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 53 year-old woman with a history of obesity, hypertension and high cholesterol who developed a right hemiparesis and dysarthria at around 5:00 p.m. on . she was at home, fell down and called ems and was taken to an outside hospital. at the outside hospital her head ct showed no evidence of bleeding, but her blood pressure was 340/140, so no tissue plasminogen activator was given. she was med flighted to around 10:00 p.m. at that time her nih drug scale was 12. she was started on labetalol drip for her continually high blood pressure. mri showed a diffusion abnormalities in the left internal capsule and left carina radiata. mra was too degraded by motion artifact to interpret. because her blood pressure remained continually high she was not given tissue plasminogen activator. she was transferred to the neuro intensive care unit for blood pressure monitoring. past medical history: 1. uncontrolled hypertension. 2. high cholesterol. 3. obesity. 4. status post cholecystectomy. medications on admission: none. allergies: no known drug allergies. social history: denies tobacco use. she lives with her husband. they have been married for 38 years. physical examination on admission: temperature 99.3. blood pressure 200/100. pulse 78. sating well on room air. generally she was lying in bed, sedated slightly on ativan, but does move and moan when intravenous access manipulated. the patient is able to say her name and . she can show her left fist. she was unable to move the right side. she was able to touch the right ear with the left hand. she had dysarthric speech. her extraocular movements full. pupils were reactive. she had a right facial droop. she was able to raise the left arm and squeeze with the right hand, able to move the left leg, withdraws appropriately on the left and has a triple flexion response with the right leg on examination. laboratory: white blood cell count 13.6, hematocrit 35.8, platelets 414, sodium 138, potassium 4.2, bun 13, creatinine 0.8. hospital course: the patient was observed in the neuro medical intensive care unit for several days while her blood pressure remained out of control. she required a nipride drip eventually. she was weaned off nipride and sent to the floor. she had a carotid ultrasound, which showed no stenosis in either carotid artery. she had a repeat mri scan, which showed old pontine lacune and also evidence of an infarction and the posterior lateral left thalamus. she had a transthoracic echocardiogram, which showed an ejection fraction over greater then 50%, mildly dilated right atrium and left atrium and mild symmetric left ventricular hypertrophy, 1 to 2+ tricuspid regurgitation and moderate pulmonary artery hypertension. there was no ast or pfo seen. she continued to have elevated blood pressures on the floor despite intravenous hydralazine with blood pressures into the 220s systolic, so she was transferred back to the intensive care unit for more intensive blood pressure control. while she was there she had a swallowing evaluation, which showed that she could take a diet of nectar thick liquids and soft moist solids, no thin liquids and no mixed consistencies. the patient while she was in the intensive care unit had evaluation for other causes of her uncontrolled hypertension. she had a renal artery ultrasound, which showed patent bilateral renal vessels with no renal masses, calculi or hydronephrosis. she then had an mra of the kidneys, which again showed no evidence of renal artery stenosis. she underwent a 24 hour urine collection for evaluation for evidence of pheochromocytoma. the results are still pending at this time. her blood pressure was again stabilized and she was transferred back to the floor. on the floor she was maintained on multiple medications including metoprolol, captopril, hydralazine, norvasc was then added as well as hydrochlorothiazide and she eventually achieved blood pressure control. she continued to have severe dysarthria as well as severe weakness of her right upper and lower extremities. eventfully after her blood pressure controlled she was stable for discharge. discharge diagnoses: 1. infarction of the posterior limb of the left internal capsule, left thalamus. 2. uncontrolled hypertension. 3. obesity. discharge status: discharged to rehab. discharge medications: 1. metoprolol 150 mg po b.i.d. 2. lipitor 10 mg po q.h.s. 3. tylenol 650 mg po q 4 to 6 hours prn. 4. heparin subq 5000 units q 12 hours. 5. aspirin 325 mg po q.d. 6. iron 325 mg po b.i.d. 7. amlodipine 5 mg po q.d. 8. famotidine 20 mg po b.i.d. 9. hydralazine 25 mg po q 6 hours. 10. fluoxetine 20 mg po q.d. 11. captopril 125 mg po t.i.d. 12. hydrochlorothiazide 50 mg po q day. dr., 13-328 dictated by: medquist36 procedure: diagnostic ultrasound of heart diagnoses: pure hypercholesterolemia other chronic pulmonary heart diseases atherosclerosis of renal artery malignant essential hypertension obesity, unspecified cerebral artery occlusion, unspecified with cerebral infarction diseases of tricuspid valve 

Answer: The patient is high likely exposed to