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: -> left craniotomy for evacuation of left subdural hematoma history of present illness: hpi: in pt sustained a fall down 8 stairs. she was seen and evaluated at that time and required sutures. 10 days later she returned for suture removal and it was recommended that she undergo ct imaging. she deferred imaging at that time. approx. one month later began to have episodes of dizziness, balance and gait difficulty and most recently has become very forgetful. the forgetfulness has been mostly over the past month. she admits to decreased hearing with intermittent "humming" that changes ear to ear. past medical history: pmhx: breast ca (in situ), hypertension, oa, depression social history: social hx:married, lives with husband. four adult children. nonsmoker, no etoh use. recent increase in stress level due to illness of a child. family history: family hx: ros:neg for cva, stroke, seizure disorder, diabetes, no recent weight gain or loss, no change in bowel or bladder function physical exam: physical exam: o: t:98 bp:186 /70 hr: 75 r 16 o2sats 98% on r/a gen: wd/wn, comfortable, nad. heent: pupils:3.0mm to 2.0mm eoms: full. conjugate gaze. no nystagmus 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. language: speech is fluent portugues with good comprehension and repetition through interpretation from spouse and granddaughter. 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. no pronator drift sensation: intact to light touch, propioception. reflexes: b t br pa ac right +2 +2 +2 +2 +2 left +2 +2 +2 +2 +2 toes downgoing bilaterally coordination: normal on finger-nose-finger on discharge +++++++++++++++++++ pertinent results: , f 79 radiology report ct head w/o contrast study date of 3:27 pm , eu 3:27 pm ct head w/o contrast; outside films read only clip # reason: ?bleed medical condition: 79 year old woman with ataxia, fall in with ? bilateral sdh from osh ct reason for this examination: ?bleed wet read: spfc mon 3:49 pm bilateral extra-axial blood collections (left greater than right) with associated right shift of normal midline structures (~5mm). dictation available on listen-line. final report history: ataxia and fall. comparison: no prior studies available for comparison. technique: the study was done at hospital and is scanned into our pacs for second review. axial slices through the head are provided. findings: bilateral extra-axial hematomas are noted, the larger on the left layering over the hemispheric convexity measuring 25mm at greatest depth. this is predominantly hypodense though contains some hyperdense portions, suggesting blood of differing chronicities. a smaller extra- axial collection on the right measures 9mm in depth (2b:31). consequent to these collections is a 5mm right deviation of normal midline anatomy. the basilar cisterns are well preserved without herniation. there are no other foci of hemorrhage. hypodensity at the left basal ganglia indicates lacunar infarct. periventricular white matter hypodensity is bilateral, the sequela of chronic microvascular infarction. visualized osseous structures show no fracture. the included paranasal sinuses and mastoid air cells are clear. extracranial soft tissue structures are unremarkable. impression: bilateral extra-axial hematomas as above with associated right deviation of normal midline structures. the study and the report were reviewed by the staff radiologist. dr. dr. approved: mon 5:07 pm imaging lab , f 79 radiology report ct c-spine w/o contrast study date of 3:51 pm , eu 3:51 pm ct c-spine w/o contrast clip # reason: ?fx medical condition: 79 year old woman with neck pain, ataxia, fall reason for this examination: ?fx contraindications for iv contrast: none. wet read: ajy mon 5:10 pm no fracture or malalignment. mild multilevel cervical spondylosis with no significant canal stenosis. hypoechoic left thyroid nodule, recommned further eval with ultrasound if not already performed on nonemergent basis. final report comparison: none available. technique: contiguous non-contrast axial images through the cervical spine performed with preparation and review of multiplanar reformatted images. findings: there is no acute fracture or subluxation. alignment of the cervical spine is normal. the atlanto-axial and atlanto-occipital articulations are maintained. there is no prevertebral soft tissue swelling. there is mild multilevel cervical spondylosis, with disc space narrowing and marginal osteophyte formation. there is calcification of the ligamentum flavum at the c6-c7 level. there is no significant canal stenosis. facet joint hypertrophy and uncovertebral osteophyte formation causes multilevel mild neural foraminal narrowing. the visualized soft tissues of the neck show no masses and no lymphadenopathy. the thyroid is heterogeneous with a dominant left lobe 1.3- cm hypoechoic nodule (3:58). there are no exophytic mucosal lesions. the trachea is patent with no endobronchial lesions. impression: 1. no fracture or malalignment. no prevertebral soft tissue swelling. 2. multilevel cervical spondylosis but no significant canal narrowing. 3. heterogeneous thyroid with dominant 1.3-cm hypoechoic nodule in the left thyroid lobe. correlation with laboratory values and further evaluation with ultrasound as clinically indicated is recommended. the study and the report were reviewed by the staff radiologist. dr. dr. approved: mon 9:47 pm , f 79 radiology report chest (pre-op pa & lat) study date of 5:00 pm , 5:00 pm chest (pre-op pa & lat) clip # reason: pre op planning medical condition: 79 year old woman with vertigo and bil. subdural hematomas reason for this examination: pre op planning wet read: dfddp mon 5:21 pm 4 mm left upper lobe nodule; no prior studies are available for comparison. a chest ct can be performed for further evaluation (and to look for the presence of other nodules), when the patient is clinically stable. no acute process. final report indication: vertigo and bilateral subdural hematomas. preoperative evaluation. comparison: none. pa and lateral views of the chest: the cardiac silhouette is normal in size. the aorta is slightly tortuous. the pulmonary vascularity is within normal limits. linear opacity within the left lung base is compatible with subsegmental atelectasis. within the left upper lung field, there is a 4-mm nodule identified. right lung is clear. no pleural effusion or pneumothorax is identified. degenerative changes are noted within the thoracic spine. impression: 1. no acute cardiopulmonary abnormality. 2. 4-mm left upper lung nodule, for which no prior examinations are present for comparison. a ct is recommended for further evaluation when the patient is clinically stable. a wet regarding this recommendation was posted to the ed dashboard at the time of dictaion. dr. approved: mon 5:49 pm , f 79 radiology report ct head w/o contrast study date of 9:58 am , m. nsurg sicu-a 9:58 am ct head w/o contrast clip # reason: post op head ct eval for bleeding. medical condition: 79 year old woman with sdh s/p crani for evacuation reason for this examination: post op head ct eval for bleeding. contraindications for iv contrast: head ct final report indication: status post craniotomy for subdural hemorrhage. comparison: . technique: non-contrast head ct. findings: again seen is a left parietal vertex craniotomy where there has been evacuation of a left subdural hematoma. there is a small caliber subdural drain in situ. post-surgical changes are again seen within the left subdural space including decreased pneumocephalus and persistent blood but overall decreased material. the overall thickness is 1.4 cm, decreased from 1.9 cm on the prior study. there is mild rightward subfalcine herniation of 3 mm, similar to prior. an extra-axial subdural collection overlying the right cerebral convexity is unchanged, measuring 1 cm in maximal dimension. the ventricular system appears similar to prior with no hydrocephalus. again seen is periventricular white matter low attention and focal low attention in the posterior right temporal lobe most compatible with chronic small vessel infarction. mastoid air cells and visualized paranasal sinuses are clear. impression: 1. slightly decreased size of extra-axial collection of left parietal vertex extra-axial collection measuring to 1.4 cm with mild rightward herniation. 2. stable small right subdural hematoma. 3. no new hemorrhage. the study and the report were reviewed by the staff radiologist. dr. dr. . approved: 10:04 pm , f 79 radiology report chest (portable ap) study date of 1:15 pm , m. nsurg fa11 1:15 pm chest (portable ap) clip # reason: evaluate for pneumonia medical condition: 79 year old woman with new fever reason for this examination: evaluate for pneumonia provisional findings impression: lcpc fri 4:26 pm pfi: new bibasilar opacity could be atelectasis or aspiration. heart size slightly increased. volume overload also increased. no other change. final report chest portable reason for exam: 79-year-old woman with new fever, evaluate for pneumonia. since , bibasilar opacities are new, could be atelectasis or aspiration. heart size slightly increased with increase in volume overload. left upper lung calcified opacity could be calcified granuloma or a rib bone island. right paratracheal opacity is likely due to tortuous vessels. comparison with prior studies is recommended. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sat 9:31 am brief hospital course: pt presents with dizziness, progressive dysequilibrium and forgetfulness. on pt sustained a fall down 8 stairs. she was seen and evaluated at that time at an osh and required suturing of several lacerations she received from falling and hitting her head. 10 days later she returned to the osh for suture removal, and it was recommended that she undergo ct imaging. she deferred imaging at that time. approx.one month later began to have episodes of dizziness, balance and gait difficulty and had become very forgetful. the forgetfulness has been mostly over the past month. she admits to decreased hearing with an intermittent "humming" that travelled from ear to ear while on the telephone. family brought her to for further evaluation of her symptoms. ct imaging revealed bilateral subdural hematomas. on she went to the operating room for a mini craniotomy for drainage of the left subdural hematoma and placement of a drain. there were no perioperative complications to report. on the drain was removed without incident and the pt was transferred to the floor where she was seen and evaluated by physical and occupational therapy. pt was cleared for d/c to home in the care of her family on date of discharge. medications on admission: medications prior to admission: trazadone 25mg hs, lasix 40mg qday, sertraline 25mg qday, nifedipine 30mg qhs,piroxicam 20mg qday,atenolol 100mg qday, tylenol#3 prn knee pain,ca carbonate 1000mg qday, mvi, meclizine 12.5mg tid;prn discharge medications: 1. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). disp:*60 tablet, chewable(s)* refills:*2* 2. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po every six (6) hours as needed for knee pain/headache. disp:*85 tablet(s)* refills:*1* 3. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. disp:*30 tablet(s)* refills:*0* 4. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. sertraline 50 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. nifedipine 30 mg tablet sustained release sig: one (1) tablet sustained release po hs (at bedtime). 7. piroxicam 10 mg capsule sig: two (2) capsule po daily (daily). 8. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 9. multivitamin tablet sig: one (1) tablet po daily (daily). 10. meclizine 12.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for vertigo. 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 13. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 14. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 15. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for cdiff. disp:*31 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: bilateral subdural hematoma(left greater than right) urinary tract infection c-diff discharge condition: neurologically stable discharge instructions: general 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. ?????? you may wash your hair only after sutures and/or staples have been removed. ?????? 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. ?????? 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 . ?????? 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. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery) for removal of your staples/sutures and a wound check. 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. ??????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 for your appointment with dr. . this can be set up when you call for your appointment. procedure: incision of cerebral meninges diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension personal history of malignant neoplasm of breast depressive disorder, not elsewhere classified abnormality of gait intestinal infection due to clostridium difficile osteoarthrosis, unspecified whether generalized or localized, site unspecified subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness memory loss late effect of intracranial injury without mention of skull fracture late effects of accidental fall 

Answer: The patient is high likely exposed to