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: ivc filter placement history of present illness: 82 yo female driver restrained who reportedly ran through stop light and was t-boned by truck; sister who was front seat passenger - was deceased by arrival at area hospital. patient with no memory of impact. patient was than transferred to from the area hospital because of her multiple orthopedic injuries. past medical history: htn, hyperlipidemia family history: noncontributory physical exam: upon admission: gen: wd/wn, comfortable, nad. heent: perrla eoms fullextrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent (through non rebreather mask) with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round 2mm and minimally reactive to light bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift on left - unable to assess on right fx clavicle and humeral head sensation: intact to light touch bilaterally. toes downgoing bilaterally pertinent results: 04:26am glucose-180* urea n-18 creat-0.7 sodium-140 potassium-3.8 chloride-108 total co2-23 anion gap-13 04:26am calcium-7.4* phosphate-4.5 magnesium-1.7 04:26am wbc-9.2 rbc-3.42* hgb-10.2* hct-29.6* mcv-87 mch-29.7 mchc-34.4 rdw-14.2 04:26am plt count-172 04:26am pt-13.9* ptt-24.1 inr(pt)-1.2* 11:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg echocardiography report left atrium - long axis dimension: 4.0 cm <= 4.0 cm left atrium - four chamber length: *5.6 cm <= 5.2 cm right atrium - four chamber length: *5.3 cm <= 5.0 cm left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.6 cm <= 5.6 cm left ventricle - systolic dimension: 2.0 cm left ventricle - fractional shortening: 0.44 >= 0.29 left ventricle - ejection fraction: 65% to 75% >= 55% left ventricle - stroke volume: 69 ml/beat left ventricle - cardiac output: 6.36 l/min left ventricle - cardiac index: 3.38 >= 2.0 l/min/m2 aorta - sinus level: *3.7 cm <= 3.6 cm aorta - ascending: 3.0 cm <= 3.4 cm aortic valve - peak velocity: 1.3 m/sec <= 2.0 m/sec aortic valve - lvot pk vel: 1.10 m/sec aortic valve - lvot vti: 22 aortic valve - lvot diam: 2.0 cm mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.9 m/sec mitral valve - e/a ratio: 0.89 mitral valve - e wave deceleration time: 236 ms 140-250 ms tr gradient (+ ra = pasp): *35 mm hg <= 25 mm hg findings left atrium: elongated la. right atrium/interatrial septum: mildly dilated ra. dynamic interatrial septum. no asd by 2d or color doppler. increased ivc diameter (>2.1cm) with <35% decrease during respiration (estimated ra pressure (10-20mmhg). left ventricle: mild symmetric lvh with normal cavity size and global systolic function (lvef>55%). normal regional lv systolic function. no resting lvot gradient. no vsd. right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. no ms. mild (1+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. moderate tr. mild pa systolic hypertension. pulmonic valve/pulmonary artery: no ps. pericardium: no pericardial effusion. general comments: the rhythm appears to be atrial fibrillation. conclusions the left atrium is elongated. no atrial septal defect is seen by 2d or color doppler. the estimated right atrial pressure is 10-20mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and global systolic function (lvef>55%). regional left ventricular wall motion is normal. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. ct head impression: 1. right proximal clavicular fracture. 2. extensive degenerative changes of the cervical spine. please note that mri is more sensitive in the detection of cord abnormalities. 3. punctate hyperdense focus in the left temporal lobe which may represent hemmorhage or calcification. cta chest impression: 1. interval increase in hemoperitoneum, centered in the right paracolic gutter, without evidence of active extravasation at the time of the ct scan. 2. multiple bilateral rib fractures, transverse processes fractures, pelvic and sacral fractures, right clavicle fracture and comminuted right humeral head fractures as described above. 3. interval increase in presacral hematoma without definite evidence of active extravasation at the time of the scan. 4. right adrenal gland hematoma. 5. antral gastric wall thickening less pronounced on the current study. 6. no evidence of pneumothorax. increasing right greater than left simple pleural effusions with resultant atelectasis. 7. noncalcified pulmonary nodules, followup chest ct to document resolution or stability remains recommended in months as suggested before. chest pa/lat 3/ impression: ap chest compared to through 28: moderate bilateral pleural effusion, right greater than left, stable since . moderate enlargement of the cardiac silhouette unchanged. pulmonary vasculature is engorged but there is no good evidence of edema. right jugular line ends in the upper svc. no pneumothorax. brief hospital course: she was admitted to the trauma service. neurosurgery, orthopedics, plastics and cardiology were all consulted. she was taken to the trauma icu once initial trauma resuscitation was performed. she was noted with dropping hematocrits and required several prbc transfusions; the initial concern was that there may be a retroperitoneal bleed given right adrenal gland hematoma with small amount of retroperitoneal hemorrhage noted on ct imaging. her hematocrit during the remainder of her hopsital course have ranged between 29-32 with 32 most recent on . neurosurgery consulted for a questionable subarachnoid hemorrhage; it was instead noted to be a hyperdensity in left temporal region and no neurosurgical intervention was warranted. orthopedics was consulted for her multiple orthopedic injuries; these were managed non operatively. she was made non weight bearing for her right clavicle fracture and weight bearing as tolerated for her pelvic fractures. plastics was consulted for her acute right long trigger finger; no operative intervention was warranted at the time. she will follow up in plastics/hand clinic as an outpatient. she was noted to have periods of rapid atrial fibrillation with hypotension and was bolused with 1.5 liters ivf and started on a neo drip. diltiazem drip was also initiated. prior to this she had been receiving lopressor for tachycardia. she was also started on a heparin drip. cardiology was consulted who recommended amiodarone 200 tid x 10 d, then 200 daily, asa and beta blockade. she also had an echocardiogram performed which showed a normal ef. she did eventually convert to nsr. no coumadin therapy indicated for this at time of discharge. because of her multiple orthopedic injuries she underwent ivc filter placement on . the procedure was without complications. it was recommended as part of thrombus prophylaxis to also start mini dose coumadin 1 mg daily. with this dosing the inr does not need to be within any therapeutic range and so the inr does not need to be checked. physical therapy was consulted and have recommended rehab after her acute hospital stay. social work was also consulted for emotional support surrounding the loss of patient's sister. medications on admission: quinapril 10mg qd, hctz 12.5mg qd, pravchol 40mg qd discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml's po bid (2 times a day). 2. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily) for 9 days. 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po q6h (every 6 hours): hold for hr <60; sbp<110. 4. acetaminophen 500 mg tablet sig: one (1) tablet po every eight (8) hours. 5. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 6. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 8. tramadol 50 mg tablet sig: one (1) tablet po q 8h (every 8 hours). 9. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 10. ondansetron hcl (pf) 4 mg/2 ml solution sig: four (4) mg injection q8h (every 8 hours) as needed for nausea. 11. coumadin 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: discharge diagnosis: s/p motor vehicle crash comminuted right clavicular fracture comminuted impacted right humeral head fracture multiple bilateral rib fractures l > r multiple bilateral pelvic fractures: bilateral comminuted ischio-rami fracture, left anterior acetabular wall fracture, right superior ramus fracture right pelvic hematoma flexor tenosynovitis (trigger finger) atrial fibrillation acute blood loss anemia discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. discharge instructions: do not bear any weight on your right arm because of the clavicle fracture. you may weight bear as tolerated on both of your legs. followup instructions: **follow up with your primary care doctor for pulmonary nodules seen on ct imaging. it is being recommended that a repeat chest ct be done within the next 3-6 months. you will also need follow up of your atrial fibrillation and management of your coumadin. follow up in 2 weeks with dr. , orthopedics for your multiple orthopedic injuries. call for an appointment. follow up in 2 weeks in plastics/hand clinic for your trigger finger. all for an appointment. follow up in 2 weeks with dr. , trauma surgery; call for an appointment. you have been referred to and given information on the program for after discharge from rehab. please contact the program at the number provided to you by social work. procedure: venous catheterization, not elsewhere classified interruption of the vena cava application of splint diagnoses: pneumonia, organism unspecified acute posthemorrhagic anemia atrial fibrillation other and unspecified hyperlipidemia other specified cardiac dysrhythmias other diseases of lung, not elsewhere classified other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle hypovolemia other specified hypotension closed fracture of pubis closed fracture of eight or more ribs closed fracture of clavicle, unspecified part closed fracture of acetabulum closed fracture of ischium other closed fracture of upper end of humerus synovitis and tenosynovitis, unspecified 

Answer: The patient is high likely exposed to