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: bilateral subdural hematomas major surgical or invasive procedure: evacuation of left subdural hematoma history of present illness: 78m s/p fall while playing , had known small sdhs at that time, was admitted for couple days and sent home. per daughter, pt saw dr. then and has f/u scheduled for 2 days from now, but has had 5 falls in the last 72 hours. he reports the falls are all due to his right leg giving out on him, which is a new symptom since his fall. most recent fall prompted his daughter bring him in today. pt with history of afib, cad, s/p cea, copd. previously on coumadin, then on pradaxa, now off (except asa 81) x 2 weeks past medical history: - hypertension - cad - cabg x4 in - copd - right carotid endarterectomy with hypoglossal nerve injury, tongue deviates to the right - knee surgery several years ago - h/o pulmonary embolism - on coumadin - h/o polio as a child - intermittent gout - colonic adenomas - frequent colonoscopies, usually yearly - cataract surgery - atrial fibrillation - breast cancer - aortic stenosis social history: he is a former smoker but quit after his cabg. he smoked 2 packs a day for 51 years. he denies any significant alcohol use and denied any other drug use. family history: non contributory physical exam: o: t: 98 bp: 126/65 hr: 85 r 17 o2sats 98% gen: wd/wn, comfortable, nad. heent: pupils: 2->1.5 eoms intact bilat 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. recall: objects at 5 minutes. language: speech fluent but slow with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to 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. 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. strength full power throughout except r hip flexor . no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally except over right shin (medial and lateral). reflexes: intact bilaterally toes downgoing bilaterally handedness right on discharge: a&ox3 perrl eoms intact full motor incisions: c/d/i with staples pertinent results: ct/mri: bilateral subdural hematomas are enlarged since the examination, larger on the left. new hyperdense components are compatible with recent hemorrhage. mild left suprasellar cistern effacement is unchanged. bilateral hemispheric sulcal effacement is slightly worse, particularly on the left. the quadrageminal cistern remains preserved. no tonsillar herniation. ct head -interval evacuation of the left chronic subdural hemorrhage with pneumocephalus, small residual hypodense subdural fluid and small hyperdense blood products. no intraparenchymal hemorrhage. 2. slightly increased mass effect due to right mixed-density subdural hemorrhage, which is minimally larger, now with 4-mm leftward shift of normally midline structures. pelvic x-ray - no fracture. if clinical concern for fracture persists, mri or ct would be of utility. ct head w/o contrast study date of 12:37 pm findings: there has been no significant interval change in the size of the bilateral subdural hematomas when compared to the most recent comparison from . there has been interval decrease in the amount of pneumocephalus within the left subdural space. the degree ofmass effect from the right subdural hemorrhage including a 4 mm leftward shift of midline structures has not significantly changed from the prior study. there is no evidence of new hemorrhage. the basal cisterns are preserved. there is no evidence of acute vascular territorial infarction. the visualized paranasal sinuses, mastoid air cells, and middle ear cavities are clear. impression: no significant interval change in the size or mass effect from the bilateral subdural hematomas compared to the most recent prior study. ct head w/o contrast study date of 8:03 am impression: slow interval growth of the right subdural hematoma over the past 48 hours with increased leftward shift of midline structures. : ct head- impression: 1. interval evacuation of right subdural hemorrhage with large subdural pneumocephalus, small residual hypodense subdural fluid and small new hyperdense blood products. 2. persistent 11 mm leftward shift of normally midline structures. effacement of the right lateral and third ventricles, with slight left lateral ventricle dilation, is probably stable but could be minimally increased; evaluation is limited by differences in positioning. follow up is recommended. 3. essentially stable left subdural collection, except for minimally decreased pneumocephalus, allowing for positional differences. leni's:no evidence of deep vein thrombosis in the lower extremities. chest (pa & lat) patient is known with bilateral subdural hematoma. new bibasilar small pleural effusion with consolidation is highly concerning for aspiration unilat up ext veins us no deep vein thrombosis identified. occlusive thrombus seen in the left cephalic vein at the level of the antecubital fossa. ct head: status post removal of the right subdural drain with unchanged mixed density subdural. the left-sided subdural predominantly hypodense subdural, although appears slightly more prominent, could be due to interval differences in slice selection and angulation. continued followup recommended as clinically appropriate. air within the subdural space again identified. video swallow: trace aspiration and penetration with thin liquids. penetration with honey-thick and nectar-thick liquid. delayed oral phase. vallecular residue. cxr as compared to the previous radiograph, the extent of the bilateral pleural effusions and the subsequent areas of atelectasis are unchanged on the right. on the left, they have minimally decreased. unchanged moderate cardiomegaly with sternotomy wires but unchanged, absence of overt pulmonary edema. lenis: prelim-no dvt in ble brief hospital course: the patient was admitted to the neurologic surgery service for management of a subdural hematoma. the patient was taken to the or on and underwent an uncomplicated surgical evacuation. the patient tolerated the procedure without complications and was transferred to the icu in stable condition. please see operative report for details. post operatively pain was controlled with intravenous medication with a transition to po pain meds once tolerating pos. post op head ct on showed interval evacuation of left sdh and slight increase in right sdh. on a repeat ct head showed no significant interval change in the size or mass effect of right sdh. he was transferred to sdu in stable condition. on , inr 1.5, drain total from day prior to this am ~550cc. the head ct was consistent with slow interval growth of the right subdural hematoma over the past 48 hours with increased leftward shift of midline structures. the patient underwent craniotomy for evacuation of right hematoma after administration of ffp and vitamin k for inr of 1.5. surgery was without complication and the patient tolerated it well. on he was neurologically stable. one drain was removed and the other was left in place and he was continued on flat bedrest with high flow oxygen. on the drain was again left in place but his activity was advanced and he was encouraged to increase his po intake. his pcp was updated on his current care. he had leni's to evaluate his le edema, and they were negative for dvt. on , repeat head ct was performed which showed improvement in midline shift and less pneumocephalus. his r subdural drain was removed and staples were placed at the incision site. his foley was replaced for urinary retention. on , patient was seen to be tachypnic and sob on exertion. cxr was ordered which revealed bilateral pleural effusions and basilar consolidations. he was started on triple antibiotic coverage for treatment of hap. his lue was erythematous and edematous which prompted ue dopplers, he was seen to have a small clot in the cephalic vein. vascular was consulted and recommended warm compresses and elevation. in addition, he was evaluated by speech and swallow and it was determined that he could have a regular diet with ensure. on , he neurological exam was improved. medicine was consulted for pneumonia after repeat cxr. they recommended that patient have 10 days of antibiotic treatment. he also went for a video swallow where it was determined that he have a soft and thin liquid diet for aspiration. repeat head ct was stable. his foley was removed for a voiding trial. on , patient was stable on examination. he was given nebulizers for wheezing and lenis were ordered to evaluate for le clots. a picc line was placed for administration of antibotics. lenis were completed which prelim showed no dvt. he was stable on discharge to rehab. medications on admission: albuterol, ambien, asa 81, atenolol, clobetasol, crestor, furosemide, nicorette, spiriva, tamoxifen, zestril, zoloft, colchicine discharge disposition: extended care facility: - discharge diagnosis: bilateral subdural hematomas discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? **your wound was closed with staples. you may wash your hair only after sutures and/or staples have been removed. ?????? **your wound was closed with dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? 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, and 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 taking this after your post operative follow up. ?????? **you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. followup instructions: ??????please return to the office in days(from your date of surgery) for removal of your staples. this appointment can be made with the nurse practitioner . please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????**you may also have them removed at your rehab facility. ??????please call ( to schedule an appointment with dr. , to be seen in __4_weeks. ??????you will need a ct scan of the brain without contrast. procedure: incision of cerebral meninges incision of cerebral meninges diagnoses: congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status aortic valve disorders personal history of malignant neoplasm of breast unspecified fall personal history of tobacco use other chest pain subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness chronic diastolic heart failure personal history of poliomyelitis personal history of pulmonary embolism 

Answer: The patient is high likely exposed to