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 fall major surgical or invasive procedure: chest tube placment on right orif, right intertrochanteric hip fracture with im nail pleurodesis on right bedside swallow evaluation history of present illness: 88 year-old who presents after a fall from standing. per report she was standing and fell, hitting her head and right hip. the patient has an unknown complete medical history but is known to be on plavix and to have a pace maker. she was taken to hospital and transferred to after a subarachnoid hemorrhage was noted in the right frontal lobe and a right femoral neck fracture was identified. of note, between the outside hospital and admission, the hematocrit dropped from 41-29. she received 2 units of ffp. ptt was elevated for unclear reasons to over 100. past medical history: asthma/emphysema, cad s/p multiple mi's & pci's, dementia, copd, af, pacemaker, l-spine compression fx, pelvic fx (7-8yrs ago) family history: noncontributory physical exam: upon admission: o: t: 96.9 bp: 95/48 hr: 84 r 12 o2sats 100% gen: in pain from hip fracture heent: pupils: 2-1 mm, equal eoms grossly intact extrem: warm and well-perfused. neuro: mental status: arosuable, deaf, difficult to examine cranial nerves: ii: pupils equally round and reactive to light, 2 to mm 1 bilaterally. . iii, iv, vi: extraocular movements intact bilaterally v, vii: face symmetric. viii: patient is deaf, without hearing aides. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. moves all 4 extremities spontaneously. sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b t right 2+ 2+ left 2+ 2+ toes upgoing bilaterally pertinent results: 11:23pm hct-26.8* 09:03pm urea n-14 creat-0.9 09:03pm amylase-74 09:03pm ctropnt-<0.01 09:03pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:03pm wbc-13.9* rbc-3.13* hgb-10.0* hct-29.9* mcv-96 mch-32.1* mchc-33.5 rdw-14.3 09:03pm plt count-256 09:03pm pt-13.9* ptt-25.7 inr(pt)-1.2* non-contrast ct head: the right frontal lobe demonstrates a focus of hyperintensity that is stable since hours ago measuring 3.8 x 2.5 cm. there is stable appearance of subarachnoid hemorrhage into the interhemispheric fissure with associated mild 7-mm left-to-right midline shift. there are areas of hyperdensity scattered within the right occipital lobe consistent with subarachnoid hemorrhage, unchanged. moderate bifrontal edema, right greater than left is unchanged. an area of hypodensity along the right temporal/occipital lobe likely represents a late subacute infarct, unchanged. impression: 1. stable appearance of right-sided frontal intraparenchymal hemorrhage as well as foci of subarachnoid hemorrhage. 2. no evidence of increased mass effect or hydrocephalus. 3. hypodense area along the right temporooccipital lobe likely represents a late subacute infarct and appears unchanged since hours ago. ct chest: the right lung demonstrates a large pleural effusion. there are scattered foci of increased density in the lung with a 1.2 x 1.3 cm lesion with spiculated margins in the right upper lobe (2:33). there is extensive paraseptal and centrilobular emphysema in both lungs. the left lung is otherwise grossly unremarkable without evidence of effusion, except to note several sub-4-mm nodules which should be followed in the left lower lobe (2:23, 24). the aorta is of normal course and caliber throughout, with extensive calcifications noted. there is moderate-to- severe coronary atherosclerosis, most severe in the left anterior descending artery. a right subclavian catheter terminates in the right atrium. a dual- lead intraventricular pacemaker is noted with its leads overlying the right ventricle and right atrium. there is no evidence of pericardial effusion. ct abdomen with iv contrast: the liver demonstrates marked intra- and extra- hepatic biliary dilatation, with the cbd measuring up to 12mm. the pancreatic duct is also dilated diffusely, measuring up to 5-6 mm. the remainder of the pancreas and adrenals appear unremarkable. the kidneys demonstrate scattered sub-6-mm hypodensities that likely represent simple cysts, although are too small to be characterized. the spleen demonstrates a sub-3-cm fluid collection (approximately 46 hounsfield units) that may represent a perisplenic hematoma or adjacent focal fluid. no splenic laceration noted. the intra- abdominal loops of large and small bowel are grossly unremarkable without evidence of free fluid, free air, or pneumatosis. ct pelvis: the rectum, uterus and adnexa are grossly unremarkable except to note calcifications in the uterus which may represent calcified fibroids. there is extensive sigmoid diverticulosis without evidence of diverticulitis. the lower ureters are grossly unremarkable. there is ectasia and focal aneurysm at the bifurcation of the common iliac arteries (2:81). bone windows demonstrate a right intertrochanteric fracture with valgus angulation. there is a compression fracture with near-complete height loss at l1 of unknown chronicity. there are no suspicious lytic or blastic lesions, although there are moderate-to-severe degenerative changes noted throughout the thoracolumbar spine. no rib fractures noted. impression: 1. large right pleural effusion. 2. extensive emphysematous changes with a 1.3-cm spiculated lesion within the right lung which is suspicious for a neoplasm. dedicated chest ct when the patient is clinically stable is recommended for further evaluation. 3. marked dilation of the intra- and extra-hepatic biliary ducts and common bile duct as well as pancreatic duct. no pancreatic head mass identified. comparison with outside previous studies is recommended. if these studies are not available, then mrcp is recommended when the patient is clinically stable. 4. right comminuted intertrochanteric fracture with valgus angulation. 5. l1 compression fracture of unknown chronicity. 6. ectasia of the bilateral common iliac arteries. 7. extensive emphysema. 8. small perisplenic, mildly complex fluid collection. echo report results measurements normal range left atrium - long axis dimension: 3.6 cm <= 4.0 cm left atrium - four chamber length: *6.7 cm <= 5.2 cm right atrium - four chamber length: *5.9 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.1 cm <= 5.6 cm left ventricle - ejection fraction: 45% >= 55% aorta - sinus level: 2.9 cm <= 3.6 cm aorta - ascending: 3.2 cm <= 3.4 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm aortic valve - peak velocity: 1.4 m/sec <= 2.0 m/sec mitral valve - e wave: 1.0 m/sec mitral valve - e wave deceleration time: 168 ms 140-250 ms mitral valve - : 0.20 cm2 mitral valve - regurgitation volume: 30 ml tr gradient (+ ra = pasp): *42 mm hg <= 25 mm hg pulmonic valve - peak velocity: 1.1 m/sec <= 1.5 m/sec findings left atrium: elongated la. no la mass/thrombus (best excluded by tee). right atrium/interatrial septum: mildly dilated ra. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. normal ivc diameter (<2.1cm) with >55% decrease during respiration (estimated ra pressure (0-5mmhg). left ventricle: normal lv wall thickness and cavity size. mild regional lv systolic dysfunction. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal diameter of aorta at the sinus, ascending and arch levels. normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. no 2d or doppler evidence of distal arch coarctation. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. calcified tips of papillary muscles. eccentric mr jet. moderate (2+) mr. tricuspid valve: normal tricuspid valve leaflets. moderate tr. moderate pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. no ps. pericardium: no pericardial effusion. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions the left atrium is elongated. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with mid to apical inferior and mid inferolateral hypokinesis. the remaining segments contract normally (lvef = 45 %). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. an eccentric, posteriorly directed jet of moderate (2+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal left ventricular cavity size with regional systolic dysfunction consistent with coronary artery disease. moderate pulmonary arterial hypertension. moderate mitral regurgitation. moderate tricuspid regurgitation. mild aortic regurgitation clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. brief hospital course: she was admitted to the trauma service. neurosurgery, orthopedics and thoracic were consulted. she was taken to the operating room on orif, right intertrochanteric hip fracture with intramedullary nail. her intraparenchymal hemorrhage and subarachnoid hemorrhage were managed non operatively; she was loaded with dilantin and will need to remain on this until follow up in 4 weeks with dr. , neurosurgery. there have been no seizure activity noted. thoracic surgery was consulted for rul nodule and right transudative pleural effusion. a chest tube had already been placed at the time of presentation, with 800 cc of serosanguinous fluid immediately returned. this fluid was sent for analysis, revealing a transudative effusion. cytology was negative for malignant cells. doxycycline pleurodesis was performed on and was successful; her ct was pulled on . cardiology was consulted for episodes of atrial fibrillation; she was started on iv lopressor and was later changed to oral with adequate rate control. her lasix was restarted. geriatrics was consulted given her age, co morbidities and mechanism of injury. several recommendations were made pertaining to her medications. a speech and swallow evaluation was done at bedside; her diet was advanced to ground solids with thin liquids; aspiration precautions should be observed. she was evaluated by physical therapy and it was recommended that she go to rehab following her acute hospital stay. medications on admission: plavix 75', protonix 40', lipitor 40', lisinopril 5', lasix 20', asa, combivent, nasacort discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day). 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml's po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours). 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for hr <60; sbp <110. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 7. phenytoin 125 mg/5 ml suspension sig: one (1) po q12h (every 12 hours) for 4 weeks. 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 10. lasix 20 mg tablet sig: one (1) tablet po once a day. 11. ultram 50 mg tablet sig: tablet po every 6-8 hours as needed for pain. 12. combivent 18-103 mcg/actuation aerosol sig: two (2) puffs inhalation twice a day. discharge disposition: extended care facility: ledgewood discharge diagnosis: s/p fall right subarachnoid hemorrhage right pulmonary contusion/right pleural effusion right hip fracture discharge condition: hemodynamically stable; pain adequately controlled; tolerating an oral diet discharge instructions: continue with the dilantin until follow up with dr. , neurosurgery in 4 weeks. followup instructions: follow up in 2 weeks with dr. , orthopedics. call for an appointment. follow up in 2 weeks with thoracic surgery, call for an appointment. follow up in 4 weeks with dr. , trauma surgery. call for an appointment. follow up in 4 weeks with dr. , neurosurgery, call for an appointment. inform the office that you will need a repeat head ct scan for this appointment. procedure: insertion of intercostal catheter for drainage open reduction of fracture with internal fixation, femur injection into thoracic cavity transfusion of packed cells transfusion of other serum diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders unspecified pleural effusion atrial fibrillation other chronic pulmonary heart diseases percutaneous transluminal coronary angioplasty status other persistent mental disorders due to conditions classified elsewhere constipation, unspecified other specified cardiac dysrhythmias old myocardial infarction cardiac pacemaker in situ other diseases of lung, not elsewhere classified chronic obstructive asthma, unspecified diseases of tricuspid valve home accidents closed fracture of unspecified part of neck of femur other fall subarachnoid hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness long-term (current) use of antiplatelet/antithrombotic 

Answer: The patient is high likely exposed to