/96. oxygen saturation 96 percent on room air. general appearance: elderly white male in no acute distress. heent examination was unremarkable. neck supple. heart was a regular rate and rhythm without murmur, rub or gallop. chest with occasional wheeze with bronchial sounds in the left mid lung fields. abdominal examination is benign. rectal examination is guaiac negative. peripheral vascular examination: no edema. right hand with blue index finger. palpable radial pulse. laboratory: cbc 9.5, hematocrit 48.3, platelet count 231,000. bun 12, creatinine 0.8. ck 87, troponin-i 0.01. radiology: chest x-ray: possible hazy opacity in the right lower lobe likely represents early pneumonia. electrocardiogram: normal sinus rhythm without acute ischemic changes. hospital course: patient's pulse examination showed a palpable radial and palpable upper atrial pulse bilaterally with sensation and motor intact. strength was . distal pulses: femorals were 2 plus bilaterally with palpable dorsalis pedis pulses bilaterally. the right index finger was bluish and tender on palpation. intravenous heparinization was instituted which was negative for intracardiac mass or thrombus. the patient's left ventricular cavity was normal in size and systolic function. he underwent arteriogram with a right femoral approach. a thoracic aortogram demonstrated non-visualized right vertebral artery. the left vertebral artery was dominant and enlarged. otherwise, the aortic arch had a normal appearance, specifically without evidence for atherosclerotic disease involving the right subclavian or innominate arteries. attempts were made to access the innominate artery and this was unsuccessful. eventually using a 5 french sos cath, access was obtained. a guide wire was placed in the axillary artery which catheter was advanced over the guide wire which was removed. the upper extremity arteriogram demonstrated normal appearance of the subclavian and proximal axillary artery. the catheter was then advanced to the axillary artery. the remainder of the upper extremity was interrogated which demonstrated two arteriovenous shunts at about the site of the elbow, one involving the cephalic vein and the other involving the brachial vein. the remainder of the upper extremity run-off demonstrated abrupt occlusion 11 cm before the radiocarpal joint. this had an appearance of an involved occlusion in the palmar arch field via the ulnar artery which was without significant disease. there was no aneurysm or atherosclerotic disease identified to suggest a source of embolus. after reviewing these findings with dr. , it was decided that a tpa infusion would be beneficial; therefore, infusion was instituted. the patient was transferred to the medical intensive care unit for continued monitoring and care while receiving his tpa infusion. during the first 24 hours of tpa therapy the groin wire was displaced and tpa was stopped. this showed improvement in the index finger. the patient continued to show improvement in the wound. he was continued on intravenous heparin. coumadization was instituted on , and he was transferred to the regular nursing floor. the patient was discharged to home in stable condition when inr was therapeutic. the patient was discharged on post procedure five. his heparin was discontinued. his inr was at 1.8. he was discharged on a coumadin dose of 7.5 mg q. day. he will follow up as directed for continuing monitoring of his coags and adjustment of his anticoagulation. discharge medications: 1. pentamidine 20 mg b.i.d. 2. atorvastatin 10 mg q. day. 3. metoprolol 25 mg b.i.d. 4. coumadin 7.5 mg q. day. discharge diagnoses: ischemic right index finger secondary to embolus, source not identified. status post radial artery lysis and angiogram. follow up: follow up with dr. in two weeks. , procedure: injection or infusion of thrombolytic agent arterial catheterization arteriography of other specified sites diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia percutaneous transluminal coronary angioplasty status arterial embolism and thrombosis of upper extremity 

Answer: The patient is high likely exposed to