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: trauma: mvc: injuries: l. 2-6th rib fx l. sacral alar fx, l ant column acetabular fx, r sub pubic fx l 5th metacarpal fx r pilon fx major surgical or invasive procedure: orif left 5th mc fx (prs) i+d, ex fix/orif of r pilon fx history of present illness: history of presenting illness this patient is a 63 year old male who complains of leg pain. this patient was the unrestrained driver of a car that was involved in a head-on collision at a high rate of speed. he went to an outside hospital where he was diagnosed with several left-sided rib fractures, a pelvic fracture, and an open tib-fib fracture on the right. apart from pulmonary fibrosis, he is relatively healthy. at the outside hospital, the patient received 2 g of ancef as well as a tetanus shot. timing: sudden onset quality: sharp severity: severe duration: several hours, location: right ankle context/circumstances: see above past medical history: past medical history: pulmonary fibrosis social history: social history: no smoking or drugs family history: nc physical exam: physical examination: hr: 123 bp: 117/78 resp: 22 o(2)sat: 99% normal constitutional: the patient is boarded and collared. heent: extraocular muscles intact with pupils 3-2 mm; there is a scalp hematoma c-spine is nontender chest: he has severe left-sided chest wall tenderness cardiovascular: normal first and second heart sounds abdominal: nontender extr/back: the patient has some mild t-spine tenderness without step-off. upper extremities show no long bone findings. there is a left thigh abrasion. there is a splint on the right lower extremity. distal neurovascular is normal in both legs. neuro: speech fluent and he moves all 4 extremities. rectal sphincter tone normal. psych: normal mood pertinent results: 05:17am blood wbc-7.0 rbc-2.98* hgb-9.2* hct-26.9* mcv-90 mch-30.9 mchc-34.2 rdw-13.4 plt ct-215 04:55am blood wbc-7.9 rbc-2.80* hgb-8.6* hct-25.8* mcv-92 mch-30.5 mchc-33.1 rdw-13.6 plt ct-166 05:17am blood plt ct-215 05:30pm blood fibrino-382 05:17am blood glucose-93 urean-14 creat-1.0 na-137 k-3.7 cl-103 hco3-28 angap-10 04:55am blood glucose-95 urean-12 creat-1.1 na-139 k-4.8 cl-107 hco3-28 angap-9 05:17am blood calcium-8.7 phos-4.2# mg-1.7 05:42pm blood glucose-139* lactate-3.5* na-138 k-3.6 cl-102 05:42pm blood freeca-1.14 : chest x-ray: findings: the lung volumes are low. borderline width of the mediastinum without evidence of pathologic mediastinal contours. no pneumothorax, no pleural effusions. borderline size of the cardiac silhouette. minimal crowding of the parenchymal vessels without safe evidence of parenchymal opacities or overt pulmonary edema. : hand x-ray: impression: acute fracture, comminuted involving the mid-to-distal shaft of the fifth metacarpal. : ct right lower ext: reportimpression: preliminary report1. comminuted intra-articular fracture of the distal tibia, with tibiotalar preliminary reportsubluxation and widening of the medial mortise joint as described. preliminary report2. comminuted fracture of the distal fibular diaphysis, with disruption of preliminary reportthe distal tibiofibular joint. preliminary reportair within the joint, consistent with an open fracture. preliminary reportundisplaced fractures involving the medial cuneiform and base of the second preliminary reportmetatarsal and additional tiny fracture fragment adjacent to the navicular preliminary reportbone. preliminary reportthere appears to be proximal distraction of the navicular ossicle with respect preliminary reportto the medial navicular bone (3:173), which raises suspicion for avulsion of preliminary reportthe posterior tibial tendon. : cat scan of abdomen and pelvis: multiple pelvic fractures, involving bilateral superior and inferior pubic rami, extension to the left anterior acetabular lip, and left sacral alar fracture. associated small pelvic hematoma. 2. multiple left posterior rib fractures, specifically involving left 3-6th ribs with associated small left hemothorax. 3. interstitial pulmonary fibrosis. : right lower ext. fluro: findings: surgical repair via orif of the right ankle is documented in a total number of twelve fluoroscopic images. no radiologist was present at the intervention : bil. lower ext. veins: impression: 1. no dvt in the left lower extremity. 2. limited examination of the right lower extremity demonstrates no dvt up to the level of the left distal sfv, beyond which assessment could not be performed : chest x-ray: impression: 1. bibasal predominant pulmonary fibrosis, better evaluated on recent torso ct dated . 2. small presumed bilateral pleural effusions. brief hospital course: 63 year old gentleman unrestrained driver involved in a mvc. he was transferred from an osh. trauma activation initiated. acs evaluation performed and consultation to orthopedics placed in ed. imaging obtained and patient admitted to tsicu for further management given mechanism of injury, extensive orthopedic injury and need for close pulmonary monitoring. . injuries: l. 2-6th rib fx l. sacral alar fx, l ant column acetabular fx, r sub pubic fx l 5th metacarpal fx r pilon fx . neuro: patient mentated well on admission with no signs of tbi. dilaudid pca analgesia was initiated with good effect and adequate pain control. his pain medication was converted to oral analgesia once he started liquids. . cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. . pulmonary: patient w multiple l rib fx's. of note, patient seen to have significant interstitial lung dz on trauma ct chest. this likely represents a new diagnosis. pain control adequate with respiratory function adequate on admission to tsicu. pulmonary toilet including incentive spirometry and early ambulation were encouraged. the patient was stable from a pulmonary standpoint . gi/gu: on admission, the patient was given iv fluids and maintained npo in anticipation of or with orthopedics. . id: on admission, patient was started on iv cefazolin for open rle fracture. msk: patient w orthopedic injuries as listed above. taken to or by orthopedics for i+d, ex fix/orif of r pilon fx. operative course was stable. . orthopedic surgery completed orif of the right distsal tibia on . he recovered well post-operatively, worked with physical therapy, and will follow up with orthopedic surgery as an outpatient. . plastic surgery was consulted for his hand fracture as listed above. he was taken to the operating room on where he underwent an open reduction and internal fixation of left fifth metacarpal. his operative course was stable. he will follow up with plastic surgery as an outpatient. . prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. . he was transferred to the surgical floor on . his post-operative course has been stable. he has had difficulty voiding after his cathether was removed and was started on flomax. he will be discharged with his catheter in place. his vital signs are stable and he is afebrile. he is tolerating a regular diet. he did receive a laxative today to help promote peristalisis. he was evaulated by physical therapy who made recommended discharge to a rehabiltation facility where he can further regain his strength and mobility. medications on admission: none discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 2. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stools. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 7. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 9. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: hold for increased sedation, resp. rate <10. discharge disposition: extended care facility: discharge diagnosis: trauma: mvc injuries: l. 2-6th rib fx l. sacral alar fx, l ant column acetabular fx, r sub pubic fx l 5th metacarpal fx r pilon fx discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). lue:nwb rle:nwb lle:wbat discharge instructions: you were admitted to the hospital after you were involved in a motor vehicle accident in which you sustained rib fracture, pelvic fracture, and a right open tib/fib fracture which was repair. you also sustained a fracture to the left fifth finger. for this, you were taken to the operating room for repair. your vital signs are stable and you are preparing for dishcarge to a rehabilitation facility where you can further regain your strenght and mobility. followup instructions: department: general surgery/ when: tuesday at 3:00 pm with: acute care clinic building: lm bldg () campus: west best parking: garage please follow up with dr. in 2 weeks. you can schedule this appointment by calling # . you will also need to follow-up with orhtopedics, nurse practitioner, . the telephone number to schedule this appointment is . you will need to have follow-up in 2 weeks. procedure: debridement of open fracture site, tibia and fibula application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, carpals and metacarpals application of external fixator device, ring system diagnoses: obstructive sleep apnea (adult)(pediatric) tobacco use disorder other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle acquired absence of kidney concussion with loss of consciousness of unspecified duration closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis closed fracture of five ribs personal history of contact with and (suspected) exposure to asbestos closed fracture of acetabulum idiopathic pulmonary fibrosis open fracture of unspecified part of fibula with tibia closed fracture of shaft of metacarpal bone(s) 

Answer: The patient is high likely exposed to