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: intraparenchymal hemorrhage major surgical or invasive procedure: none history of present illness: is an 82 y/o male with uncomfirmed pmhx who was found down outside his car in a pool of vomit and brought into , where he was found to have a right frontal iph with possible sah component. he was subsequently transferred to for neurosurgical evaluation. in the ed, he was noted to be agitated and aaox1. past medical history: (per omr note from from gi) - dysphagia - stomach ulcer nos - pud - benign neoplasia of the large bowel - diverticulosis of the colon - cirrhosis of the liver nos - ? heart disease - achalasia social history: married, no etoh, no tobacco family history: mother had gi cancer, primary unknown physical exam: admission physical exam: o: t: 98.6 bp: 108/87 hr: 98 r 20 o2sats 100% on 2lnc gen: slim elderly male lying in bed, agitated heent: c-collar on lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awakens to loud voice or sternal rub orientation: oriented to person in that he responds to his name but is unable to answer his name when asked language: unable to assess as pt only says "what" or "uh-" cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric on passive movement, but pt unable to cooperate with formal testing. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. maee and very vigorously, but pt unable to cooperate with formal strength exam sensation: intact to noxious throughout reflexes: b t br pa ac right 1 1 1 1 1 left 1 1 1 1 1 toes mute bilaterally coordination: patient unable to cooperate with fnf testing. discharge pe: the patient did not appear to be in distress. pertinent results: admission labs: 11:23pm blood wbc-12.9*# rbc-4.34* hgb-12.8* hct-39.0* mcv-90 mch-29.4 mchc-32.7 rdw-13.8 plt ct-186 11:23pm blood neuts-86.0* lymphs-7.6* monos-6.1 eos-0.1 baso-0.3 10:38pm blood pt-13.9* ptt-27.8 inr(pt)-1.3* 10:38pm blood glucose-157* urean-15 creat-1.1 na-146* k-3.1* cl-100 hco3-27 angap-22* reports: ct head limited study due to motion again (despite repetition) demonstrates a 2.1 x 1.6 cm right frontal parenchymal hemorrhage with subarachnoid extension and new intraventricular extension. additionally, hyperdense material now layers along the posterior right occipital lobe in the region of the right transverse sinus and may be representative of a prominent transverse sinus or a small subdural hematoma. note added in attending review: though both studies demonstrate focally increased soft tissue-attenuation within the left parietovertex scalp extending to overlie the mastoid portion of the left temporal bone, this does not clearly represent a subgaleal hematoma, as has attenuation of only 40-45 . however, this may be seen in an anemic or anticoagulated patient. this should be closely correlated with more detailed clinical information, including trauma and medication history. otherwise, this constellation of findings, in an elderly patient, is otherwise strongly suggestive of cerebral amyloid angiopathy, though intraventricular component is somewhat unusual in that setting. there is no evidence of progressive ventricular dilatation to suggest developing hydrocephalus. mri c-spine: 1. stir hyperintensity in facets at c4-c5 on the right side with synovial effusion in the right c4-c5 facet joint which likely represent degenerative changes. there is also stir hyperintensity in the posterior paraspinal soft tissues at this level on the right, which likely represent edema. there is no evidence of fluid collection. 2. multilevel degenerative change in the cervical spine, most notable at c5-c6 level. 3. multilevel neural foraminal stenosis. 4. heterogeneous nodule within the left lobe of thyroid, which requires further evaluation with ultrasound of thyroid if not already performed. cxr: in the image marked 1st dobhoff attempt, the feeding tube with a wire stylet in place ends in the right lower lobe bronchus. in the image marked 2nd dobhoff attempt, there is no feeding tube visible. dr. was paged 30 seconds after finding was recognized, at 4:48 p.m. et tube is in standard placement. right lung is clear. a band of atelectasis crosses the left lower lung. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is normal. ct t-spine: impression: 1. no acute fracture in the thoracic spine. wedge deformity of t7 and t12 as well as degenerative changes in the lower thoracic spine. 2. bilateral pleural effusions. 3. secretions within the esophagus. note added at attending review: the t7 compression fracture appears to be most likely acute, rather than chronic. there is a tiny osseous fragment slightly retropulsed into the canal (approximately 2-3mm). there is mild angular kyphosis at this level. the pedicles and posterior elements appear intact, but the anterior and posterior vertebral body cortex is disrupted. the t12 wedge deformity is chronic. there is flowing anterior longitudinal ligament ossification from t11 to l1. ct c-spine: impression: no evidence of fracture or subluxation. moderate degenerative changes. ct l-spine: impression: 1. compression deformity of the l4 vertebral body which is chronicity indeterminate due to lack of comparisons. there is no associated retropulsion. however, there is irregularity of the endplates. differential includes possible infectious process such as discitis, collapsed hemangioma or multiple myeloma. wedge deformity of t12 also age indeterminate. multilevel degenerative changes. 2. small bilateral pleural effusions with overlying atelectasis. 3. calcification within the right kidney, which may be vascular or small nonobstructing stone. 4. diverticulosis without diverticulitis. note added at attending review: the l4 fracture and irregular l3 inferior endplate appear chronic and have not changed since an abdominal ct of . thus, these findings do not raise a concern of recent fracture or of infection. cxr: the et tube tip is approximately 7.8 cm above the carina. the dobbhoff tube tip is not seen and might be potentially coiled in the oropharynx. heart size and mediastinum are stable. lungs are essentially clear except for minimal bibasilar atelectasis. ecg: sinus rhythm. non-specific lateral st-t wave changes. borderline low voltage in the limb leads. compared to the previous tracing of premature beats are absent. r wave transition occurs later which may be due to lead positioning. cxr: endotracheal tube tip is 6.2 cm above the carina. ill-defined and faint, right lower lung opacity is new and the minor fissure is mildly thickened and distinctly seen, suggesting aspiration or atelectasis or asymmetrically mild pulmonary edema. upper lungs are clear. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pleural abnormality. cxr: impression: new right upper lobe partial collapse and contour abnormality of the left main stem bronchus suggests the possibility of mucous plugging causing the atelectasis. a bronchoscopy may be helpful to identify and clear potential mucous plugging. ct head: impression: slightly increased size of right frontal intraparenchymal hematoma, with a similar degree of subarachnoid, subdural, and intraventricular hemorrhage. there is no new mass effect, or acute territorial infarction. cxr: right perihilar opacity has markedly worsened, is a combination of pleural effusion layering in the fissure and adjacent atelectasis, superimposed infection cannot be excluded. moderate-to-large bilateral pleural effusions have increased. cardiac size is accentuated by the projection. there is mild vascular congestion. et tube is in standard position. there is no pneumothorax. chest (portable ap) study date of 3:32 am findings: as compared to the previous radiograph, the patient has been extubated. as a consequence, the lung volumes have decreased. the size of the cardiac silhouette is constant. unchanged minimal pulmonary fluid overload, unchanged small left pleural effusion. unchanged partial shoulder replacement. no newly appeared focal parenchymal opacities. radiology report unilat lower ext veins left port : no deep vein thrombosis seen in the left arm. shoulder 1 view left study date of 1:53 pm possible greater tuberosity fracture with coritcal irregularity of the proximal humeral metadiaphysis concerning for additional or contiguous fx; however these are not well evaluated likely due to difficulties in positioning the patient and are age indeterminate. old mid humeral fx. prior images would be helpful in determining the chronicity of these findings. left ankle x-ray : findings: there is a healed fracture deformity involving the distal fibular shaft. no definite acute fracture is seen. there is soft tissue swelling, lateral greater than medial. there is slight widening of the medial ankle mortise. calcaneal spur is present. vascular calcifications are also seen. left shoulder x-ray (3 views): findings: the visualized left lung and ribs are unremarkable. prior left shoulder hemiarthroplasty. cerclage wires are noted around the proximal humerus metadiaphysis. either heterotopic ossification versus old fracture of the greater tuberosity. post-traumatic deformity of the diaphysis distal to the prosthesis. unchanged ac joint degenerative changes. cxr : findings: a single portable ap chest radiograph was obtained. a nasogastric tube loops in the mid esophagus. moderate pulmonary edema is unchanged. left basilar opacity and small effusion are unchanged. a right sided picc line tip terminates in the mid svc. cxr : findings: as compared to the previous radiograph, the malpositioned nasogastric tube has been removed. the right picc line is in unchanged position. unchanged appearance of the lung parenchyma. no pneumothorax. cxr : findings: there is a right-sided picc line whose distal lead tip is at the mid-to-distal svc. cardiac silhouette is upper limits of normal. there is a persistent left retrocardiac opacity and left-sided pleural effusion which is stable. mild prominence of pulmonary interstitial markings is again seen. overall, these findings are all stable. brief hospital course: is an 82 yo male with uncomfirmed pmhx found down, with a r frontal iph. on the day of admission patient was agitated with an otherwise non-focal neurological exam. he was loaded with fosphenytoin, given platelets and made npo. in the icu he was more awake and purposeful on . his wife confirmed use of omeprazole and vitamins but did not know his pmh. omr notes from were used for clinical reference. he was not oriented enough to clear his c-spine so he was intubated and taken to the mri for a c-spine image. in addition, he had whole spine imaging that showed multiple fractures (at t7, t12 and l4) of questionable chronicity, with the t7 fracture likely new and the t12 and l4 likely subacute or chronic. on he had a dilantin level that corrected to 15. dr from neuroradiology was consulted to evaluate the role of vertebroplasty. he recommended tlso brace at this time, and reconsult if worsening once he was more stable and oob. mr was also noted to have thick secretions therefore was not cleared for extubation. on the patient was noted to have decreased movement in the left ue, dr was made aware but no intervention was necessary. he was also noted to have decreased urine output so he was given multiple boluses of ivf and subsequent lasix. his cough and gag were decreased and cxr revealed worsening so he was bronched and noted to have a lul collapse. on , patient began to open eyes to voice, and was moving all 4 extremities spontaneously. he was successfully extubated and had a picc line placed. the patient was fitted for a tlso brace. on , gi was consulted for enteral access and recommended peg tube. the dilantin level was 11.9. on exam, the patient opened eyes to voice and was oriented to self. the patient followed commands in all extremities. on , the patient was febrile to 101.2 and the patient was pancultured. there was unknown source of fever and the dilantin was changed to keppra. on exam the patient opened eyes to sternal rub, the patient localized with upper extremities and moved lower extremities to sternal rub. the family requested a family meeting and stated taht the patient would not want to be dependent on others and made the patient dnr/dni. a pallative care consult was made as the patient's family would like to move toward care and comfort measures possibly and required guidence. the family was clear with their wishes that the patient would not want a gtube for feedings. on , the family met with palliative care and after thoughtful consideration the patient was made cmo given the wishes to not proceed with a feeding tube. his cervical collar was removed and medications were discontinued per palliative care. medications to promote comfort were prescribed. he was transferred to the floor. on , the patient showed improved mental status but continued to cough with po intake. he remained comfortable and did not appear to be in distress or pain. on , the patient had a fever of 101.3 and was given tylenol. given the goals of care, no cultures were obtained at the time. he was offered a bed at hellenic nursing facility and was transfered there on . medications on admission: omeprazole/mvi discharge medications: 1. morphine 10 mg/5 ml solution sig: 5-10 mg po q1h (every hour) as needed for pain. 2. hyoscyamine sulfate 0.125 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual q4h (every 4 hours) as needed for secretions. 3. acetaminophen 650 mg suppository sig: one (1) suppository rectal q6h (every 6 hours) as needed for pain. 4. olanzapine 5 mg tablet, rapid dissolve sig: 0.5 tablet, rapid dissolve po q4h (every 4 hours). 5. ondansetron hcl (pf) 4 mg/2 ml solution sig: 4-8 mg injection q6h (every 6 hours) as needed for nausea/vomiting. 6. lorazepam 2 mg/ml syringe sig: 0.5-2 mg injection q2h (every 2 hours) as needed for anxiety/distress/seizure. 7. morphine 5 mg/ml solution sig: 2-4 mg injection q2h (every 2 hours) as needed for pain. discharge disposition: extended care facility: hellenic - discharge diagnosis: right frontal iph c4 tp fracture t12 wedge fracture dysphagia discharge condition: neurologically stable discharge instructions: general instructions ****** pain medications should be given as needed for comfort. followup instructions: no follow up needed procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [endoscopic] biopsy of bronchus central venous catheter placement with guidance diagnoses: anemia, unspecified unspecified fall intracerebral hemorrhage hypopotassemia pulmonary collapse loss of weight closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury fever, unspecified encounter for palliative care do not resuscitate status hyperosmolality and/or hypernatremia ventilator associated pneumonia diverticulosis of colon (without mention of hemorrhage) closed fracture of fourth cervical vertebra personal history of colonic polyps achalasia and cardiospasm personal history of peptic ulcer disease dysphagia, unspecified shoulder joint replacement 

Answer: The patient is high likely exposed to