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: headache, difficulty speaking major surgical or invasive procedure: left craniotomy evacuation of l sdh history of present illness: 79 y/o male transferred from hospital. per report, patient fell a few days ago and presented to with altered mental status and difficulty speaking. patient is a poor historian and has limited speech, but claims he fell just a few days ago, but he is here form his home town of for a festival, and claims he fell at home. he can't provide history of the details around the fall, so it is unclear whether it was syncopal or mechanical. past medical history: dm, htn, hl social history: married, lives in . no tobacco/etoh family history: non-contributory physical exam: on admission: language: speech slow and hesitant, questionable comprehension.naming intact with pen and wrist watch. some degree of dysphasia and word finding difficulty. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 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. physical exam upon discharge: aaox2 (person, day, year is "12", hospital), strength 5/5 all extrem pertinent results: ct head : findings: a massive mixed density left subdural hematoma shifts the normally midline structures at least 10 mm to the right. the basal cisterns are patent and there is no evidence of downward transtentorial herniation. no parenchymal hemorrhage, edema, or large territorial infarction is seen. the occipital of the left lateral ventricle is effaced as are left frontal lobe sulci. there is preservation of -white matter differentiation. no fracture is identified. mucosal thickening is seen of the bilateral maxillary sinuses and left frontal sinus. there is partial opacification of multiple ethmoidal air cells. the middle ear cavities and mastoid air cells are clear. the globes are unremarkable. impression: massive acute on chronic left subdural hematoma with 10-mm rightward shift of normally midline structures. basal cisterns are patent. no fracture. ct head : ct head: the patient is status post left frontal craniotomy with evacuation of the large left subdural hemorrhage. a hypodense subdural collection remains with new pneumocephalus. there is left sulcal effacement. small hyperdense foci within the collection are likely post surgical blood products. persistent 9 mm rightward shift of normally midline structures is unchanged. no new intra- or extra-axial hemorrhage is identified. the basal cisterns are patent. the -white matter differentiation is preserved. opacification of the ethmoid air cells is similar to the prior study. a small mucus retention cyst is seen in the left maxillary sinus. the mastoid air cells and middle ear cavities are clear. the globes and orbits are unremarkable. impression: status post left frontal craniotomy with interval evacuation of the left subdural hematoma. the subdural space is largely replaced by pneumocephalus with residual hypodense fluid and small hyperdense blood products. unchanged 9 mm rightward shift of normally midline structures. no new hemorrhage. ecg: baseline artifact. sinus rhythm with ventricular premature beat. possible q waves through lead v5, consider anteroseptal myocardial infarction with st-t wave abnormalities. the ventricular premature beat q waves support that likelihood. other st-t wave abnormalities. since the previous tracing of atrial premature beats are now not seen. leni's: deep venous thrombosis involving left superficial, popliteal, and posterior tibial veins. brief hospital course: 79 yo m with h/o htn and dm s/p fall one week pta, found to have l sdh with midline shift. # left sdh with mls: ct head in the ed showed large acute on chronic sdh with 10mm mls. he was admitted to the icu and started dilantin for seizure ppx. he was taken to the or for l craniotomy and evacuation of l sdh. there were no intra-operative complications. pt extubated and transferred to icu for monitoring. his post-op neuro exam was significant for right sided weakness 3/5, but full strength on left side, face symmetric, perrl. post-op head ct showed l frontal pneumocephalus so he was placed on high-flow o2 via nrb and lay flat. sbp was maintained <140 with nipride prn. on hd #2 (pod #2), neuro exam stable. on hd#3, his lethargy was improving and he was transferred to floor. bp control was liberalized to sbp<160. on hd#6 pt walked with pt, they recommended rehab but pt desired to go to and cannot fly until pod #14. on hd #9 pt's neuro exam notable for full strength in all extremities, but residual subtle expressive/receptive aphasia. # dvt: on hd #8 screening lenis revealed lle dvt. patient was started on lovenox 80mg sc q12 hrs, to be continued for total of 6 months. # ekg changes: pt's cardiac enzymes were trended x4 given fall and ekg showing st-t changes and possible q waves through v5 (question anteroseptal mi). his troponin peaked at 0.03, ck/mb were flat. ekg unremarkable. patient was recieved bed and insurance approval for transfer to on the evening of . ======================= transition of care: -pt should continue enoxaparin sc for 6 months for lle dvt medications on admission: preadmission medications listed are correct and complete. information was obtained from family/caregiver. 1. paroxetine 30 mg po daily 2. lisinopril 10 mg po daily 3. metformin (glucophage) 1000 mg po bid 4. lantus *nf* (insulin glargine) 14 units subcutaneous qhs 5. glyburide 5 mg po daily discharge medications: 1. lisinopril 10 mg po daily 2. glyburide 5 mg po daily 3. metformin (glucophage) 1000 mg po bid 4. paroxetine 30 mg po daily 5. acetaminophen 325-650 mg po q6h:prn pain, t>38.5 6. bisacodyl 10 mg po/pr daily 7. docusate sodium 100 mg po bid 8. enoxaparin sodium 80 mg sc q12h 9. hydralazine 10-20 mg iv q6h:prn sbp>160 10. ondansetron 4 mg po q8h:prn nausea 11. oxycodone-acetaminophen (5mg-325mg) tab po q4h:prn pain 12. phenytoin sodium extended 100 mg po tid 13. senna 1 tab po daily 14. glargine 14 units bedtime insulin sc sliding scale using reg insulin discharge disposition: extended care facility: hospital discharge diagnosis: subdural hematoma with midline shift dysphasia discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: craniotomy for subdural hematoma dr. ?????? 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 have dissolvable sutures you may wash your hair as you normally would do although refrain from scrubbing the area of your incision ?????? 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 call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to this appointment. procedure: incision of cerebral meninges excision of lesion or tissue of cerebral meninges diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified fall long-term (current) use of insulin acute venous embolism and thrombosis of deep vessels of proximal lower extremity subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness acute venous embolism and thrombosis of deep vessels of distal lower extremity other conditions of brain 

Answer: The patient is high likely exposed to