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: no known allergies / adverse drug reactions attending: chief complaint: mva major surgical or invasive procedure: : placement of right external ventricular drain history of present illness: mr. (eu crit ) is a 79 yo m with h/o cad s/p cabg, htn, hl who presents after mvc with ivh.the patient was driving and apparently hit a telephone pole. he remembers driving but cannot remember any events leading up to the crash, or any abnormal symptoms. he was brought to osh ed where head ct showed ivh. he was transferred to where he was hypertensive on arrival sbp>200. in the ed he received labetalol and phenytoin. trauma was consulted. r wrist had laceration, irrigated and will be monitored only by plastics. fast showed a question of luq cyst, so ct abdomen was done. neurosurgery was consulted for ivh. the patient is currently denying headache, n/v, vision changes,numbness, weakness or tingling. past medical history: cad s/p cabg x 4 ~10yrs ago htn hl ?copd hernia repair social history: lives with wife who has . h/o tobacco use. family history: nc physical exam: physical exam: gen: nad heent: xanthelasma on face, sclera anicteric cv: rrr, no m/r/g pulm: ctab ab: nt/nd ext: well perfused neuro: alert and oriented x 3. able to recite days of week backward easily. language intact for naming, comprehension, no dysarthria. no neglect. cn i- not tested ii- perrl 4 to 3mm iii, iv, vi- eomi without nystagmus v- facial sensation intact to light touch vii- facial musculature full strength and symmetric ix, x, - palate elevates symmetrically, tongue protrudes in midline motor- 5/5 strength at bilateral delt, , tri, finger ext/flexors, ip, ham, quad, ta and gastroc. upward drift on pronator drift on l. sensation- intact to light touch and joint position sense dtr: 2+ at , brachiorad, tri. 0 at patella, achilles. toes downgoing, no clonus. coordination: intact fnf discharge: gen: pleasant, awake, nad heent: incision intact with nylon suture, eyes clear neck: supple, no thyromegaly cv; rr, s1 s2 nl, no murmurs pulm: ctab, no w/c/r abd: obese, but soft, + bs, incision with steri, mild ecchymosis ext: right hand with wrap, no c/c/e neuro: aaox3, perrl, left droop at nasolabial fold, perrl, eom intact, strength intact throughout, sensory intact throughout, coordination intact, gait not tested pertinent results: cta head and neck: intraventricular hemorrhage and ? small left tentorial subdural hemorrhage. cta head and neck: preliminary read 3d recons pending. occlusion of the r ica.dimminutive flow in the right aca and mca; could be collaterals. no flow in the v1 right vertebral, dimminutive flow in right v2. cannot determine chronicty - no prior or history to compare. labs: plt 183 inr 1.0 wbc 9.2 h/h 17.6/52.0 ct head - overall stable extent of intraventricular hemorrhage and probable concurrent subdural hemorrhage along the tentorium cerebelli. stable ventricular size. no new hemorrhage chest ct - 1. no acute rib fracture. 2. 6-cm mass-like lesion along the right basilar lateral region, with heterogeneous attenuation, not acute hematoma, could be neoplasm or unusual rounded atelectasis. 3. heterogeneous collection medial to the right middle lobe, could represent an old hematoma or postinfectious phlegmon. recommend correlation with prior history of trauma. 4. moderate volume loss of right hemithorax with pleural thickening, of uncertain chronicity and etiology. 5. status post cabg, with significant coronary artery calcifications involving all three vessels. 6. simple cholelithiasis without acute cholecystitis. ct head - 1. interval development of hydrocephalus. 2. stable appearance of intracranial hemorrhage with interval redistribution of clot ct head - 1. unchanged hydrocephalus with intraventricular hemorrhage. new right frontal approach ventriculostomy catheter. 2. small subarachnoid hemorrhage in the right parietal lobe ct head - 1. unchanged hydrocephalus with intraventricular hemorrhage. new right frontal approach ventriculostomy catheter. 2. small subarachnoid hemorrhage in the right parietal lobe ct head - mildly decreased ventriculomegaly. see details above. the tip of the catheter is in the septum pellucidum close to the left foramen of , unchanged ct head - status post removal of ventricular drain with interval mild prominence of the ventricles compared to most recent ct head. an interval increase in amount of free air in the right frontal and temporal of the ventricle. similar focus of subarachnoid hemorrhage along the right occipital and pariteal gyri. similar intraventricular hemorrhage. ct head - resolving intraventricular hemorrhage and nearly resolved right subarachnoid hemorrhage. persistent air in the right lateral ventricle status post removal of ventriculostomy catheter. ct head - 1. the new right frontal approach intraventricular catheter terminates in the left frontal . minimal decrease in the size of the lateral ventricles. 2. minimal new blood adjacent to the catheter tip. 3. unchanged residual blood in the right lateral ventricle atrium and in few right parietal sulci kub - distended loops of large and small bowel gas-filled in keeping with ileus. brief hospital course: mr. was admitted to neurosurgery service after an ivh caused an mva. cta ruled out aneurysm. ct chest was done for rib pain and this showed multiple lung abnormalities. the family was informed and they agreed. on , patient was seen to be neuro intact. on , in am rounds, he was seen to move all extremities, but non verbal with no eye opening, no commands. a stat head ct revealed hydrocephalus and an abg showed no co2 retention. he was then transferred to the icu and an evd was placed and leveled at 10. on , a repeat head ct shows decreased ivh, but ventricles were still plump. evd at 10 with low icp pressures. his exam was improved, he was a&ox3 and full strength throughout, but still somewhat lethargic. he remained int he icu for neuro monitoring. on , patient reported nausea, he was seen to be more lethargic and confused, a repeat head ct was done which showed slight 1mm increase in 3rd ventreicle. on his mental status improved and his evd was raised to 20. his aspirin and sqh were started. his icp's remained low and his evd was clamped on the morning on . ct in the afternoon showed no increase in ventricular size. the drain remained clamped. pulmonology saw the patient for his newly discovered lung lesions and they recommended a pet ct and ct guided fna with outpatient clinic follow up. overnight, patient's evd became disconnected. exam was unchanged and the drain was reconnected sterily. on , patient was alert and oriented x3, follows all commands and full strength. his evd remained clamped overnight and patient's exam remained intact. his evd was removed and he was transferred to step down. pt consult was placed. over the weekend, patient was seen to have drainage from evd site. a dressing was placed and was saturated on sunday morning. a repeat head ct showed increase in ventricle size. on , patient exam worsened, he was more lethargic and difficult to arouse. he was taken to the or for vp shunt placement. in or, opening pressure was observed to be 38. shunt was placed with the assistance of general surgery and no complication were observed. post operatively, patient was more alert and ansering questions appropriately. head ct was stable and he was transferred to the floor. on , patient was stable, pt was consulted and he was being screened for rehab. patient developed illeus which was confirmed on kub. he was made npo and an agressive bowel regimen was initiated. on he had four bowel movements. he was hypertensive to a systolic blood pressure in the 190's and norvasc was added. medications on admission: lipitor dose unknown bp meds unknown spiriva advair asa 81 mg discharge medications: 1. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: disk with devices inhalation (2 times a day). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. docusate sodium 50 mg/5 ml liquid sig: two (2) po bid (2 times a day). 6. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. labetalol 100 mg tablet sig: one (1) tablet po tid (3 times a day). 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for oral thrush. 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 12. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day) as needed for constipation. 13. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 14. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 15. megestrol 40 mg tablet sig: one (1) tablet po qid (4 times a day). 16. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 17. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: inhalation q4h (every 4 hours) as needed for wheeze/sob. discharge disposition: extended care facility: hospital discharge diagnosis: intraventricular hemorrhage hydrocephalus subarachnoid hemorrhage dysphagia type ii atrioventricular block- wenckebach right lower lobe mass ileus incontinence hypertension oral thrush discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). activity status: out of bed with assistance to chair or wheelchair. discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. pulmonary follow up: you will need a pet ct of your chest. this will be done in nuclear medicine on thursday at 11:45am. this is located on of the building on the of . a preparation list and directions should be picked up before this appointment. you have an appointment with a pulmonologist: dr. in the pulmonary clinic () on , at 9:00am. you need to arrive at 8:30 for pulmonary function testing. this location is building, , . md procedure: ventricular shunt to abdominal cavity and organs closure of skin and subcutaneous tissue of other sites ventricular shunt to extracranial site nec diagnoses: obstructive hydrocephalus tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified atherosclerosis of native arteries of the extremities with intermittent claudication aortocoronary bypass status candidiasis of mouth intracerebral hemorrhage other persistent mental disorders due to conditions classified elsewhere other and unspecified hyperlipidemia paralytic ileus retention of urine, unspecified malignant neoplasm of lower lobe, bronchus or lung other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle mobitz (type) ii atrioventricular block open wound of hand except finger(s) alone, without mention of complication dysphagia, unspecified 

Answer: The patient is high likely exposed to