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: left sided plegia, dysarthria. major surgical or invasive procedure: picc line placement. history of present illness: the pt is a 22 year-old right-handed female with history of adhd on stratera who presents with onset of slurred speech and left sided speech this afternoon. she was in her usual state of health until this afternoon/this morning when she was with friends in a car smoking . she felt like she was having an "anxiety attack" and went home. describes shortness of breath, palpitations and says she "felt like was going to die of a heart attack". she went home and tried to take deep breaths, count backwards from 10, take a drink of cold water which helped a little. the history is then unclear as to when she developed the slurred speech and weakness. . per the history mom was given, her friend was at her apartment with her and she came out of her room some time around 2 or 3pm. at that time her speech was slurred and she had difficulty standing up. he had her sit on the couch and she fell to the ground. this friend then called her boyfriend who was at work and unable to come see her. he called another friend who picked her up and took her to the ed in . per mom, she thinks she was left at the ed without much of a history being given. . in the ed at center, she was combative and agitated. unable to perform nihss due to agitation. there she had a ct head which was reportedly unremarkable. mri performed after ativan. past medical history: adhd bipolar disorder (?) borderline personality traits (?) social history: was adopted at the age of 3. mom states she has always been an "obstinate" child. she lives with her boyfriend currently who mom says is a bit delayed. mom is her social security payee. she does work for housekeeping at an facility. per mom, she feels that although denies other ilicit drug use, she may use many other drugs. denies all other drugs, including prescribed medication, aside from marijuana. first time use of k2 was today. per mom, did bring her a medication planner on friday that was empty but should not have been. she is unsure how reliably she takes her medications. family history: patient is adopted. physical exam: admission exam . physical exam: 99.1 ??????f (37.3 ??????c), pulse: 79, rr: 14, bp: 127/99, o2sat: 100 ra, pain: 0. general: drowsy, dozes off to sleep but arouseable easily. heent: ncat, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or hsm. extremities: no c/c/e bilaterally, 2+ radial, dp pulses bilaterally. lle cool to touch but with strong pulse skin: no rashes or lesions noted. . neurologic: -mental status: alert, oriented to name, "hospital", . able to relate history with constant stimulation and repetitive questioning. continuously dozes off to sleep but wakes with minimal tactile stimulation. inattentive, able to name dow backward without difficulty. language is fluent with intact. following commands, with repetition. there were no appreciated paraphasic errors. pt. was able to name high frequency objects. speech was mildly dysarthric. able to follow both midline and appendicular commands. -cranial nerves: i: olfaction not tested. ii: perrl 4 to 2mm and brisk. vff unable to be assessed. funduscopic exam revealed no papilledema, exudates, or hemorrhages. iii, iv, vi: eomi unreliably tested due to sedation, appears to have full horizontal gaze. normal saccades. v: facial sensation intact to light touch. vii: dense l facial droop in upper motor neuron pattern. viii: hearing intact to finger-rub bilaterally. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes with deviation to the left. . -motor: normal bulk, tone throughout. no pronator drift bilaterally. no adventitious movements, such as tremor, noted. no asterixis noted. delt bic tri wre ffl fe io ip quad ham ta edb l 2 2 2 0 0 0 0 0 2 2 0 0 0 0 r 5 5 5 5 5 5 5 5 5 5 5 5 5 5 . -sensory: diminished sensation to all modalities. extinction to dss. . -dtrs: tri pat ach l 3 3 3 3 2 r 3 3 3 3 2 plantar response was upgoing on l, withdrawal on the r. . -coordination: no intention tremor, no dysdiadochokinesia on the r. no dysmetria on fnf or hks bilaterally. . -gait: deferred. pertinent findings on discharge: patient demonstrated wakefulness, attention, and improved speech daily. she remains hemiplegic on the left with no movement on the l side even to noxious stimuli. there is a left facial droop. reflexes are brisk, and upgoing on the left plantar. she is inattentive to her left side. mentation and mood are off for the circumstance. pertinent results: labs on admission: ------------------ 08:50am %hba1c-5.3 eag-105 08:50am triglycer-62 hdl chol-54 chol/hdl-3.4 ldl(calc)-117 08:50am crp-1.4 08:50am sed rate-3 02:02am asa, ethanol, acetmnphn, bnzo, barbit, tricyc = neg 01:50am urine bnzo, bbit, opiat, cocain, amphetmn, mthdone = neg 01:50am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 01:50am urine color-straw appear-clear sp -1.007 . pertinent labs during work-up: 08:50am blood aca igg-2.2 aca igm-4.4 08:50am blood at-108 protcfn-77 protsfn-96 08:50am blood lupus-neg 08:50am blood alt-10 ast-15 ld(ldh)-140 alkphos-39 totbili-0.2 02:02am blood ck(cpk)-85 02:02am blood ctropnt-<0.01 02:02am blood ck-mb-2 08:50am blood %hba1c-5.3 eag-105 08:50am blood triglyc-62 hdl-54 chol/hd-3.4 ldlcalc-117 06:29am blood tsh-1.4 . 04:21am blood beta-2-glycoprotein 1 antibodies (iga, igm, igg)-pnd 08:50am blood prothrombin mutation analysis-pnd 08:50am blood factor v leiden-pnd . labs on discharge: ------------------ 04:34am blood wbc-8.7 rbc-4.36 hgb-12.9 hct-39.4 mcv-90 mch-29.5 mchc-32.6 rdw-14.1 plt ct-227 04:34am blood pt-11.7 ptt-35.3 inr(pt)-1.1 04:34am blood glucose-84 urean-15 creat-0.6 na-138 k-4.0 cl-100 hco3-28 angap-14 04:34am blood calcium-9.7 phos-4.8* mg-1.8 04:34am blood osmolal-285 . imaging: -------- cta head/neck : impression: 1. very large relatively acute infarct involving much of the right middle cerebral arterial distribution, with only slight mass effect upon the overlying gyri and subjacent body of the right lateral ventricle, and no subfalcine or more central herniation. 2. no evidence of hemorrhagic conversion. 3. abrupt occlusion of the right mca at its mid-m1 segment, which may relate to thrombosis, given the hyperattenuating material in the immediately more distal portion as seen on the nect or, alternatively, to focal dissection or vasospasm, or some combination of these. there is minimal distal flow, largely provided by meningeal collateral vessels. 4. otherwise, unremarkable intracranial circulation and cervical vessels; specifically, there is a normal appearance to the right common and internal carotid arteries, without significant plaque or flow-limiting stenosis. . nchct : impression: 1. new mild (4 mm) leftward parafalcine herniation, with associated mild effacement of the right lateral ventricle. 2. evolving large right mca territory infarct, with no evidence of hemorrhagic conversion. 3. the suprasellar and quadrigeminal cisterns remain preserved. . echocardiogram : the left atrium and right atrium are normal in cavity size. a patent foramen ovale is present. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: patent foramen ovale. normal global and regional biventricular systolic function. . nchct : impression: unchanged appearance of a large right mca territory infarct, with continued mild effacement of the right lateral ventricle. slight deformity on the right uncus. consider close followup. no new mass effect or hemorrhagic conversion. asymmetry in the lateral atlanto-axial distances is likely positional and can be correlated clinically for significance. . bilateral lower extremity doppler u/s : impression: no evidence of lower extremity deep vein thrombosis. . nchct : impression: there is expected further evolution of the large right mca territorial infarct with a minimal increase in leftward shift of normally midline structures and no evidence of significant central herniation. . nchct : impression: stable appearance of large right mca infarct with leftward shift of normally midline structures. . mrv pelvis : impression: 1. no evidence for a pelvic venous thrombus. 2. 3.6 cm minimally complex right ovarian cyst, probably within physiologic allowance in a patient of this age, followup pelvic ultrasound suggested in six weeks to ensure stability or resolution. . mr head : impression: redemonstration of the extensive subacute right middle cerebral arterial territorial infarction, with similar degree of subfalcine but no more central herniation. there is evidence of hemorrhagic conversion in the involved deep matter structures of the striatum, as well as likely early dystrophic mineralization related to cortical pseudo-laminar necrosis. brief hospital course: this is the brief hospital course for a 22 year old woman with adhd on atomoxetine, on oral contraceptive therapy, and a history of tobacco use who presented with dysarthria and left sided weakness with a subsequent finding of a large right mca territory. this notably occurred in the setting of synthetic cannabis abuse (smoking k2). she was found to have a mid-m1 occlusion of unknown etilogy with otherwise normal blood vessels of the neck and head. she was initially admitted to the sdu but overnight developed a headache. an nchct revealed 4mm of parafalcine herniation and she was started on hyperosmolar therapy with mannitol. she was transferred to the icu for closer monitoring. . her nchcts remained stable for the next few days (except for small amounts of hemorrhagic transformation), and her exam continued to improve with more wakefulness, attention, and improved speech. she remains hemiplegic with no movement on the left side, including to noxious stimuli. . she was found to have a pfo on her tte, but negative lower extremity dopplers and an mri of her pelvic region did not reveal any venous clots (anticoagulation is not an option for her at this time). hypercoagulability labs were sent, and some remain pending at the time of discharge (see above results section). these can be followed up at her appointment with dr. in a few weeks. . she conditionally passed her bedside dysphagia screen but requires 1:1 supervision and soft consistency solids. she was left-sided plegic when initially starting physical and occupational therapy, and remained this way throughout her stay with us. . at discharge, she will be continued on asa 325mg daily, a daily statin, and prozac. until she is more mobile, heparin sc 5000u tid should be continued. . she was discharged to rehab for rigorous physical, speech, and occupational therapy when medically stable by the neurology team. she will have follow-up with dr. on . medications on admission: -stratera 50mg -minessa (ocp) discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). discharge disposition: extended care facility: discharge diagnosis: right middle cerebral artery stroke. discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. . neuro examination at discharge: patient demonstrated wakefulness, attention, and improved speech daily. she remains hemiplegic on the left with no movement on the l side even to noxious stimuli. there is a left facial droop. reflexes are brisk, and upgoing on the left plantar. she is inattentive to her left side. mentation and mood are off for the circumstance. discharge instructions: dear , you were admitted to after imaging done at your local hospital showed that you had suffered a large stroke. the stroke was in the middle cerebral artery in your brain on the right side. this is a very serious medical condition, and your recovery will likely be a long one, but since you are so young, your prognosis to regain some functioning is very good. . it is very important that you take all of your medications as prescribed especially the aspirin. additionally, you must stop smoking. it places you at a very high risk of having another stroke. people who are trying to quit smoking have the best success when they surround themselves with supportive people who also do not smoke. if you need a nicotine patch, nicorette gum, or other nicotine supplements, please ask your doctor at rehab to help you attain some. . when you were medically stable to leave the hospital, you were discharged to a rehab facility where you can have more intensive physical, occupational, and speech therapy. . it was very nice to meet you and your family. we wish you the very best in your recovery. followup instructions: department: neurology when: tuesday at 4:00 pm with: , m.d. building: campus: east best parking: garage md, procedure: venous catheterization, not elsewhere classified diagnoses: other, mixed, or unspecified drug abuse, unspecified compression of brain ostium secundum type atrial septal defect late effects of cerebrovascular disease, hemiplegia affecting unspecified side attention deficit disorder with hyperactivity cerebral thrombosis with cerebral infarction other and unspecified ovarian cyst 

Answer: The patient is high likely exposed to