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: s/p motor vehicle crash major surgical or invasive procedure: percutaneous gastrostomy tube placement history of present illness: yo female restrianed passenger s/p head on motor vehicle crash. no reported loc. she was transported to for further care. past medical history: htn legally blind social history: lives with son family history: noncontributory pertinent results: 10:53am glucose-142* lactate-1.8 na+-144 k+-4.1 cl--107 tco2-21 10:45am urea n-24* creat-0.9 10:45am wbc-12.2* rbc-4.30 hgb-12.8 hct-37.6 mcv-88 mch-29.7 mchc-33.9 rdw-13.8 10:45am plt count-313 10:45am pt-14.3* ptt-38.6* inr(pt)-1.2* head ct scan impression: no acute intracranial pathology. age-related atrophy. periventricular white matter ischemic changes are chronic. cervical spine ct scan impression: 1. fractures through the left c2 and c3 transverse processes extending into the foramen transversarium. these fractures put the patient at increased risk for possible vertebral dissection which could be better evaluated with a dedicated cta or mra (with t1 fat supression sequences) of the neck. 2. nondisplaced fracture of the right lamina of c2. 3. extensive degenerative changes of the cervical spine including c2-c3 moderate to severe spinal stenosis. in the setting of trauma, these degenerative changes put the patient at increased risk for ligamentous injury or cord injury, which cannot be fully evaluated by ct and would recommend mri for further evaluation if clinical suspicion for neck injury persists. echo results measurements normal range left atrium - long axis dimension: 3.6 cm <= 4.0 cm left atrium - four chamber length: *5.3 cm <= 5.2 cm left atrium - peak pulm vein a: *0.4 m/s < 0.4 m/s right atrium - four chamber length: *5.6 cm <= 5.0 cm left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.5 cm <= 5.6 cm left ventricle - ejection fraction: 70% >= 55% aorta - sinus level: 2.5 cm <= 3.6 cm aorta - ascending: 2.8 cm <= 3.4 cm aortic valve - peak velocity: *2.4 m/sec <= 2.0 m/sec aortic valve - peak gradient: *23 mm hg < 20 mm hg aortic valve - mean gradient: 13 mm hg mitral valve - e wave: 1.5 m/sec mitral valve - a wave: 1.5 m/sec mitral valve - e/a ratio: 1.00 mitral valve - e wave deceleration time: *282 ms 140-250 ms tr gradient (+ ra = pasp): *43 to 62 mm hg <= 25 mm hg findings left atrium: elongated la. right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv wall thickness. small lv cavity. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. aortic valve: three aortic valve leaflets. moderately thickened aortic valve leaflets. mild as (aova 1.2-1.9cm2). trace ar. mitral valve: mildly thickened mitral valve leaflets. severe mitral annular calcification. mild thickening of mitral valve chordae. calcified tips of papillary muscles. no ms. mild to moderate (+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. normal tricuspid valve supporting structures. no ts. moderate tr. moderate pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. normal main pa. no doppler evidence for pda pericardium: no pericardial effusion. conclusions the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity is small. overall left ventricular systolic function is normal (lvef 70%). right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is severe mitral annular calcification. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. mr ; thoracic spine cervical spine: fractures of c2 and c3 are better visualized on the recent ct. prevertebral soft tissue swelling extends from c2 to the inferior endplate of c4. while this implies ligamentous injury, no definite ligamentous injury is identified. epidural hematoma is seen posteriorly, extending from c2 through the inferior endplate of t2. in addition, there are multiple disc herniations/bulges. these combined changes result in narrowing of the spinal canal, however, there is no cord signal abnormality to suggest cord compression. at c2-3, there is left paracentral disc protrusion. at c3-4, disc bulge compresses upon the ventral aspect of the thecal sac. at c4-5, there is canal narrowing due to midline and left foraminal disc protrusion that indents the cord and narrows the left neural foramen. at c5-6, high signal within the disc space anteriorly indicates an annular tear. osteophyte indents the ventral aspect of the cord. this may be acute or chronic, although there is no associated prevertebral soft tissue swelling. at c6-7, disc herniation indents the cord, however, there is no cord signal abnormality. there is blood within the left occipital , seen on the most superior axial images (5:2). thoracic spine: an acute t12 compression fracture with retropulsed bone severely narrows the spinal canal, however, there is no cord deformity and the spinal cord demonstrates normal signal. there is acute compression fracture of t2, without retropulsion. a t4 compression deformity is chronic. at t6-7, disc protrusion results in cord compression, although this is not acute. impression: 1. blood in the left occipital . followup head ct is recommended. 2. prevertebral cervical hematoma. while this is suggestive of ligamentous injury, no ligamentous injury is identified. 3. cervical prevertebral hematoma, epidural hematoma and disc herniations/protrusions result and narrowing of the cervical spinal canal, however, there is no evidence of cord compression. 4. acute compression fracture of t2. 5. acute t12 compression fracture with retropulsed bone, severely narrowing the canal. no cord deformity or cord signal abnormality is identified. findings: previously placed left-sided picc line cannot be identified at the present study in the left arm or chest. left retrocardiac opacity is unchanged. interval development of pleural effusion bilaterally. old right- sided rib fractures are again seen. compression deformity of a lower thoracic vertebral body again seen. the nasogastric tube was removed. a g-tube projects in the left upper quadrant. brief hospital course: she was admitted to the trauma service. orthopedic spine surgery was consulted given her injuries which were non operative. she was fitted for brace (tlso with a cervical extension) and began working with physical therapy thereafter. because of her rib fractures she remained in the trauma icu for several days because of concern for her pulmonary status. there were initial discussions regarding the possibility that she would require a tracheostomy for airway management. she was able to manage her airway effectively, maintaining oxygen saturations between 92-94% with 2 liter s of nasal oxygen. she also had episodes of paroxysmal atrial fibrillation during her icu stay and required an amiodarone drip; she was also started on beta blockade. once her amiodarone drip was stopped she was changed to the oral form; initially 400 mg , the dose will need to be decreased over the next week. because of dysphagia speech and swallow were consulted; a bedside swallow was done and it was recommended that she remain npo because of risk for aspiration. discussions took place for placement of peg with patient and family. a percutaneous peg was placed without complications. her medications were all changed to via peg; including her amiodarone. because of poor venous access a left arm picc was placed for which patient removed as she reported it was causing her pain. she did develop arm swelling following this an underwent an upper extremity ultrasound which did reveal a thrombus in the left axillary and cephalic veins. vascular surgery was consulted an no further intervention was warranted. the area was monitored closely and did resolve over time. she did have intermittent blood pressure issues with sbp readings high 170's; her medications were adjusted several times; systolic blood pressure on morning of discharge after her morning medications was 138. she is being recommended for acute rehab after her hospital stay. medications on admission: nifedipine discharge medications: 1. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 2. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 3 days. 3. amiodarone 200 mg tablet sig: one (1) tablet po once a day: begin on . 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 5. isosorbide dinitrate 20 mg tablet sig: 1.5 tablets po tid (3 times a day). 6. acetaminophen 160 mg/5 ml solution sig: fifteen (15) ml's po every 4-6 hours as needed for pain. 7. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml's po bid (2 times a day). 8. senna 8.6 mg tablet sig: two (2) tablet po at bedtime as needed for constipation. 9. protonix 40 mg susp,delayed release for recon sig: forty (40) mg po once a day. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day). 11. albuterol sulfate 0.63 mg/3 ml solution for nebulization sig: one (1) neb inhalation every six (6) hours as needed for shortness of breath or wheezing. 12. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation every six (6) hours as needed for shortness of breath or wheezing. 13. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 14. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes: both eyes. discharge disposition: extended care facility: discharge diagnosis: s/p motor vehicle crash c2/c3 transverse process fracture c2 lamina fracture epidural hematoma c2-t2 t2 and t12 compression fracture rib fractures - left 2-8,10 small pneumothorax secondary diagnosis: hypertension discharge condition: hemodynamically stable, tolerating tube feedings, pain adequately controlled. discharge instructions: the brace must be worn at all times while out of bed. followup instructions: follow up with dr. , orthopedic spine surgery in 2 weeks, call fo an appointment. follow up with dr. , trauma surgery, in 2 weeks. call for an appointment. procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances other gastrostomy diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure closed fracture of second cervical vertebra other complications due to other vascular device, implant, and graft closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury traumatic pneumothorax without mention of open wound into thorax legal blindness, as defined in u.s.a. closed fracture of eight or more ribs other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle abrasion or friction burn of hip, thigh, leg, and ankle, without mention of infection dysphagia, unspecified closed fracture of third cervical vertebra 

Answer: The patient is high likely exposed to