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: percocet attending: chief complaint: neck pain major surgical or invasive procedure: acdf c7/t1 history of present illness: 54f involved in mva this a.m. at 1000. was not restrained, no airbag deployment, + mom loc. had neck pain but no deficits and was taken to . ct of c-spine showed c7 on t1 anterolisthesis and l t1 facet joint fracture. tx to . denies increasing pain, loss of bowel control, inability to urinate, or numbness or tingling in extremities. past medical history: depression social history: divorced, supportive sons, sells furniture, quite tobacco 10 years ago, social etoh family history: n/c physical exam: on admission t: afebrile bp: 142/80 hr: 83 r 20 100ra o2sats gen: wd/wn, comfortable, nad. heent: pupils: 4 to 2 b eomi 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. motor: d b t fe ff ip q at g r pain 4+ 4+ 4+ 4+ 4+ 4+ 5 5 5 l pain 5 5 5 5 5 5 5 5 5 sensation: radial side of r hand altered sensation to light touch. otherwise intact to light touch. reflexes: b pa right 2, 3 hyperreflexic but symmetric left 2, 3 hyperreflexic but symmetric toes downgoing bilaterally rectal exam normal sphincter control on discharge . . . pertinent results: mri c spine impression 1. minimal anterolisthesis is identified at c2/c3. 2. multilevel degenerative changes of the cervical spine as described in detail above. 3. grade 1 anterolisthesis is identified at c7/t1 without evidence of significant spinal canal stenosis. there is no evidence of abnormalities within the spinal cord. ct c spine impression: spondylolysis at l5 and s1 as well as grade i anterolisthesis of s1 on s2. no acute fracture. flex/ex c spine impression: 1. minimal anterolisthesis is noted at c2/c3, which is not visualized in the extension maneuver. grade i anterior listhesis is identified at c7/t1 without significant change during the flexion and extension maneuvers. 2. diffuse osteopenic changes and hypertrophy of the uncinate processes from c3 through c6 as described above. 07:35pm blood wbc-6.7 rbc-4.86 plt ct-338 07:35pm blood pt-11.5 ptt-28.1 inr(pt)-1.0 03:47am blood glucose-125* urean-10 creat-0.6 na-142 k-4.4 cl-109* hco3-25 angap-12 03:47am blood calcium-9.0 phos-4.0 mg-1.9 07:35pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: patient was admitted to trauma service for 24 hour evaluationnd patient was maintained in a c-spine collar. exam showed mild motor deficits initially on the r upper and lower extremities but these resolved during the hospitalization. imaging showed apparently old b fractures of t1 facet joints and flex/ex films showed about 1mm increase in anterolisthesis. surgical vs. nonsurgical tx of the slight neck instability was discussed and ms. for fusion. hd 5 patient was taken to the or and tolerated c7/t1 acdf well, was extubated, and transferred to the pacu without incidence. the patient had ap/lateral x-rays of the c-spine which showed good placement of implant. she was tolerating a diet, ambulating, and was voiding on her own and was deemed safe to be discharged on . medications on admission: buproprion xr 150' discharge medications: dilaudid po q3 hours prn pain colace 100mg po bid discharge disposition: home discharge diagnosis: s/p motor vehicle crash anterolisthesis c1 on c3 & c6 on c7 cerivcal spondylosis discharge condition: neurologically stable discharge instructions: call the office or go to the emergency room if you develop any fevers, chills, headache, increased neck or back pain, numbness/weakness in any of your extremities, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea and/or any other symptoms that are concerning to you. get steri strips wet starting monday. keep dry until then. watch for redness, drainage, swelling or bleeding. no lifting greater than 10 lbs. followup instructions: follow up with dr. in 6 weeks. call for an appointment. md procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc fusion or refusion of 2-3 vertebrae diagnoses: depressive disorder, not elsewhere classified other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of seventh cervical vertebra closed dislocation, thoracic vertebra 

Answer: The patient is high likely exposed to