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 8 foot fall from roof. complaining of back pain. major surgical or invasive procedure: t5 and l1 stabilization history of present illness: 81 year old otherwise healthy male was on his roof showing his contractors work that needed to be done when he lost balance and fell from his roof. he did lose consiousness for a brief period of time. he was brought to the ed by ambulance. past medical history: hyperlipidemia family history: non-contributory physical exam: vitals gen: a and o x 3. nad head: normocephalic/atraumatic eyes: 3mm pupils equally round and reactive to light nose: normal ears: normal op: clear, no evidence of trauma or blood neck: full rom, no point tenderness chest: cta bilaterally. normal respiratory effort heart: rrr no mrgc extremities: +motor +sensory +pulses all four extremities back: incision c/d/i gu: normal (penile implant) skin: normal pertinent results: 05:55pm urine color-straw appear-clear sp -1.043* 05:55pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 05:55pm urine rbc-0-2 wbc-0-2 bacteria-rare yeast-none epi-0 05:55pm urine sperm-occ 02:40pm comments-green top 02:40pm glucose-99 lactate-2.9* na+-141 k+-4.4 cl--101 tco2-24 02:34pm urea n-16 creat-1.1 02:34pm estgfr-using this 02:34pm lipase-54 02:34pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:34pm wbc-10.8 rbc-4.35* hgb-13.4* hct-39.1* mcv-90 mch-30.7 mchc-34.2 rdw-13.9 02:34pm pt-15.3* ptt-35.1* inr(pt)-1.3* 02:34pm plt count-372 02:34pm fibrinoge-390 ct chest/abdomen/pelvis impression: 1. multiple acute and chronic rib fractures and two vertebral fractures as above. the acute fractures are at the bilateral first ribs and right 2nd, 4th, and 5th ribs. 2. liver hypodensity. in the setting of vertebral body chance fracture, this may represent a laceration (probably grade 3), though, given the adjacent surgical clips and lack of perihepatic fluid, other consideration includes post-operative sequelae. 3. right posterior flank hernia (likely hernia). this is age- indeterminate but may be an acute traumatic sequela. 4. small focus of gas in the right arm. please correlate to possible right upper are injury. 5. right fluid collection overlying the iliac crest. this is non-specific with broad considerations included a seroma, hematoma, or abscess. not typical of an acute traumatic injury. mr cervical spine w/o contrast; mr thoracic spine w/o contrast; mr l spine conclusion: extensive spinal cord compression in the cervical area due to spondylosis. extensive multilevel vertebral signal abnormalities, raise the possibility of neoplastic disease, as opposed to trauma. echocardiography report date/time: at 11:03 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: west sicu/ctic/vicu contrast: none tech quality: adequate tape #: 2009w015-0:16 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: 2.8 cm <= 4.0 cm left atrium - four chamber length: 4.9 cm <= 5.2 cm left atrium - peak pulm vein s: 0.3 m/s left atrium - peak pulm vein d: 0.2 m/s left atrium - peak pulm vein a: 0.2 m/s < 0.4 m/s right atrium - four chamber length: 4.5 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.8 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% left ventricle - septal peak e': 0.09 m/s > 0.08 m/s left ventricle - ratio e/e': 7 < 15 aorta - sinus level: 3.5 cm <= 3.6 cm aortic valve - peak velocity: 0.8 m/sec <= 2.0 m/sec aortic valve - lvot diam: 2.2 cm mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 0.86 mitral valve - e wave deceleration time: 221 ms 140-250 ms tr gradient (+ ra = pasp): *26 mm hg <= 25 mm hg findings left atrium: normal la size. right atrium/interatrial septum: normal ra size. left ventricle: normal lv wall thickness, cavity size, and global systolic function (lvef>55%). suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. tdi e/e' < 8, suggesting normal pcwp (<12mmhg). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. aortic valve: normal aortic valve leaflets (?#). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. no mr. tricuspid valve: normal tricuspid valve leaflets. physiologic tr. borderline pa systolic hypertension. pulmonic valve/pulmonary artery: pulmonic valve not well seen. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor echo windows. conclusions the left atrium is normal in size. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (?#) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: suboptimal image quality. normal global biventricular systolic function. technically suboptimal to exclude focal wall motion abnormality. borderline pulmonary hypertension. chest xray impression: ap chest compared to : lung volumes have improved, but bibasilar atelectasis persists, as does a small left pleural effusion. no pneumothorax. upper lungs clear. heart size normal. no mediastinal widening. right jugular line ends centrally. brief hospital course: he was admitted to the trauma service. orthopedic spine surgery was consulted; he was taken to the operating room on for t3-l3 posterior fusion. postoperatively he was taken to the trauma icu where he remained for several days. he was eventually extubated and was noted to become agitated; he was given haldol once with no further episodes of agitation. his hematocrits were followed closely as they had drifted postoperatively. the decision was made to give 1 unit packed red cells when his hematocrit dropped to 22. he was transferred to the regular nursing unit on hospital day 5. because of his rib fractures and pain associated with this he has not been able to effectively cough, deep breathe and use the incentive spirometer and therefore has required supplemental oxygen at 2 liters/ minute via nasal cannula. he is on scheduled tylenol and prn oxycodone. he was evaluated by physical and occupational therapy and is being recommended for rehab after his acute hospital stay. medications on admission: lipitor discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. 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. 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 5. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 7. oxycodone 5 mg tablet sig: -1 tablet po every four (4) hours as needed for pain. 8. senna 8.6 mg tablet sig: two (2) tablet po at bedtime. 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day): hold for hr <60; sbp <110. 10. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 11. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: extended care facility: & rehab discharge diagnosis: s/p fall multiple rib fractures - right ; left 1 l1, t5 body fractures acute blood loss anemia discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. followup instructions: follow up in 2 weeks with dr. , trauma surgery for your rib fractures. inform the office that you will need and end expiratory ap chest xray for this appointment. call for an appointment. follow up in 2 weeks with dr. , orthopedic spine surgery. call for an appointment. procedure: dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture repair of vertebral fracture fusion or refusion of 9 or more vertebrae diagnoses: acidosis acute posthemorrhagic anemia other and unspecified hyperlipidemia other specified cardiac dysrhythmias closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury closed fracture of lumbar vertebra without mention of spinal cord injury oliguria and anuria accidental fall from or out of building or other structure closed fracture of five ribs ankylosing spondylitis 

Answer: The patient is high likely exposed to