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: s/p motor vehicle crash major surgical or invasive procedure: chest tube placement history of present illness: 19 y/o female who was in previously good health when she was involved in a rollover auto crash. +prolonged extrication. she is amnestic to the event, but denied anyneurological symptoms in her arms or legs. she was transported to for further care. past medical history: chronic constipation social history: lives with parents and sister family history: noncontributory physical exam: upon admission: gen: wd/wn, comfortable, nad. heent: pupils: bilaterally eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t fe ff ip q at g l 5 casted 5 5 5 5 5 5 5 left arm casted secondary to humerus fracture sensation: intact to light touch, propioception, pinprick and vibration bilaterally. propioception intact toes downgoing bilaterally rectal exam normal sphincter control pertinent results: 10:47pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 09:25pm glucose-157* lactate-1.9 na+-142 k+-3.6 cl--102 tco2-24 09:25pm hgb-13.3 calchct-40 09:15pm urea n-15 creat-1.0 09:15pm amylase-66 09:15pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:15pm wbc-25.5* rbc-4.04* hgb-12.4 hct-36.4 mcv-90 mch-30.6 mchc-34.0 rdw-12.7 09:15pm plt count-345 09:15pm pt-14.4* ptt-24.5 inr(pt)-1.3* 09:15pm fibrinoge-226 non-contrast head ct findings: there is no evidence of intracranial hemorrhage, mass effect, shift of midline structures, hydrocephalus, or acute major vascular territorial infarct. -white differentiation appears well preserved. globes appear intact with no intraconal injury. no soft tissue abnormalities are identified. mastoid air cells and paranasal sinuses are well aerated. no osseous fractures are identified. air is noted in retropharngeal space dissected up from known pneumomediastinum. impression: normal head ct. ct cervical spine impression: 1. nondisplaced vertical fractures of the c3 through 5 vertebral bodies, right t1 and t2 transverse nondisplaced fractures as well as the minimally displaced fracture of the proximal first left rib. 2. left hemopneumothorax and pneumomediastinum extending into the soft tissues of the neck. ct chest /abdomen/pelvis impression: 1. large left-sided hydropneumothorax (large air component, small fluid component). bilateral traumatic pneumatoceles. 2. multiple left-sided rib fractures as described above with right t1 and t2 and left t8 and t10 transverse process fractures. 3. grade ii liver laceration, grade iv splenic laceration (injury with greater than 25% devascularization of the splenic parenchyma). no findings to suggest active extravasation or pseudoaneurysm. moderate-to-large amount of hemoperitoneum. 4. left mid humeral displaced diaphyseal shaft fracture. mr cervical spine impression: 1. edema within the c3 vertebral body consistent with known fracture. edema from the previously noted fractures of c4 and c5 not well appreciated on this study. 2. focal disc protrusion versus tiny epidural hematoma at c4-c5 as described above. comparison: humeral radiograph from . ap and lateral view of the left humerus were compared to the prior study. there is unchanged appearance of oblique right humeral mid shaft fracture with 7 mm anterior and 3 mm medial displacement of the distal fragment . no substantial bony callus is seen yet. the aligment of the proximal and distal fragments of the humerus has slightly improved compared to the prior study. pa and lateral upright chest radiograph was compared to , . the left chest tube has been removed. no pneumothorax is present. there is still seen left lower lobe retrocardiac opacity consistent with atelectasis, although focus of infection cannot be excluded, and followup of this area on the subsequent radiographs is recommended. minimal right basal opacity is most likely atelectasis. no appreciable pleural effusion is demonstrated. brief hospital course: she was admitted to the trauma service. a left chest tube was placed. she was transferred to the trauma icu where she remained for several days. orthopedics and neurosurgery were consulted given her injuries. she was fitted and placed in brace for her humerus fracture. her spine fractures were also managed nonoperative; she was placed in a hard collar and will remain in this for at least the next 4 weeks. she will follow up for repeat spine imaging with dr. . she did have major pain control issues; the acute pain service was consulted. pca was initiated and was found to be under utilized by patient. she was then changed to iv narcotics which made her sleepy. an oral pain regimen with adjunct therapy was then initiated. dilaudid po was found to ultimately be the most helpful and least sedating for her. given her history with chronic constipation an aggressive bowel regimen was started. a physical and occupational therapy evaluation was done; she was eventually cleared for home. social work was also closely involved with patient and her family throughout her hospital stay. medications on admission: miralax and stool softeners discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 3. polyethylene glycol 3350 100 % powder sig: seventeen (17) gram po daily (daily) as needed for constipation. 4. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). disp:*120 tablet(s)* refills:*2* 5. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po bid (2 times a day) as needed for constipation. disp:*1800 ml(s)* refills:*2* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po every 3 hours as needed for pain. disp:*120 tablet(s)* refills:*0* 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. valium 5 mg tablet sig: one (1) tablet po every six (6) hours as needed for spasms. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p motor vehicle crash grade iv splenic laceration grade i liver laceration c3-5 vertebral body fractures left 1,4-5, rib fractures with hemopneumothorax displaced l midshaft humeral fracture t10 transverse process fracture chronic constipation discharge condition: hemodynamically stable, tolerating oral diet, pain adequately controlled. discharge instructions: md or come to emergency room for: fever or chills; nausea, vomiting, diarrhea, constipation, or abdominal pain; worsening chest pain, shortness of breath; swelling, drainage, or redness at incision site (for chest tube); worsening pain, range of motion from elbow; or any other symptom that concerns you. avoid any physical contact activity for 4 weeks because of your severe liver and spleen injuries. wear -j cervical collar at all times until follow up with neurosurgery. wear left arm brace/sling as directed. keep elbow below level of shoulder, including when you sleep at night. take prescription (narcotic) pain medication to alleviate pain. do not drink alcohol, drive, or operate heavy machinery while taking this medication. also take tylenol or motrin to supplement the narcotic pain medication. please take stool softeners while taking narcotic pain meds to prevent constipation. continue to take laxatives as directed. followup instructions: you have indicated that you would like to follow up with a neurosurgeon, orthopedist and trauma surgeon in . a cd with all of your exams has been provided to you to give to these providers. if you choose to follow up at you should follow up with the following physicians: follow-up in trauma clinic, dr. , in weeks. call for an appointment. follow-up with orthopedics, dr. or dr. , in weeks. call to schedule an appointment. follow-up with neurosurgery, dr. , in 1 month. call to schedule an appointment. inform the office that you will need a repeat ct scan of the cervical spine for this appointment. procedure: insertion of intercostal catheter for drainage diagnoses: injury to liver without mention of open wound into cavity, laceration, minor traumatic pneumohemothorax without mention of open wound into thorax closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury other constipation oliguria and anuria injury to other intra-abdominal organs without mention of open wound into cavity, peritoneum motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of eight or more ribs closed fracture of multiple cervical vertebrae closed fracture of shaft of humerus injury to spleen without mention of open wound into cavity, massive parenchymal disruption 

Answer: The patient is high likely exposed to