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: patient recorded as having no known allergies to drugs attending: chief complaint: cc: major surgical or invasive procedure: iv tpa, ia tpa, and penumbra capture devices, all unsuccessful history of present illness: 79 year old right-handed woman (currently using left hand-only because of r hemiparesis due to ms), with secondary progressive ms (r hemiparesis from ms for 25 years), dm who presented with l visual field cut, dysarthria at 10:30am, followed by l neglect, l hemiparesis s/p iv tpa at 12:25pm at osh; transferred to ; family opted for trial of ia tpa. patient reports that at 10:30am she was and she noticed that there was a white are in her visual field ("i thought it was on the right eye"); she was also dysarthric. her husband called ems. the husband did not notice any new weakness at that time (baseline pt has r hemiparesis from ms for 25 years; she walks with a walker for limited distance; she uses wheelchair when she leaves the house). at osh she was noticed to have a l hemiparesis as well and a l sided neglect at 11am. her vitals were: t 97.3 bp 151/85 hr 63. she had a ct head which showed no ich. 27. she had no contraindications of tpa and iv tpa bolus was given at 12:15pm and the infusion was completed at 13:29pm. she was then transferred here. her exam was unchanged with l hemiparesis (besides baseline r hemiparesis), r gaze deviation, l neglect and l visual field cut. 27. a cta head and neck showed an extensive r mca territory stroke and occlusion of r carotid artery. after discussion with family of risks and benefits of further procedures, family opted for ia tpa. ros: the patient denied hearing changes, difficulty speaking, language problems, memory difficulty, , vertigo, unsteady gait, paresthesias. the patient denied fever, wt loss, appetite changes, cp, palpitations, doe, sob, cough, wheeze, nausea, vomiting, diarrhea, constipation, abd pain, fecal incont, dysuria, nocturia, urinary incontinence, muscle or joint pain, hot/cold intolerance, polyuria, polydipsia, easy bruising, depression, anxiety, stress, or psychotic sx. past medical history: -dm -secondary progressive ms (r hemiparesis from ms for 25 years). she was diagnosed in her 40's. she has been off treatment for decades. social history: pt lives with her husband, she uses a walker at home and wheelcheer to leave home, she quit smoking 40 years ago family history: her father died of diseas and he mother had a heart attack physical exam: t-98 bp-182/58 hr-62 rr-16 100o2sat gen: lying in bed, : nc/at, moist oral mucosa neck: no tenderness to palpation, normal rom, supple, no carotid or vertebral bruit back: no point tenderness or erythema cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema neurologic examination: mental status: , to voice, r gaze preference, l sided neglect, dysarthric, she could say backwards, she is fluent and her comprehension is intact, normal naming. cranial nerves: pupils equally round and reactive to light, 4 to 2mm bilaterally. l visual field cut. r gaze preference; she can cross midline to the left side. sensation intact v1-v3. l facial weakness. palate elevation symmetrical. sternocleidomastoid and trapezius normal bilaterally. tongue midline, movements intact motor: spasticity of r arm and r leg. patient had no movement on any extremity, even against gravity. sensation: patient reports that she could feel pinprick and temperature bl and symmetrically reflexes: b t br pa pl right 0 0 0 0 0 left 0 0 0 0 0 toes were upgoing bilaterally. coordination: unable to perform gait: unable to perform romberg: negative pertinent results: labs: trop-t: <0.01 comments: ctropnt: ctropnt > 0.10 ng/ml suggests acute mi 137 103 21 170 agap=12 ------------< 4.9 27 0.7 comments: glucose: if fasting, 70-100 normal, >125 provisional diabetes estgfr: >75 (click for details) ca: 10.0 mg: 1.6 p: 4.8 wbc14.5 hb12.4 plat198 ht39.0 n:80.1 l:14.0 m:4.0 e:1.4 bas:0.4 pt: 13.6 ptt: 28.6 inr: 1.2 imaging: a cta head and neck showed an extensive r mca territory stroke and occlusion of r carotid artery brief hospital course: admission assessment/plan: a/p: 79 year old right-handed woman (currently using left hand-only because of r paralysis due to ms), with secondary progressive ms (r hemiparesis from ms for 25 years), dm who presented with l visual field cut, dysarthria at 10:30am, followed by l neglect, l hemiparesis; s/p iv tpa at 12:25pm at osh; transferred to where she was found to have a l neglect, r gaze preference (she can cross midline on l gaze) dysarthria, l facial weakness, l visual field cut, and l hemiparesis besides baseline r hemiparesis from ms. 27. a cta head and neck showed an extensive r mca territory stroke and occlusion of r carotid artery. after discussion with family of further procedures, family opted for ia tpa. hospital course: neuro: the patient was transferred to the angiogram suite with the ir team where she underwent ia tpa. she was admitted to the neurology icu under attending physician . follow-up head ct the next morning revealed extensive edema nad midline shift with possible contrast extravasation versus hemorrhagic conversion. in conversation with the family, they brought the health care proxy documentation to the attention of the medical team who requested that the patient be made comfort measures only given her poor prognosis. she was therefore transferred to the floor on a morphine drip and expired at 21:16. in accordance with the patient's wishes, the ms tissue bank was prior to her death regarding brain donation. unfortunately given funding constraints donation was no longer possible out-of-state. alternative tissue banks in , , , and were , however given her medical issues of stroke and multiple sclerosis her brain was not appropriate for donation. therefore, in accordance with her healthcare proxy documentation, her brain was designated to undergo autopsy for donation to research and education purposes at the request of her family. pathology was . medications on admission: -metformin 1000mg -glipizide 2 tabs -lantus -medroxyprogesterone 5-10mg discharge medications: none. discharge disposition: expired discharge diagnosis: stroke discharge condition: expired discharge instructions: not applicable. followup instructions: not applicable. md, procedure: injection or infusion of thrombolytic agent arteriography of cerebral arteries procedure on single vessel endovascular removal of obstruction from head and neck vessel(s) diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use long-term (current) use of insulin cerebral edema encounter for palliative care dysarthria multiple sclerosis occlusion and stenosis of carotid artery with cerebral infarction diplegia of upper limbs status post administration of tpa (rtpa) in a different facility within the last 24 hours prior to admission to current facility 

Answer: The patient is high likely exposed to