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: motor vehicle crash major surgical or invasive procedure: none history of present illness: 87 yo female s/p motor vehicle crash; restrained passenger; struck face on dashboard. ?loc. she was taken to an area hospital where she was found to have a sdh and multiple facial fractures. she was then transferred to for further care. past medical history: arthritis dementia afib with coumadin tx (in nsr for last 4 mos) social history: denies alcohol, tobacco family history: noncontributory physical exam: upon admission to trauma bay: o: t: 99.2 bp: 143 / 38 hr:73 r o2sats: 98 ra gen: wd/wn, comfortable, nad. heent: bilateral extra-orbital edema and ecchymosis. pupils: perrl eoms: intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. no c/c/e. . neuro: mental status: awake and alert, cooperative with exam, at baseline mental state (patient has alzheimers). orientation: oriented to person and place. recall: objects at 5 minutes. language: speech fluent with good comprehension, poor 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 finger rub bilaterally. 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, proprioception, pinprick and vibration bilaterally. . reflexes: b t br pa ac right------------------2 left-------------------2 . toes downgoing bilaterally . coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin . pertinent results: . 10:45 pm urine site: catheter **final report ** urine culture (final ): no growth. . . ct pelvis w/contrast 8:54 pm impression: 1. no evidence of acute injury. 2. thyroid nodule, for which ultrasound evaluation is recommended. 3. small lung nodule. in the absence of known malignancy, 12 and 24 month follow-up examinations by chest ct are recommended to ensure resolution or stability. 4. small cystic pancreatic lesion, which may represent a neoplasm. mr is recommended to evaluate further. 5. left adnexal cyst. although small adnexal cysts are common in post- menopausal women, because of the higher risk of malignancy, pelvic ultasound is recommended. this could be coordinated with a thyroid ultrasound. . . ct sinus/mandible/maxillofacial w/o contrast 8:53 pm impression: 1. non-displaced right inferior orbital wall fracture, with extraconal air in the right orbit. 2. multiple comminuted facial fractures with posterior impaction, involving the vomer, nasal bones and medial maxillary sinus walls. 3. fluid-fluid levels in the axillary sinuses, consistent with hemorrhage. the presence of fluid-fluid levels could suggest a coagulopathic state. note added at attending review: there are bilateral maxillary sinus posterior wall fractures. there is a fracture of the right inferior orbital rim. a small amount of fluid in the sphenoid sinus raises a concern of a skull base fracture, although none is seen. there is a small subdural hematoma along the falx, not well characterized on this study performed to evaluate the facial bones. . . ct c-spine w/o contrast 8:53 pm impression: no evidence of fracture or dislocation. . . ct head w/o contrast 8:52 pm impression: 1. subdural hematoma along the falx. 2. facial fractures and air fluid levels in the maxillary sinuses, including fluid-fluid levels. this latter appearance may raise concern for an underlying coagulopathy. . . ct head w/o contrast 10:34 am impression: unchanged parafalcine subdural hematoma. facial fractures as previously described with blood in the maxillary sinuses. 08:25pm glucose-110* urea n-28* creat-0.9 sodium-141 potassium-4.1 chloride-107 total co2-26 anion gap-12 08:25pm calcium-9.3 phosphate-3.3 magnesium-1.9 08:25pm wbc-8.8 rbc-3.83* hgb-11.7* hct-33.1* mcv-87 mch-30.6 mchc-35.3* rdw-13.3 08:25pm plt count-278 08:25pm pt-11.5 ptt-27.4 inr(pt)-1.0 blood urine csf other fluid microbiology recent last day last week last 30 days all results hide comments from date to date hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 09:48am 10.7# 4.12* 12.2 36.8 90 29.7 33.2 13.5 342 02:19am 5.5 3.52* 10.9* 30.6* 87 30.9 35.4* 13.5 263 10:47pm 8.3# 3.94* 12.1 34.5* 88 30.9 35.2* 13.4 246 04:41am 5.5 3.73* 11.3* 32.3* 87 30.2 34.8 13.3 247 08:25pm 8.8 3.83* 11.7* 33.1* 87 30.6 35.3* 13.3 278 differential neuts bands lymphs monos eos baso atyps metas 09:48am 84.0* 11.2* 3.2 1.4 0.3 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 09:48am 342 chemistry renal & glucose glucose urean creat na k cl hco3 angap 09:48am 154* 17 1.1 142 4.2 103 31 12 enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 10:47pm 211* 12:58pm 16 24 188* 63 0.5 04:41am 185* cpk isoenzymes ck-mb ctropnt 10:47pm 4 12:58pm 3 04:41am 4 <0.011 1 <0.01 ctropnt > 0.10 ng/ml suggests acute mi chemistry totprot albumin globuln calcium phos mg uricacd iron 09:48am 9.6 3.7 2.0 pituitary tsh 12:58pm 2.3 ct chest w/contrast; ct abdomen w/contrast reason: mvc field of view: 36 contrast: optiray medical condition: 87 year old woman with facial fx and sah after car accident reason for this examination: please eval for solid organ injury, please do recons of t and l spine, trauma series contraindications for iv contrast: none. indications: 87-year-old woman with subdural hematoma and facial fractures. comparisons: none. technique: axial ct images of the chest, abdomen, and pelvis were obtained with intravenous contrast and sagittal and coronal reconstructions were also performed. ct of the chest with iv contrast: there is a centrally hypoattenuating, enhancing thyroid nodule which measures 16 x 18 mm in axial dimensions in the right inferior pole. a few subcentimeter mesenteric nodes are present. the heart, great vessels, and pericardium are unremarkable. there are no pleural or pericardial effusions. there is no evidence of aortic injury. there is a small linear filling defect in a segmental branch of the right lower lobe of unclear significance. however, as otherwise there is no suggestion of filling defects this is felt most likely to be due to artifact, and this study is not optimized to assess the pulmonary arteries. there is biapical scarring. a 3 mm lung nodule is present at the left apex. there is dependent change at the bases, but otherwise the lungs are clear. ct of the abdomen with iv contrast: the liver and gallbladder are unremarkable. there is a 3 mm hypoattenuating focus in the pancreatic head which is not fully evaluated here. this could represent a small cystic neoplasm. on a nonurgent basis, dedicated ct or mr is recommended for further evaluation. the spleen and adrenal glands appear normal. there is a 5 mm hypoattenuating focus in the right lower renal pole. a similar focus, 9 mm in diameter within the left kidney is also too small to characterize, but statistically these are most likely to represent simple cysts. an additional left renal 3 mm similar focus is also noted. the stomach and small bowel appear normal. there is no free air or fluid. there is no mesenteric or retroperitoneal lymphadenopathy. ct of the pelvis with iv contrast: the distal ureters and bladder are unremarkable. please note that the bladder is rather distended. there is extensive sigmoid diverticulosis without diverticulitis. the uterus is absent or highly atrophic. in the left adnexa, there is an 11 x 13 mm cystic structure, not fully evaluated here. although such cysts are common in postmenopausal women, this could be evaluated as a baseline with pelvic ultrasound. in the proximal left common iliac artery there is a small focal irregularity of contrast associated with an adjacent calcified plaque. this is most consistent with atherosclerosis. bone windows: there is no evidence of fracture. impression: 1. no evidence of acute injury. 2. thyroid nodule, for which ultrasound evaluation is recommended. 3. small lung nodule. in the absence of known malignancy, 12 and 24 month follow-up examinations by chest ct are recommended to ensure resolution or stability. 4. small cystic pancreatic lesion, which may represent a neoplasm. mr is recommended to evaluate further. 5. left adnexal cyst. although small adnexal cysts are common in post- menopausal women, because of the higher risk of malignancy, pelvic ultasound is recommended. this could be coordinated with a thyroid ultrasound. brief hospital course: patient admitted to the trauma service. neurosurgery, plastics, ophthalmology and cardiology were all consulted. she was brought to the tsicu, where she was observed overnight for any neurological changes. her neurosurgical injuries were non operative; she was loaded dilantin. serial head ct scans were performed and were stable; no seizure activity was observed throughout her stay in the hospital. she will need to follow up with dr. in 8 weeks for repeat imaging. plastic surgery and ophthalmology were consulted because of her multiple facial fractures; her injuries were non operative. she was treated with clindamycin for her facial fractures. a nasal splint was placed. ophthalmology consulted; no orbital compartment syndrome or entrapment was identified. she will need to follow up in both plastics and ophthalmology clinics after discharge from hospital. cardiology was consulted because of episode of bradycardia and then irregular wct; she has a history of atrial fibrillation and was not currently being treated with anticoagulants. she was loaded with iv amiodarone, and converted back into sinus rhythm. it was recommended that the amiodarone be discontinued and to lopressor low dose. she was initially started on 25 mg ; this dose was later decreased to 12.5 mg with hold parameters. on she had a reported episode of sinus tachycardia; her electrolytes were checked, her k+, mg and calcium were all within normal limits; ecg was unremarkable when compared to her admission ecg. she was without any symptomatology associated with this episode. physical nad occupational therapy were consulted and have recommended short term rehab stay. discharge medications: 1. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 2. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 4. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold for hr <60 and/or sbp < 110. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hod for loose stools. 7. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime): hold for loose stools. 8. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 9. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: of discharge diagnosis: s/p motor vehicle crash multiple facial fractures subdural hematoma discharge condition: stable discharge instructions: you will need to follow up with your primary care doctor e from rehab regarding a finding on ct scan where a nodule in your thyroid was found. followup instructions: follow up with dr. , neurosurgery, in 8 weeks. call for an appointment. inform the office that you will need a repeat head ct scan for this appointment. follow up with opthamology in 2 weeks, call for an appointment. follow up with plastic surgery in 2 weeks, call for an appointment. procedure: other immobilization, pressure, and attention to wound diagnoses: atrial fibrillation alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness closed fracture of orbital floor (blow-out) closed fracture of nasal bones other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to