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: diphenhydramine attending: chief complaint: mcc major surgical or invasive procedure: none history of present illness: 59 yo m with hx of mcc with r parietoocciptal traumatic contusion. per records, patient was helmeted driver of motorcycle at low speed. it is unclear from osh records whether he fell off the motorcycle vs. crashed but he was taken to an osh ed. in the ed, patient could not recall event and doesn't know if maybe he passed out before crashing. at the time he had a c/o head and abd pain. gcs 15 on presentation, although amnestic to event. he sustained a large r forehead laceration. while being sutured at the osh he had a generalized tonic-clonic seizure that lasted 1 minute and self resolved. he had a prolonged post-ictal states and was subsequently intubated for airway protection. transferred to for further evaluation. neurosurgery evaluation for r parietal-occipital bleed vs. contusion. past medical history: htn, hyperlipidemia social history: lives with wife. wife denies any tobacco, alcohol or drug use. family history: non contributory physical exam: on admission: physical exam: o: t: 96.2 bp: 99/58 hr: 71 vent 18 o2sats 100% gcs 3t gen: intubated. large r forehead laceration, sutured heent: pupils: 2-1mm bilateral reactive eoms unable to test neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: intubated/sedated. does not follow commands. orientation: unable recall: unable language: unable cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2 to 1 mm bilaterally. iii, iv, vi: unable to test. v, vii: unable to test viii: does not follow commands ix, x: unable to test : unable to test xii: unable to test. motor: does not follow commands. localizes with bilateral upper extremities. moves all extremities spontaneously. sensation: unable to test. withdraws to painful stimuli reflexes: b t br pa ac right 2 2 left 2 2 toes downgoing bilaterally discharge: gen: b/l periorbital eccymosis, cooperative cv: rr, s1, s2 nl pulm: o2 sats nl gi: soft, nt, nd extre: no c/c/c neuro: aox3, perrl, eom intact face symmetric. no drift, motor full, sensory intact pertinent results: ct head : 1. right posterior partietal contusion with vasogenic edema and mass effect on the right lateral ventricle without shift of midline structures. underlying mass cannot be excluded. 2. vein of varix, likely not acute. consider mrv on a non-emergent basis 3. large frontal subgaleal hematoma. 4. possible nondisplaced right nasal bone fracture. ct torso : impression: 1. no evidence of acute injury in the chest, abdomen, or pelvis. ct cspine : impression: 1. no evidence of acute fracture or subluxation. 2. endotracheal tube seen in appropriate location. 3. oropharyngeal secretions with adjacent thickening. recommend direct visualization to rule out underlying lesion. head ct : impression: 1. right posterior parietal contusion is much less prominent on today's study, consistent with evolving left parietal hemorrhage. resultant vasogenic edema is relatively similar in appearance compared to the most recent prior examination. effacement of the right lateral ventricle is also unchanged compared to the most recent prior examination. 2. decrease in size of the large frontal subgaleal hematoma. nondisplaced right nasal bone fracture again noted. 3. prominent vein of not visualized on this study. 4. bilateral ethmoidal air cells with mucosal thickening. mri brain +/- : 1. area of increased signal intensity, in the right parietal lobe measuring approximately 5.4 x 3.6 cm, with associated swelling of the adjacent cortex, and effacement of the occipital of the right lateral ventricle with vague curvilinear areas of enhancement scattered in the lesion along with a few areas of slightly decreased diffusion. 2. the nature of the lesion is uncertain from the present study. subacute infarct (arterial/venous), encephalitis, seizure-related abnormality, low-grade neoplasm without leptomeningeal enhancement are in the differential diagnosis. contusion/hemorrhage- subacute hematoma is less likely given the lack of negative susceptibility foci and decreased attenuation and lack of hemorrhage on the prior ct head study. cta : 1. edema with overlying cortical thickening and sulcal effacement in the right parietal lobe, unchanged compared to most recent prior exams. 2. normal head cta. tte : ef greater than 55% impression: no pfo, asd or cardiac source of embolism seen. mild lvh with normal global and regional biventricular systolic function. no clinically-significan valvular disease seen. brief hospital course: 59m admitted after a mcc with resulting tbi. on presentation in the er he had a seizure and was intubated. he was bolused with dilantin and admitted to the trauma icu under neurosurgery. he was monitored closely. his repeat head ct on was stable and off profolol the patient was moving all extremities and following commands. he was extubated. he also underwent a brain mri to r/o an underlying brain mass. the mri showed area of increased signal intensity, in the right parietal lobe measuring approximately 5.4 x 3.6 cm. he remained neurologically intact and was transferred to the floor on . he underwent lp showing normal glucose, protein and cell count. neuro-oncology was consulted follow up as an outpt. neurology was consulted for stroke workup which was negative. thransthoracic echocardiogram showed a normal ef and was negative for asd, pfo or clot. carotid dopplers showed less than 40 percent stenosis bilaterally. at the time of dischage he was tolerating a regular diet, ambulating without difficulty, afebrile with stable vital signs. medications on admission: unknown discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain/soreness. disp:*40 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 5. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 7. acetaminophen 500 mg tablet sig: 1-2 tablets po q 8h (every 8 hours) as needed for pain/soreness. 8. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. carvedilol 6.25 mg tablet sig: one (1) tablet po once a day. 10. caduet oral discharge disposition: home discharge diagnosis: traumatic brain injury right parietal-occipital brain contusion seizure discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin prior to your injury, you may safely resume only after it is cleared by your neurosurgeon. ?????? if you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . followup instructions: please follow-up with dr. in 4 weeks with an mri brain with and without contrast. please call ( to make this appointment. please call in order to set up a follow up appointment with cognitive neurology in order to assess your thinking processes due to your loss of consciousness. occupational therapy recommended that you have this appointment within one week of discharge. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung diagnoses: unspecified essential hypertension other convulsions cerebral edema cerebellar or brain stem contusion without mention of open intracranial wound, with loss of consciousness of unspecified duration other noncollision motor vehicle traffic accident injuring motorcyclist 

Answer: The patient is high likely exposed to