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: codeine / morphine attending: chief complaint: right sided weakness major surgical or invasive procedure: none history of present illness: the patient is a 73 year old rh woman with a history of hypertension and hypercholesterolemia now presenting from an outside hospital after an acute onset of right sided weakness and facial droop. as per the patient, she was at home eating dinner when she suddenly felt weakness on her right side. she stumbled from the dinner table to the couch, where as per the son her speech seemed garbled and less coherent, her face appeared asymmetric as well. she was taken to an osh, where they did not have a functioning ct scanner, thus she was transferred to for further management. she denied any associated headache, dizziness, or visual disturbances during the event. in our , mri reveal an acute infarct in the left internal capsule. tpa was given and the patients deficits (dsyarthria and right-sided weakness) continued to show improvement. she was tranferred to the nicu and now is stable for management on the floor. ros: no recent history of diarrhea, urinary symptoms, chest pain, shortness of breath. she has had some increased fatigue lately, but is unable to elaborate beyond this vague complaint. past medical history: past medical history: -hypertension -hypothyroidism -hypercholestrolemia -arthritis social history: -lives with husband and daughter -no recent history of tobacco or etoh family history: -cad history, unclear which members -no history of seizures or strokes physical exam: vitals: 98.4 146/80 66 18 98% on 2l general: elderly woman in no acute distress neck: supple, no carotid bruit lungs: decreased breath sounds at the bases, otherwise clear cv: rr, normal s1, s2 abdomen: non-tender, non-distended, bowel sounds present ext: warm, no edema, faint dp pulses neurologic examination: mental status: awake and alert, cooperative with exam, normal affect oriented to person, thought she was at "mohegan", knew month and president attention: can spell "world" backward language: fluent, mild dysarthria, occassional paraphasic errors, naming intact; difficulty with repeating complex phrases registration: items, recall items at 3 minutes with prompting no apraxia, no neglect cranial nerves: visual fields are full to confrontation. pupils equally round and reactive to light, 4 to 2 mm bilaterally. extraocular movements intact, no nystagmus. facial sensation equal; right facial droop with decreased nlf. hearing intact to finger rub bilaterally. tongue midline, no fasciculations. sternocleidomastoid and trapezius normal bilaterally. motor: normal bulk and tone bilaterally no tremor. d t b wf we fif ip gl q h af ae tf te right 3 3 4 4 3 4 3 3 3 4 3 3 4 4 3 left 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 pronator drift on right sensation was intact to light touch, pin prick, temperature (cold), vibration, and proprioception reflexes: b t br pa pl right 2 2 2 2+ 1 left 2- 2- 2- 2+ 1 plantar reflexes were withdrawal. coordination: fnf slowed and slightly ataxic on right, rapid alternating movements slowed on right gait exam deferred at patient request pertinent results: cbc: 9.5/36.5/369 chem: 143/5.1 111/22 16/1.1 91 coags: 12.9/20.0/1.1 ck: 139 mr : (from omr) diffusion weighted scans consistent with an acute area of brain ischemia within the left caudate nucleus/anterior limb of left internal capsule/left lentiform nucleus with probable high grade stenosis or occlusion of the left middle cerebral artery in its m1 segment. carotid us: no stenosis right shoulder xray: no fracture or dislocation tee: 1. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. 2.no spontaneous echo contrast or thrombus is seen in the body of the right atrium or the right atrial appendage. 3.no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. 4.left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 5.right ventricular chamber size is normal. right ventricular systolic function is normal. 6.there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 7.the aortic valve leaflets are mildly thickened. trace aortic regurgitation is seen. 8.the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. 9.there is no pericardial effusion. there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. brief hospital course: the patient received t-pa within three hours of the onset of her symptoms in the emergency department and was admitted to the micu for monitoring of her blood pressure and neurologic status. the following morning she had significantly improved speech with good repetition, naming, and memory as well as improved right arm weakness. serial no. she was transferred to the neurology floor two days following admission. a tranthoracic echocardiogram showed mild global left ventricular hypokinesis with an ef 45%, but no evidence of thrombus or valvular abnormality. a transesophageal echocardiogram was obtained for better evaluation of the aorta and valves which was also negative. duplex carotid ultrasound showed no significant stenosis in the carotid arteries bilaterally. the patient was started on intravenous heparin 24 hours following t-pa administration and was started on coumadin 5mg po qhs the day prior to discharge for oral anticoagulation. she will be taken off heparin when her inr reaches goal . the patient received three days of bactrim therapy for a uti which was discontinued after her urine cultures had no growth. the patient was evaluated by physical and occupational therapy who recommended acute rehab with three hours of therapy per day. her language is fluent and she has mild right arm weakness upon discharge. medications on admission: atenolol 50 mg po qd lipitor 20 mg po qd naproxen 500 mg po bid prn cyclobenzapine 5 mg qhs levoxyl 112 mcg po qd meclizine 25 mg po tid prn discharge medications: 1. levothyroxine sodium 112 mcg tablet sig: one (1) tablet po qd (once a day). 2. simvastatin 40 mg tablet sig: one (1) tablet po qd (once a day). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). 5. heparin sod (porcine) in d5w 100 unit/ml parenteral solution sig: eight hundred (800) units intravenous qhour: keep ptt between 40-60. discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1. stroke 2. high cholesterol 3. hypothyroidism discharge condition: stable, still with weakness on the right side but improving. discharge instructions: please return to the nearest er if symptoms of difficulty speaking, weakness on one side of the body, or dizziness occurs. please take medications as prescribed. you will need to have your inr monitored closely on the warfarin and the iv heparin stopped when you are therapeutic (). followup instructions: please follow-up with your primary care physician 4 weeks or as needed. md, procedure: diagnostic ultrasound of heart diagnoses: pure hypercholesterolemia unspecified essential hypertension unspecified acquired hypothyroidism osteoarthrosis, unspecified whether generalized or localized, site unspecified occlusion and stenosis of carotid artery with cerebral infarction 

Answer: The patient is high likely exposed to