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: history of present illness: the patient is a 40-year-old male portuguese-speaking construction worker who is status post a mechanical fall from 20 feet. the patient landed on his back with positive loss of consciousness x 10 minutes. once recovered the patient complained of right chest pain, headache and lower back pain. the patient was brought to by ambulance in a collar and on a back board. upon arrival the patient had decreasing mental status and was intubated in the emergency department. past medical history: denied. past surgical history: denied. allergies: the patient has no known drug allergies.. medications: none. social history: he lives in with his wife and one infant child. physical examination: on admission the patient had a temperature of 96, blood pressure 159/palp, pulse 86, breathing at a rate of 28, 99% saturation. the patient's pupils were equal, round and reactive to light at 3 mm bilaterally. extraocular movements were full. the patient had a small c-shaped laceration on the right occiput. the patient had the cervical collar in place on his neck. cardiovascular examination showed a regular rate, no murmurs. lungs were clear to auscultation bilaterally. the patient was tender over the right chest wall. there was no crepitus. the abdomen was soft, mildly distended, tender to palpation over the right lower quadrant, no ecchymosis appreciated. the pelvis was nontender and stable. rectal had normal tone and was hemoccult negative. the patient's back examination had no bony step-offs but tenderness to palpation over his thoracic spine. the patient had 2+ distal pulses equal bilaterally. laboratory data: the patient had a white count of 10.4, hematocrit of 46.9, platelet count 479, sodium 140, potassium of 3.6, chloride 109, bun 17, creatinine 0.8, glucose 181. the patient's blood gases on admission were ph of 7.38, pco2 42, po2 82. the patient's toxicology screen was negative. urinalysis was negative. the patient received a chest x-ray which was negative; pelvis was negative. the patient was given a head ct which showed a right parietal epidural hematoma. also noted were fractures of the right parietal and temporal bones, also a fracture through the inferior right mastoid. the patient was given a ct scan of the abdomen, pelvis and chest. of note the patient had bilateral atelectasis and lung contusions, a right coracoid process fracture of the scapula. ct scan of the abdomen and pelvis was otherwise negative. the patient was given a cat scan of the cervical spine which was negative for fracture. the patient also received ct scan of the thoracic and lumbar spine, which was negative for fracture. of note was a very small chip fracture at the end of the 11th and 12th rib. hospital course: neurosurgery was consulted to see the patient. as there was no mass effect, ventricular side was preserved, with a small epidural hematoma, it was not believed to be significant enough to require intervention at this time, and would be followed. the patient was started on dilantin for seizure prophylaxis. the patient was successfully extubated on . orthopedic surgery was consulted to follow the patient's shoulder fracture. ct of the right shoulder showed a right coracoid process fracture which was minimally medially displaced. management for this per orthopedics was four weeks of sling, no active motion. the patient was given a repeat head ct on per neurosurgery, which showed progression of edema around the left temporal lobe hemorrhagic contusion. the posterior frontal extra-axial hemorrhage was deemed to be stable with no midline shift appreciated. neurosurgery also advised to repeat the head ct scan again on . head ct was repeated which showed the left temporal hemorrhage with adjacent edema stable, no shift, and the right subdural hematoma to be improving with no midline shift, no compression, stable from prior study of , and right subdural improved. the patient was reevaluated on by neurosurgery. the patient was deemed stable for discharge to home with follow up in one month. the patient was seen again by orthopedic surgery who recommended for his shoulder fracture a sling x 4 weeks and pendulum exercises, passive range of motion only, no active range of motion of the right shoulder or elbow, as arm muscles, biceps and brachialis etc attached to the coracoid process. discharge diagnoses: 1. right posterior frontal extra-axial hemorrhage, left temporal lobe contusion. 2. right coracoid process shoulder fracture. 3. small chip fracture of the 12th rib on the left side. discharge medications: 1. dilantin 100 mg p.o. t.i.d. x 3 days. 2. percocet 1-2 tablets p.o. q. 4-6 hours p.r.n. follow up: the patient is to follow up with neurosurgery with dr. in one month. the patient should call for appointment. the patient was asked to schedule a head ct scan, noncontrast, prior to the next appointment with dr. . the patient is to follow up in trauma clinic in two weeks. the patient is to follow up with orthopedics with dr. in two weeks at for further evaluation. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closure of skin and subcutaneous tissue of other sites diagnoses: closed fracture of one rib contusion of lung without mention of open wound into thorax open wound of knee, leg [except thigh], and ankle, without mention of complication closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness other accidental fall from one level to another closed fracture of coracoid process of scapula 

Answer: The patient is high likely exposed to