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: ampicillin attending: chief complaint: mvc with major blunt chest trauma major surgical or invasive procedure: i&d, orif right bbffx w/ ecu repair flex bronch, egd history of present illness: pt is 28 yo m admitted s/p mvc transported via med flight. pt was the driver involved in high speed mvc in which his car reportedly hit and went under tractor trailer which resulted in prolonged extrication and then medflighted to . past medical history: crohn's asthma social history: works as a mechanical engineer no substance abuse family history: nc physical exam: temp (f): 99.0 heart rate: 89 blood pressure: 177/93 resp rate: 15 o2 sat(%): 98 room air/o2: 15l non rebreather general non-rebreather in place heent trachea midline, subcutaneous emphysema along chest wall and neck midline respiratory bilateral wheeze cardiovascular rrr gi soft nabs nd pertinent results: cxr impression: osseous fractures involving the middle third of the bilateral clavicles, bilateral upper ribs, and right scapula. subcutaneous emphysema involving the soft tissues of the neck and upper chest. persistent pneumomediastinum. no pneumothorax is identified. hand findings: the forearm is obscured by an overlying cast. there are displaced fractures involving the distal radius and ulna with one bone width volar displacement and medial angulation of the over-riding distal fragments. there is surrounding soft tissue swelling. there are no radiopaque foreign bodies. there are no other fractures in the visualized wrist, fingers and elbow. there are no degenerative changes. impression: distal radius and ulna shaft fractures as described. ct torso impression: 1. significant pneumomediastinum with posterior tracheal laceration just above the carina. 2. bilateral upper lung contusions, right greater than left. 3. bilateral upper rib fractures, clavicle fractures, right scapular fracture with extensive chest wall emphysema extending into the neck soft tissues as well as along nerve roots into the central spinal canal. 4. no evidence of traumatic injury to the abdomen or pelvis. cth impression: 1. no evidence of intracranial hemorrhage or skull fracture. 2. soft tissue gas as described likely extension from subcutaneous emphysema and pneumomediastinum in the chest. please refer to report from ct torso for further detail. ct cspine impression: 1. chip fracture involving the right c6 transverse process (stable). no fracture line extension into the transverse foramen. remainder of the cervical spine is intact with normal alignment. 2. extensive soft tissue gas in the chest wall, neck soft tissues. 3. pneumomediastinum with air dissecting into the retropharynx and parapharyngeal space. 4. bilateral rib fractures, right first, left first and second. bilateral clavicular fractures. 5. air outlining the thecal sac which appears to extend in along the nerve roots. ugi limited exam due to patient's discomfort.there is a small area of persistent opacification adjacent to the esophagus, which may be artefactual however a small self-contained leak cannot be excluded. findings discussed with dr shortly on the day of the study. brief hospital course: the patient was admitted to trauma surgery from the emergency department directly to the trauma icu. . injuries were found to be: 1) bilateral clavicle fx and right scapular fracture 2) open radial/ulnar fx- s/p i&d, orif right bbffx w/ ecu repair 3) chip fracture involving the right c6 transverse process (stable). 4) r>l pulmonary contusions 5) bilateral rib fx: no intervention was done for the rib fractures 6) pneumomediastinum 7) evulsed r 4th digit tip - plastics followed and adaptec placed 8) ? right upper molar fracture . ** regarding the multiple bony fractures: orthopedics has been following along. the team took him to the or after stabilization of the chest injury to perform incision and drainage and open reduction internal fixation of the open radial/ulnar fractures with ecu repair. the patient tolerated the procedure well with no complications. expectant management was done on the remainder of the fractures with the patient only requiring pain control. physical therapy and occupational therapy were consulted on the patient to assess home vs rehab needs and both services felt the patient was capable and able enough to return home, requiring only home ot ** regarding the pneumomediastinum: the patient had developed evidence of pneumomediastinum, as evidence by cat scan and chest x-ray. after discussion with the patient and the icu team and thoracic surgery, it was decided the patient would be best served by a flexible bronchoscopy and esophagogastroduodenoscopy, to determine if there was any evidence of tracheal or esophageal injury. the following day, an ugi was performed to rule out esophageal injury and was reportedly negative. the patient's diet was advanced, and he tolerated advancement of his diet without any complications. the crepitus is resolving. ** regarding the evulsed r 4th digit tip: plastic surgery has been following and placed adaptec and did not feel any surgical correction was necessary. outpatient follow up with plastics in hand clinic was recommended. ** regarding the possible right upper molar fracture: a panorex was taken to evaluate for fractures. the read was not performed at the time of discharge, so the patient was discharged with the copy of the panorex and instruction to follow up with an oral surgeon or dentist as an outpatient the patient was intubated in the ticu s/p bronchoscopy to evaluate for tracheal injury s/p blunt trauma. none were found and the patient was extubated without issues. ortho operated on the patient in the or as above. on the patient was transfered out of the icu in stable condition and had pain controlled on pca. the patient had an uncomplicated remainder of his hospital course. upon discharge, the patient was afebrile with all vitals stable, tolerating po feeds, ambulating independently, and with pain controlled on po pain medication. medications on admission: albuterol prn discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. outpatient occupational therapy please assist with activities of daily living 4. albuterol inhalation discharge disposition: home discharge diagnosis: 1) bilateral clavicle fx and right scapular fx 2) open radial/ulnar fx 3) chip fracture involving the right c6 transverse process (stable). 4) r>l pulmonary contusions 5) bilateral rib fx 6) evulsed r 4th digit tip 7) ? right upper molar fx discharge condition: fair discharge instructions: please call your surgeon or come to the emergency department if you experience any of the following: - fever >101.5 or chills - worsening nausea or vomiting - inability to tolerate food or water - increasing redness or drainage from your wound - any pus from your wound - anything else of concern right upper extremity is non weight bearing (no splint needed) you will need outpatient occupational therapy. you will be given a script for treatment. you will be given a cd of your dental xrays so you can follow up with your dentist to evaluate if you fractured your right upper molar. you will need to schedule a follow up appointment to further evaluate this. you will follow up with orthopedic surgery to manage your fractures and your right arm. you will follow up with plastics regarding your ring finger. you will follow up with trauma surgery regarding your overall injuries and pulmonary contusions. followup instructions: please call office () to follow up with orthopedic surgery next week. please call the hand clinic () to schedule a follow up appointment with plastic surgery next week. please call dr. clinic () to schedule a 2 week follow up with trauma surgery please make a follow up appointment with an oral surgeon or dentist in the next week procedure: other endoscopy of small intestine other bronchoscopy arterial catheterization open reduction of fracture with internal fixation, radius and ulna debridement of open fracture site, radius and ulna other suture of tendon diagnoses: other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle traumatic subcutaneous emphysema contusion of lung without mention of open wound into thorax closed fracture of scapula, unspecified part closed fracture of clavicle, unspecified part closed fracture of three ribs closed fracture of sixth cervical vertebra open wound of finger(s), without mention of complication open wound of forearm, with tendon involvement open fracture of lower end of radius with ulna 

Answer: The patient is high likely exposed to