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: naproxen attending: chief complaint: s/p fall major surgical or invasive procedure: epidural catheter placement history of present illness: 87yo woman who is a transfer to our emergency department after a fall from standing yesterday. she reports that she was reaching for something on her dresser when she became dizzy (she has meniere's at baseline) and fell onto her left side on the hard floor. she was found to have multiple left sided rib fractures and a pneumothorax at the osh; a small left chest tube was placed prior to transfer. currently she reports left sided chest and back pain, but no sob. denies any loc. past medical history: aortic stenosis, meniere's disease, htn, breast cancer, rheumatoid arthritis, anemia family history: noncontributory physical exam: upon presentation to : gen: a&o, nad heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: soft, nondistended, nontender, no rebound or guarding, normoactive bowel sounds, no palpable masses dre: normal tone, no gross or occult blood ext: no le edema, le warm and well perfused pertinent results: 02:00am glucose-135* urea n-40* creat-0.8 sodium-135 potassium-4.6 chloride-105 total co2-21* anion gap-14 02:00am wbc-9.0 rbc-2.76* hgb-8.9* hct-27.9* mcv-101* mch-32.4* mchc-32.1 rdw-16.0* 02:00am neuts-88.3* lymphs-7.3* monos-3.5 eos-0.6 basos-0.4 02:00am plt count-245 02:00am pt-10.4 ptt-26.3 inr(pt)-1.0 single frontal view of the chest there is no evident pneumothorax. cardiomediastinal contours are unchanged with mild cardiomegaly. left lower lobe opacity, a combination of small left pleural and atelectasis, is grossly unchanged. left perihilar opacities are likely atelectases. multiple left rib fractures are again noted. brief hospital course: she was admitted to the acute care surgery team with left sided rib fractures and left pneumothorax. she was transferred to the trauma icu with a chest tube in place and for close monitoring of her respiratory status. the acute pain service was consult for thoracic epidural placement. once hemodynamically stable she was transferred to the floor where her care was continued. once she arrived to the floor her pain was noted to not be controlled despite the epidural. her dose was increased along with adding standing tylenol, dilaudid and ultram to her regimen. this combination was reported as not being effective and the epidural was removed. her pain regimen was then again adjusted to include prn oxycodone instead of the dilaudid with addition of lidoderm patch. this regimen proved to be more effective. her home medications were restarted and she was able to tolerate a regular diet. she was evaluated by physical therapy and is being recommended for rehab after her acute hospital stay. medications on admission: anastrozole 1 mg po qpm citalopram 10 mg po daily synthroid 50 mcg po daily simvastatin 40 mg po daily lisinopril 40 mg po daily norvasc 5 mg po bid azathioprine 50 mg po bid hydrochlorothiazide 12.5 mg po every third day aspirin 81 mg po daily ambien 5 mg po qhs alendronate 70 mg po once a week on saturday prilosec xr 20 mg po prn magnesium 300 mg po daily cyanocobalamin unknown dose fish oil unknown dose vitamin c unknown dose multivitamin unknown dose preservision unknown dose 1 tab po bid discharge medications: 1. acetaminophen 650 mg po q6h 2. alendronate sodium 70 mg po qsat 3. amlodipine 5 mg po daily hold for sbp<110 4. aspirin 81 mg po daily 5. azathioprine 50 mg po bid 6. bisacodyl 10 mg po/pr daily:prn constipation please administer dose x1 7. citalopram 10 mg po daily 8. heparin 5000 unit sc bid 9. levothyroxine sodium 50 mcg po daily 10. lidocaine 5% patch 1 ptch td daily rib fracuture pain apply to left chest wall 11. lisinopril 40 mg po daily hold for sbp<110 12. omeprazole 20 mg po daily 13. oxycodone (immediate release) 2.5-7.5 mg po q3h:prn pain hold for sedation/rr <12 14. polyethylene glycol 17 g po daily:prn constipation 15. senna 1 tab po bid:prn constipation 16. simvastatin 40 mg po daily 17. tramadol (ultram) 50 mg po qid discharge disposition: extended care facility: senior care - discharge diagnosis: s/p fall injuires: left rib fractures left pneumothorax 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: you were admitted to the hospital after a fall where you sustained rib fractures on the left side of your chest. you also sustained a small area of lung collapse on the left side. you were seen by the physical therapists who are recommending that you go to a rehab facility after you are discharged from the hospital. * your rib fractures can cause severe pain and subsequently cause you to take shallow breaths because of the pain. * you should take your pain medication as directed to stay ahead of the pain otherwise you won't be able to take deep breaths. if the pain medication is too sedating take half the dose and notify your physician. * pneumonia is a complication of rib fractures. in order to decrease your risk you must use your incentive spirometer 4 times every hour while awake. this will help expand the small airways in your lungs and assist in coughing up secretions that pool in the lungs. * you will be more comfortable if you use a cough pillow to hold against your chest and guard your rib cage while coughing and deep breathing. * symptomatic relief with ice packs or heating pads for short periods may ease the pain. * narcotic pain medication can cause constipation therefore you should take a stool softener twice daily and increase your fluid and fiber intake if possible. * do not smoke * if your doctor allows, non steroidal antiinflammatory drugs are very effective in controlling pain ( ie, ibuprofen, motrin, advil, aleve, naprosyn) but they have their own set of side effects so make sure your doctor approves. * return to the emergency room right away for any acute shortness of breath, increased pain or crackling sensation around your ribs ( crepitus ). followup instructions: department: general surgery/ when: tuesday at 2:15 pm with: acute care clinic with dr phone: building: lm bldg () campus: west best parking: garage you will need a chest x-ray prior to this appointment. please go to , clinical center, radiology 30 minutes prior to your appointment. md procedure: insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: anemia, unspecified unspecified essential hypertension unspecified acquired hypothyroidism aortic valve disorders personal history of malignant neoplasm of breast rheumatoid arthritis traumatic pneumothorax without mention of open wound into thorax fall from other slipping, tripping, or stumbling closed fracture of five ribs m?ni?re's disease, unspecified 

Answer: The patient is high likely exposed to