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: none history of present illness: mr. is an 80 yo r handed man with a pmh significant for htn, copd and cad s/p multiple coronary stents. he is maintained at baseline on plavix and baby asa. he was in his usoh until about 6:30pm on the evening of . at that time he was working in his garden, watering his flowers. he then believes that he tripped and began to fall down an adjacent or embankment and rolled down feet. he does think that he was dazed as a result of the injury but does not belive he had loc. his wife was able to see him, but could not go to him as she is wheelchair bound. he last remembers watering flowers and next remembers his daughter taking him to a nearby hospital in . there, he was noted to have multiple areas of trauma, all on his right side including a small r pulmonary contusion, a possible liver lacertaion and an expanding bleed in his abdominal wall. he was transferred to where he has been hemodynamically stable. past medical history: pmh: copd, cad with 5 stents, essential tremor psh: lumbar disc surgery, appendectomy (open), cardiac stent x5 social history: 3 ppd x 20 years; quit 20 years ago; occ etoh family history: nc physical exam: in trauma bay: t afeb bp 120/57 hr 59 r 17 sat 94% general: in hard collar. ecchymosis around right eye. nad r periorbital ecchymosis, r eyebrow abrasion rrr cta b tenderness in ruq/r flank, bulging + lumbar tenderness, r wrist ecchymosis mental status examination: oriented to hospital, . oriented to . fluent and prosodic speech. repetition intact. follows three step commands briskly. does 20 to 1 in 8 seconds. registers 3 objects immediately and recalls 5 min and the third with minimal cueing. no neglect. cranial nerves: peerl 2->1.5mm, vff. eom full. v1-v3 intact to pp, lt and temp. face symmetric. tongue and palate midline. no dysarthria or dysphonia. motor examination: no cogwheeling or tremor. finger and toe tapping symmetric. no pronator drift. in all extremities with the exception of right arm which is limited by pain. coordination: fnf without dysmetria. reflexes: 1+ and symmetric with downgoing toes. pertinent results: ct c-spine : 1. no fracture or acute alignment abnormality. 2. extensive degenerative changes, as outlined above, with most marked right neural foraminal narrowing at c3-4 and c4-5. however, these may predispose the patient to spinal cord injury in the setting of trauma, and mr could be obtained as clinically indicated. 3. emphysema, limited imaging. 4. status post thyroidectomy; correlate clinically. ct chest : 1. peripheral opacity in the right upper lobe, most likely scarring from prior infection though neoplasm is not excluded. in addition, multiple pulmonary nodules as detailed above for which outpatient followup with chest ct in 3 months unless stability from prior imaging can be shown. 2. extensive upper lobe predominant centrilobular and paraseptal emphysema. 3. known right abdominal wall hematoma is more fully characterized on concurrent ct of the abdomen and pelvis. ct ap : 1. large right lateral abdominal wall hematoma with internal active extravasation of contrast. 2. small peripherally located right hepatic lobe low attenuation which courses along the normal diaphragmatic muscular slip is normal and not a laceration. 3. 1.9 cm hemangioma within segment v of the liver. 4. cholelithiasis. 5. prostatic enlargement. trauma ap & pelvis xray : right upper lobe lung lesion (better defined on concurrent torso ct), neoplasm until proved otherwise. suggest followup chest ct in no xray r wrist 4 views : no fracture or dislocation. degenerative changes are noted involving the first cmc joint. there are no soft tissue calcifications or radiopaque foreign bodies. there is soft tissue swelling involving the radial aspect of the wrist. ct head : no interval change in small right subarachnoid hemorrhage, without evidence of new hemorrhage, compressive lesion or shift of normally midline structures. r shoulder and r hand xray : views of the right shoulder show no definite fracture or dislocation, though they are technically sub-optimal. no fracture of hand or wrist. f/u cxr : comparison is made to prior study and 17. cardiac size is normal. bibasilar opacities have minimally improved; still they could correspond to aspiration, less likely atelectasis or contusions. there are no new lung abnormalities, pneumothorax, or pleural effusions. 01:30am wbc-11.2* rbc-4.20* hgb-12.7* hct-41.5 mcv-99* mch-30.1 mchc-30.5* rdw-13.9 02:10am urine color-straw appear-clear sp -1.048* 04:31am hct-31.6* 07:50am hct-30.2* 12:26pm hct-31.7* 04:40pm hct-29.1* 08:42pm hct-27.4* brief hospital course: mr. was admitted to the acute care surgery service after sustaining a fall down a , which resulted in r periorbital ecchymosis, r pulm contusion, and r flank hematoma, noted to have active extravasation. because of the active extavasation seen, he was admitted to the trauma sicu for observation. he was transferred to the floor as his respiratory status improved and diet was advanced as tolerated. the rest of his hospital course is summarized below by system. neurologic: pt remained awake and alert, with normal mental status. repeat head ct showed stable sah and so no further repeat cts were deemed necessary. neurosurgical consultation was obtained who recommended keppra for seizure prophylaxis for one week. he received dilaudid prn for pain and was transitioned to po meds when appropriate. pt. will follow up in neurosurgery clinic with a follow up non-contrast head ct in one month. cardiovascular: mr. was followed with serial hematocrits and was bolused prn for tachycardia and mild hypotension. his hematocrit slowly drifted down and finally reached it's nadir at 26.7. since then, it has been progressively rising. serial hcts 41.5-31.6-30.2-31.7-29.1-27.4-26.8-26.7-27.3-30.3-28.9-30.4-31.4 he did develop some gross hematuria with clots. urology was curbsided and thought this was likely due to traumatic foley placement on asa and plavix and so the patient was monitored with resolution of hematuria by the end of the hospital stay. he did not require any blood transfusions. of note, his aspirin was restarted, however, as his stents are older than one year, it was thought best not to restart his plavix. pulmonary: h/o copd; albuterol nebs prn. pt remained in the icu over the few days after his fall secondary to desaturation when shovel mask removed. he ultimately improved with lasix diuresis and was able to be transferred to the floor. gastrointestinal/abdomen: his r abdominal wall hematoma was noted to have expanded some since admission, but eventually became stable. nutrition: was advanced to regular diet when appropriate. renal: he developed some gross hematuria with clots. urology was curbsided and thought this was likely due to traumatic foley placement on asa and plavix and so the patient was monitored with resolution of hematuria by the end of the hospital stay. his foley was removed and he was able to void. id: no infectious problems during this hospitalization. pt: pt was seen by physical therapy who recommended discharge to rehab for further physical therapy, but was optimistic about his rehabilitative prognosis. medications on admission: asa, plavix. lipitor, propanolol, imuran, amiodorone, levothyroxine discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 2. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 days. 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 4. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 5. levothyroxine 50 mcg tablet sig: three (3) tablet po daily (daily). 6. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 11. oxycodone 5 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. discharge disposition: extended care facility: discharge diagnosis: s/p fall right temporal lobe subarachnoid hemorrhage right flank hematoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: do not resume your plavix; you will instead be started on a baby aspirin. you were admitted to the hospital following a fall where you sustained a small bleeding injury to your brain and bleeding beneath the skin called a hmatoma, over your right flank region. your injuries did not require any operations; you were monitored closley and have remained stable. yo uare being recommeded for rehab after your hospital stay. followup instructions: follow up in clinic in weeks, call fo an appointment. follow up in 4 weeks for a non contrast ct scan of the brain in the clinic with dr. ; call for an appointment. procedure: arterial catheterization insertion of indwelling urinary catheter diagnoses: unspecified essential hypertension chronic airway obstruction, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status hypotension, unspecified calculus of gallbladder without mention of cholecystitis, without mention of obstruction gross hematuria abrasion or friction burn of face, neck, and scalp except eye, without mention of infection urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure precipitous drop in hematocrit contusion of lung without mention of open wound into thorax subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration other accidental fall from one level to another black eye, not otherwise specified contusion of abdominal wall 

Answer: The patient is high likely exposed to