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: right femoral percutaneous placement of inferior vena cava filter open reduction and internal fixation of left acetabular fracture via lateral ilioinguinal window plus stoppa window left video-assisted thoracoscopic surgery and evacuation of hemothorax. history of present illness: 72 yo male s/p motor vehicle crash, he was hit on drivers side at high rate of speed, +loc, restrained, sustaining multiple left rib fractures, complex pelvic fractures including left acetabulum, bilateral inf rami and left sup rami fractures. he also sustained a small pneumothorax on the l, noted on ct, that was not treated with a chest tube at the time of arrival. past medical history: s/p app'y s/p back surgery family history: nonconttributory physical exam: physical exam: temp (f): 98 heart rate: 82 blood pressure: 108/60 resp rate: 16 o2 sat(%): 100 room air/o2: 15l ft (prior 96% on 4l nc) ht (in): wt (lb): general all findings normal wn/wd wd nad aao abnormal findings: heent all findings normal nc/at eomi perrl/a anicteric op/np mucosa normal tongue midline palate, upper symmetric trachea midline neck supple/nt/without mass thyroid normal size/contour abnormal findings: respiratory all findings normal clear to auscultation and percussion excursion normal no fremitus no egophony no spine/costovertebral angle tenderness abnormal findings: ecchymosis l flank and chest. ttp, more anteriorly. dull to percussion l base with absent breath sounds. cardiovascular all findings normal rrr no m/r/g no jvd normal peripheral pulses pmi normal no edema no abdominal bruit no carotid bruit abnormal findings: gi all findings normal soft nt nd no mass/hsm no hernia abnormal findings: skin all findings normal no rashes/lesions/ulcers no induration/nodules/tightening abnormal findings: gu all findings normal normal external genitalia normal pelvic/testicular exam normal dre abnormal findings: scrotal edema and ecchymosis neuro all findings normal strength intact/symmetric sensation intact/symmetric reflexes normal no facial asymmetry cognition intact cranial nerves intact abnormal findings: lymph nodes all findings normal cervical normal supraclav normal axillary normal inguinal normal abnormal findings: ms all findings normal no clubbing no cyanosis no edema gait normal no tenderness normal tone/alignment/rom normal palpation normal nails abnormal findings: psychiatric all findings normal normal judgement/insight normal memory normal mood/affect abnormal findings pertinent results: 09:30pm glucose-159* urea n-23* creat-0.8 sodium-142 potassium-3.9 chloride-106 total co2-25 anion gap-15 09:30pm ck(cpk)-535* 09:30pm ck-mb-12* mb indx-2.2 ctropnt-<0.01 09:30pm wbc-15.3*# rbc-4.03* hgb-13.2* hct-39.1* mcv-97 mch-32.8* mchc-33.9 rdw-13.5 09:30pm plt count-181 04:20pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 04:20pm pt-11.7 ptt-24.1 inr(pt)-1.0 04:20pm plt count-230 04:20pm fibrinoge-436* , m 72 cardiology report ecg study date of 4:37:16 pm normal sinus rhythm. rsr' pattern in leads v1-v2. non-specific st-t wave abnormalities. no previous tracing available for comparison. read by: , intervals axes rate pr qrs qt/qtc p qrs t 75 158 92 370/396 73 80 63 () , m 72 radiology report ct head w/o contrast study date of 4:39 pm findings: there is no intra- or extra-axial hemorrhage, masses, mass effect or shift of normally midline structures. the ventricles and sulci are mildly prominent appropriate for age-associated involutionary changes. there are no acute major vascular territorial infarcts. the osseous and soft tissue structures are unremarkable. minimal anterior ethmoidal mucosal thickening is noted. the partially visualized right maxillary sinus is completely opacified. impression: no acute intracranial process. radiology report ct c-spine w/o contrast study date of 4:39 pm findings: there are no acute fractures or alignment abnormalities of the cervical spine. there is a non-displaces hairline fracture of the left second posterolateral rib. there is multilevel degenerative disease with exaggerated kyphosis and grade 1 retrolistheses of c4 on c5 and c5 on c6. there is moderate central canal narrowing with a posterior disc osteophyte complex causing mild thecal sac indentation at c4-c5 and to a lesser degree, at c5-c6 level. there is severe left neural foraminal narrowing at c2-c3, c3-c4, and c4- c5 levels. there is no pre- or paravertebral soft tissue abnormality. incidental deformity of the left thyroid laminar cartilage is noted. there is moderate left apical pleural thickening without appreciable pneumothorax, which was seen on the concurrently obtained ct torso. the right maxillary sinus is completely opacified. the left maxillary sinus is excluded from the field of view. impression: 1. nondisplaced second left posterolateral rib fracture. 2. no acute fractures or alignment abnormalities of the cervical spine. 3. severe degenerative disease with significant central canal narrowing causing thecal sac indentation at c4-c5 and severe left neural foraminal narrowing at c2-c3, c3-c4, c4-c5. radiology report ct chest w/contrast study date of 4:40 pm ct of the chest with intravenous contrast: there is no axillary or mediastinal adenopathy. there is no mediastinal hemorrhage. the aortic contour is well defined without aneurysm or dissection. the heart and the great vessels are unremarkable, without pericardial effusion. the coronary arteries are well opacified with moderate amount of left anterior descending artery calcification. there is a calcified right hilar lymph node. lung windows demonstrate a small loculated pneumothorax at the superomedial aspect of the left lung with two smaller pockets of loculated air in the lateral and paravertebral aspects of the lul and lll respectively. additionally there is lll focal consolidation in subpleural aspects, part of which could be atelectasis, however, in the setting of multiple rib fractures, pulmonary contusion cannot be excluded. there is minimal atelectasis at the right lung base. there is no pleural effusion. the tracheobronchial tree is patent to the subsegmental level. minimal ground-glass opacity at the left lower lobe (2:35) could reflect focal pneumonitis. there is mild lingular scarring. ct of the abdomen with intravenous contrast: there is no intraperitoneal free fluid or free air. there is no evidence of traumatic injury to the solid visceral organs. mild periportal edema is noted. otherwise the liver, gallbladder, kidneys, adrenals, spleen, stomach, and intra-abdominal bowel loops are within normal limits. there is no mesenteric or retroperitoneal adenopathy. ct of the pelvis with intravenous contrast: the rectum, sigmoid colon, urinary bladder, intrapelvic bowel loops are unremarkable. there is trace amount of pelvic free fluid. no pelvic or inguinal adenopathy. osseous structures: there are multiple segmental left-sided rib fractures. the left second to eleventh ribs demonstrate posterolateral fractures with additonal fractures in, at least, the fifth to ninth ribs, anterolaterally. there is a markedly comminuted left acetabular fracture involving both the anterior and posterior columns with extension into the intervening quadrilateral plate. it is markedly distracted with approximately 1.6 cm of distraction of the fractured anterior column. left posterior and right mid inferior pubic rami demonstrate minimally displaced fractures with extension of the left sided inferior ramus fracture into the ischium. there is also a right superior ramus and a comminuted left superior ramus fracture without diastasis of the symphysis. the remainder of bilateral iliac bones are intact. the sacral ala and the sacral arcuate lines are intact. impression: 1. multiple left-sided rib fractures, with small multiloculated left pneumothorax and lll subpleural opacity, could reflect pulmonary contusion in this setting. 2. multiple pelvic fractures and communited left acetabular fracture, as described above. trace amount of pelvic free fluid. 3. no other solid organ injury. echocardiography report age (years): 72 m hgt (in): 75 bp (mm hg): 126/68 wgt (lb): 185 hr (bpm): 54 bsa (m2): 2.12 m2 indication: left ventricular function. right ventricular function. icd-9 codes: 424.0 test information date/time: at 15:09 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: west ccu contrast: none tech quality: suboptimal tape #: 2008w000-0:00 machine: vivid i-3 echocardiographic measurements results measurements normal range left atrium - four chamber length: 4.9 cm <= 5.2 cm right atrium - four chamber length: 4.2 cm <= 5.0 cm left ventricle - ejection fraction: >= 70% >= 55% mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 1.0 m/sec mitral valve - e/a ratio: 0.80 findings no parasternal views available. patient in severe pain. scanned supine. left atrium: normal la and ra cavity sizes. left ventricle: normal lv wall thickness, cavity size, and global systolic function (lvef>55%). suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. right ventricle: normal rv chamber size and free wall motion. aortic valve: aortic valve not well seen. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: tricuspid valve not well visualized. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor echo windows. left pleural effusion. conclusions the left atrium and right atrium are normal in cavity size. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic valve is not well seen. no definite aortic regurgitation is seen. the mitral valve appears grossly normal with trivial mitral regurgitation. there is no pericardial effusion. impression: suboptimal image quality. overall normal cavity sizes with excellent biventricular systolic function. no definite valvular pathology identified (suboptimal views). brief hospital course: he was admitted to the trauma service. orthopedics was consulted urgently due to his multiple fractures. he was taken to the operating room on for repair of his injuries and placement of an ivc filter because of high for pulmonary embolus because of the long bone fractures. there were no intraoperative complications. the pain service was also consulted for epidural catheter placement for managing his multiple rib fractures; the catheter was placed without any complications. he also underwent an echo and his ck-mb and troponin were cycled and were negative. he remained in the trauma icu for several days and was the transferred to the regular nursing unit. thoracic surgery was consulted given the left hemothorax, he was taken to the operating room on for a vats procedure. there were no complications. his left chest tube remained in place for several days following this and was eventually removed. pain control was ongoing throughout his hospital stay. once the epidural was removed he was placed on long acting narcotics with shorter acting ones for breakthrough pain. neurontin was also added to his pain regimen. an aggressive bowel routine was initiated. physical therapy was also consulted and have recommended acute rehab after hospital stay. : chest tube removed and cxr post pull was good with no pneumothorax. pt. was discharged to rehab. medications on admission: denies discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 3. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours). 5. gabapentin 300 mg capsule sig: one (1) capsule po q8h (every 8 hours). 6. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 7. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain. 8. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 10. bisacodyl 10 mg suppository sig: one (1) supp rectal daily (daily) as needed for constipation. 11. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 5 days. disp:*20 capsule(s)* refills:*0* 12. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). disp:*3 tablet(s)* refills:*2* discharge disposition: extended care facility: rehab discharge diagnosis: s/p motor vehicle crash injuries: multiple left rib fractures (), some segmental very small left pneumothorax comminuted left acetabular fracture left sacral ala fracture right superior and inferior rami fractures left inferior ramus fracture discharge condition: good discharge instructions: keep dressing on left chest from chest tube site in place until monday . you may shower on monday . after shower remove dressing. if there is clear draininage you may place a dry bandange, otherwise leave open to air. followup instructions: follow up in 2 weeks with dr. , trauma surgery, call for an appointment. follow up in clinic in 2 weeks, call for an appointment. follow up in clinic in 2 weeks, call for an appointment. procedure: interruption of the vena cava transfusion of packed cells open reduction of fracture with internal fixation, other specified bone umbilical vein catheterization internal fixation of bone without fracture reduction, femur thoracoscopic drainage of pleural cavity diagnoses: pulmonary collapse traumatic pneumohemothorax without mention of open wound into thorax other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of multiple ribs, unspecified closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis closed fracture of acetabulum abrasion or friction burn of other, multiple, and unspecified sites, without mention of infection 

Answer: The patient is high likely exposed to