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: penicillins / codeine attending: chief complaint: l sided weakness - transfer from osh after iv tpa major surgical or invasive procedure: none history of present illness: the pt is a year-old right-handed woman with a pmh of htn who presented to an osh with l sided weakness and slurred speech around 10 this morning. this history is obtained from her osh records as the pt is not able to provide details of the event. per report she was in her usoh this morning when she had abrupt onset l sided "hemiplegia and r gaze preference" around 10am. she was taken to an osh where she had an nihss of 13. a head ct was done which was negative for bleeding (review, shows no hypodensities or bleeding, mild diffuse atrophy). her bp was 160/70 and her hr was in the 70's in sr. she also had screening labs including a wbc and chemistry which were normal and her inr was 1.0. her troponin was 0.107 however her ecg showed no changes. she was then given tpa at 12:20 (5.8mg bolus followed by 53mg infusion). she was then transferred here for further care. ros: the pt denied headache, loss of vision, blurred vision, diplopia, shortness of breath, chest pain or tightness, palpitations. past medical history: 1. htn 2. oa 3. s/p hysterectomy social history: lives at facility and denies etoh or illicit drugs. former smoker of unknown number of pack years. family history: stroke physical exam: temp: 96.7; bp: 160/64; hr: 63; rr: 16; sao2: 98% 2lo2 gen: alert, oriented. sclerae anicteric. mmm. no meningismus. no carotid bruits auscultated. lungs clear bilaterally. heart regular in rate. abd soft, nontender, nondistended. bowel sounds heard throughout. neuro: >>ms??????alert. oriented to self, location, date. vague historian. speech fluent, dysarthric. no paraphasic errors. registration, repetition, recall intact. able to read, name. >>cn??????perrl. decreased threat blink on left field but able to identify objects correctly in cookie theft picture. however does not identify neurologists in left visual field until verbal cue proffered. no ptosis. eomi w/ smooth pursuit. facial sensation and pterygoid strength intact. moderate left facial weakness. hearing intact to finger rub. palate elevates midline. tongue protrudes midline. >>motor??????r ue . l ue except 5-/5 in triceps, we, grip. r le . l le . no drift. tone normal. >>sensory??????light touch, temp, pinprick and vibration intact. left sided dsse. graphesthesia intact. >>dtrs??????l/r: bic , br , tri ; pat , ach 0/0. plantars bilaterally flexor. >>cerebell-no dysmetria, no dysdiadochokinesia. 1a loc =0 1b orientation =0 1c commands =0 2 gaze =0 3 visual fields =1 4 facial paresis =2 5a motor function r ue =0 5b motor function l ue=0 6a motor function r le=0 6b motor function l le=0 7 limb ataxia =0 8 sensory perception =0 9 language =0 10 dysarthria = 1 11 extinction/inattention =1 total = 5 pertinent results: 02:18am blood wbc-9.3 rbc-4.14* hgb-12.5 hct-36.2 mcv-88 mch-30.1 mchc-34.4 rdw-14.4 plt ct-281 02:18am blood glucose-98 urean-18 creat-0.8 na-141 k-3.3 cl-110* hco3-24 angap-10 07:41pm blood ck-mb-notdone ctropnt-0.10* 02:18am blood ck-mb-notdone ctropnt-0.12* 02:31pm blood ctropnt-0.10* 02:18am blood %hba1c-6.2* 02:18am blood triglyc-83 hdl-74 chol/hd-2.7 ldlcalc-112 ct head p iv tpa: no hemorrhage; subtle hypodensity involving the right inferior frontal lobe may represent infarction. carotid us: 1. no significant ica stenosis on either side. 2. antegrade flow in both vertebral arteries. echo: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. moderate mitral regurgitation. brief hospital course: patient is a y/o woman with report of sudden onset left hemiparesis w/ forced gaze deviation and neglect, s/p iv tpa at osh transferred here for further care. on exam at arrival, she had left tactile>visual neglect and less prominent dysarthria and appendicular weakness. repeat head ct (~3h s/p initial images) does not clearly show progressive ischemia. symptoms most strongly suggested right parietal dysfunction, in light of prominent visual/sensory symptoms and evanescent motor symptoms. ischemia is quite possible; significant clinical resolution is already apparent. however, alternative etiologies, such as seizure, may need to be considered given no clear imaging evidence of ischemia and significant improvement. she was initally admitted to the icu given iv tpa where she remained stable with repeat cts showing no hemorrhagic transformation. she was successfully transferred to neurology floor service the next day where she continued to have clinical improvement of symptoms including improvement of strength and dysarthria on l side. mri was tried but patient did not tolerate it and refused repeat studying. to rule out possible underlying pathology (e.g. tumor), ct of head with contrast was obtained. rest of stroke work-up was also done including surface echocardiogram (normal ef, no thrombus), carotid us (0% and < 40% stenosis on r and l respectively). she was evaluated per pt/ot during this admission who recommended services at the facility where she was residing prior to the admission. she will be following up with dr. / (neurology) as outpatient and she was started on simvastatin for cholesterol control in addition to changing aspirin to plavix. medications on admission: 1. amlodipine 5 mg daily 2. cozaar 50 mg daily 3. aspirin 81 mg daily 4. multivitamin once daily discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. cozaar 50 mg tablet sig: one (1) tablet po once a day: hold for sbp < 100 . 4. amlodipine 5 mg tablet sig: one (1) tablet po once a day: hold for sbp < 100 . 5. multi-day tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: discharge diagnosis: stroke - r frontal stroke s/p iv tpa discharge condition: stable - ambulatory with minimal assistance/walker, slight l facial droop but fluent speech and no sensory deficit. discharge instructions: you were transferred from outside hospital after presenting with acute l sided weakness and gaze deviation hence receiving iv tpa for acute ischemic stroke. upon arrival, your symptoms were already improving including increased strength and resolution of your gaze deviation. given that you received iv tpa, you were initially admitted to the icu where you remained stable including vital and you were transferred to the neurology floor service the next day for completion of you stroke work-up. you did not tolerate mri of brain but repeat cts including ct with contrast shows small r frontal stroke. you had ultrasound of your carotids and your heart with normal results. your ldl cholesterol was 112 (ideally < 100) hence you were started on simvastatin 20mg daily. given that you had a stroke while you were taking aspirin, your aspirin was replaced with plavix for better stroke prevention. please take your meds as prescribed. please follow-up with dr. (your pcp) within 2~3 weeks of discharge to ensure good control including bp. you have been scheduled to follow-up with dr. (neurology) on at 3pm at clinical center . please call your doctor or go to the nearest ed if you have worsening weakness or speech problems, new weakness or severe ha and/or visual problems. you were evaluated by occupational and physical therapists during this admission who recommends discharge back to your facility with home pt. followup instructions: provider: . & phone: date/time: 3:00 - clinical center please follow-up with dr. (your pcp) within 2~3 weeks of discharge to ensure good control including bp. procedure: injection or infusion of thrombolytic agent diagnoses: unspecified essential hypertension osteoporosis, unspecified other specified hemiplegia and hemiparesis affecting unspecified side cerebral artery occlusion, unspecified with cerebral infarction 

Answer: The patient is high likely exposed to