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: restrained driver high speed mvc 1. massive chest trauma, avulsion of right pulmonary vein from the left atrium. 2. multiple rib fractures. 3. multiple lung lacerations major surgical or invasive procedure: chest tube x 2 1. exploratory laparotomy. 2. clamshell thoracotomy history of present illness: mr. is a 61 year old gentleman who was a restrained driver in a high speed, head on motor vehicle crash. after extrication by report, he was unstable at the scene and he was brought to the emergency room with hypotension, tachycardia. his initial evaluation demonstrated right flailed chest with crepitus and decreased breath sounds. in the emergency room he had a right chest tube placed after a needle decompression and large bore iv access. he continued to have hypotension in the trauma bay and was given 3000 liters of crystalloid and 2 units of universal blood. a chest x-ray done at that point showed left hemothorax and a left chest tube was placed. both chest tubes put out about 1000 cc blood before the rate of bleeding slowed down significantly. at this point he again remained hypotensive. a dpl was performed, which was positive for blood and he was emergently brought to the operating room for an exploratory laparotomy. past medical history: unknown physical exam: pupils 3+ b/l, equal and reactive r chest crepitus, abrasions ab - soft, fast neg - dpl pos pelvis - stable, no deformity rectal - normal tone, guiac neg ext - intact, no deformities, l knee abrasion back - -of @ l1, crepitus on back pertinent results: 12:45pm blood wbc-6.5 rbc-3.21* hgb-10.3* hct-29.5* mcv-92 mch-32.2* mchc-35.0 rdw-13.1 plt ct-218 12:45pm blood pt-16.6* ptt-47.5* inr(pt)-1.5* 12:45pm blood plt ct-218 12:45pm blood fibrino-91* 12:45pm blood ck(cpk)-276* amylase-67 12:45pm blood ck-mb-17* mb indx-6.2* ctropnt-0.14* 12:45pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 01:44pm blood type-art po2-27* pco2-65* ph-7.03* calhco3-18* base xs--16 02:55pm blood type-art po2-60* pco2-72* ph-6.98* calhco3-18* base xs--17 12:57pm blood glucose-264* lactate-6.4* na-139 k-3.6 cl-104 calhco3-26 02:55pm blood glucose-383* lactate-9.6* na-141 k-5.5* cl-103 01:44pm blood hgb-7.9* calchct-24 02:55pm blood hgb-11.4* calchct-34 12:50pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg 12:50pm urine color-straw appear-clear sp -1.007 radiology final report trauma #2 (ap cxr & pelvis port) 12:37 pm trauma #2 (ap cxr & pelvis por reason: trauma indication: trauma. one view chest: patient is lying on a trauma board, limiting evaluation. heart size is within normal limits. the aortic knob is not well visualized. there is increased opacity in the left and right hemithoraces. there is a right apical pneumothorax. multiple rib fractures are noted on the right. there is subcutaneous emphysema on the right. one view pelvis: no evidence of fractures. the hip joints and sacroiliac joints are well maintained. impression: 1. right apical pneumothorax. 2. multiple right rib fractures with associated subcutaneous emphysema. 3. bilateral diffuse opacities which may be secondary to pulmonary contusion. a layering left pleural effusion cannot be excluded. chest port. line placement 12:45 pm chest port. line placement; -77 by different physician reason: s/p line placement indication: status post line placement. portable ap chest: the et tube and ng tube are in good position. the ng tube projects beyond the margin of the film. the right-sided chest tube is in the right lower hemithorax. there are multifocal opacities in the right lung indicative of consolidations. multiple right-sided rib fractures are noted. the heart size is normal. there is mild pulmonary edema. impression: 1. irregular opacities in the right lung, right-sided consolidations could be likely secondary to aspiration/effusions. 2. mild pulmonary edema. 3. multiple right-sided rib fractures. 4. subacute emphysema on the right. 5. et and ng tube are in good position radiology final report -77 by different physician 3:55 pm chest (portable ap); -77 by different physician reason: post mortem instrument count indication: postmortem instrument count. comparisons: comparison is made to a plain film performed two hours earlier the same day. ap chest radiograph shows diffuse subcutaneous emphysema as well as bilateral consolidations throughout both lungs. there is evidence of multiple sequential rib fractures on the right side along with flail chest. two chest tubes are seen within the right lung with tips pointed towards the right base. right-sided central line is seen overlying the area of the svc. endotracheal tube is seen with the tip at the level of the clavicles. a surgical staple is seen in the right neck. a linear metallic shadow seen overlying the trachea above the level of the clavicles, possibly representing needle. ap film of the pelvis shows a left-sided femoral line. no metallic hardware is identified on this film. impression: metallic linear structure seen overlying the trachea above the level of the clavicles, possibly representing a needle. surgical staples seen overlying the right neck. brief hospital course: (please refer to op note) pateitn was taken emergently to the operating room an attempt to provide cardiopulmonary bypass, the patient continued to exsanguinate and evaluation of the injury demonstrated that the right pulmonary veins had avulsed from the left atrium and that there was massive defect within the heart. all attempts to control bleeding, achieve cardiopulmonary bypass and maintain resuscitation. they were unable to maintain vital signs. after many attempts to resuscitate, he had no myocardial function, no vitals and he was pronounced at 3:15 p.m. by the trauma surgery attending. discharge disposition: expired discharge diagnosis: . massive chest trauma, avulsion of right pulmonary vein from the left atrium. discharge condition: expired procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube exploratory laparotomy pericardiotomy transfusion of packed cells transfusion of other serum open chest cardiac massage exploratory thoracotomy transfusion of platelets diagnoses: other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle hypovolemia flail chest traumatic shock traumatic pneumohemothorax with open wound into thorax laceration of lung with open wound into thorax laceration of heart without penetration of heart chambers, with open wound into thorax injury to pulmonary vein 

Answer: The patient is high likely exposed to