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 major surgical or invasive procedure: repair r diaphragmatic hernia direct laryngoscopy for foreign body removal history of present illness: this patient is a 36 year old male who complains of mvc. unrestrained driver of a car versus pole, prolonged extrication x20-30 minutes at the scene with a gcs of 7. he was initially not moving his left side. he is moaning without intelligible answers past medical history: unknown social history: uk family history: uk physical exam: physical examination: upon admission constitutional: moaning, collar and backboard heent: scattered abrasion c. collar and play chest: diminished right side cardiovascular: regular rate and rhythm abdominal: soft, nontender extr/back: no cyanosis, clubbing or edema skin: no rash neuro: gcs move all extremities pertinent results: 05:17am blood wbc-11.5* rbc-3.45* hgb-10.3* hct-29.8* mcv-86 mch-29.7 mchc-34.5 rdw-12.3 plt ct-205 01:43am blood wbc-12.3* rbc-3.46* hgb-10.4* hct-30.0* mcv-87 mch-30.0 mchc-34.5 rdw-12.8 plt ct-182 04:45am blood wbc-14.3* rbc-4.44* hgb-13.2* hct-39.3* mcv-89 mch-29.6 mchc-33.5 rdw-12.6 plt ct-292 05:17am blood plt ct-205 01:43am blood plt ct-182 04:45am blood pt-10.9 ptt-32.8 inr(pt)-1.0 04:45am blood fibrino-225 05:17am blood glucose-108* urean-7 creat-0.7 na-136 k-3.9 cl-103 hco3-25 angap-12 01:43am blood glucose-113* urean-7 creat-0.7 na-136 k-3.6 cl-105 hco3-25 angap-10 02:40pm blood alt-241* ast-90* alkphos-64 totbili-0.9 01:43am blood alt-296* ast-139* alkphos-62 totbili-0.8 04:52pm blood alt-474* ast-336* ld(ldh)-716* alkphos-75 totbili-0.4 04:45am blood lipase-81* 05:17am blood calcium-8.1* phos-3.1 mg-1.9 04:45am blood asa-neg ethanol-233* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 01:50am blood freeca-1.15 : chest x-ray: impression: right hemothorax, pulmonary contusion and diaphragm elevation are better evaluated on ct. : cat scan of abdomen and pelvis: impression: 1. moderate-to-large volume of hemothorax in the absence of rib fractures. an upward protrusion in the center of the right hemidiaphragm is concerning for central tendon diaphragm rupture. a short peripheral sub-cm liver laceration at the bare area likely communicates with the pleural space because of this diaphragm injury and contributes to the hemothorax. 2. grade iii right renalupper pole laceration and perinephric hematoma without evidence of active extravasation or urinoma. : cat scan of the c-spine: impression: 1. no cervical spine fracture or malalignment. 2. numerous radiopaque foreign bodies in the oropharynx and proximal esophagus concerning for aspirated glass shards. findings were discussed in person with dr. 6:00 a.m. on . : cat scan of the head: impression: no acute intracranial process : cat scan of the chest: impression: 1. interval placement of a right apical pleural chest tube with resolution of much of the prior right hemothorax but still some blood in the lower thorax. 2. question of right mid diaphragmatic injury remains, though congenital eventration is possible. close follow up is recommened with possible imaging once positive pressure ventilation is removed and the patient can hold his arms up. 3. bibasilar atelectasis, right greater than left, and dependent right upper lobe atelectasis, all decreased slightly. 4. mildly displaced comminuted left mid clavicular fracture. 5. standard position of endotracheal tube, and nasogastric tube. : cat scan of the neck: impression: 1. interval removal of the larger foreign bodies from the oropharynx. punctate hyperdense fragments persist, likely residual tooth fragments. 2. non-displaced fracture of the left lower second molar with a small adjacent medial fracture fragment. 3. minimally displaced comminuted fracture of the left mid clavicle. 4. persistent linear consolidation in the right lung apex, possible atelectasis or contusion. prior right hemothorax no longer evident. interval placement of a right-sided chest tube. : cat scan of the head: impression: 1. stable subdural hematoma along the left tentorium. 2. no new hemorrhage. 3. no mass effect or evidence of herniation. : chest x-ray: the elevation of the right lung base due at least in part to pleural effusion has not changed appreciably since . to what extent the appearance is due to elevation of the diaphragm is radiographically indeterminate, but it was very high on the torso ct performed . best way of determining fluid collections either above or below the diaphragm is ultrasound. i think there is still a moderate volume of pleural air at the apex of the right hemithorax extending medially toward the mediastinum and right hilus. the pleural tube has migrated somewhat peripherally and now most proximal side port may be extrathoracic which would account for the persistence of subcutaneous emphysema in the right axilla. volume of the left lung is low, but there is no focal atelectasis. mild-to-moderate enlargement of the cardiac silhouette is exaggerated by low lung volumes. left pleural effusion is small. there is no left pneumothorax. : chest x-ray: findings: as compared to the previous radiograph, the right-sided chest tube has been removed. the pre-existing mild fluid or pneumothorax is unchanged in extent. there currently are no signs of tension. minimal right basal fluid collection that is likely pleural. low lung volumes, moderate cardiomegaly without pulmonary edema. mild gas ollection in the right lateral soft tissues. brief hospital course: 36 year old gentleman admitted to the acute care surgery service after being involved in a mvc. his initial gcs on admission was 7 and he was intubated in the emergency room and transported to the intensive care unit where he was hemodynamically stable. he was made npo, given intravenous fluids, and underwent radiographic imaging. on radiographic evaluation he was found to have a right hemothorax with a diaphragmatic injury. he was also reported to have a peri-nephric hematoma and a small liver laceration. he had a right chest tube placed with 300cc initial output. his hematocrit remained stable during this time. he was evaluated by neurosurgery for a small sdh with no herniation or midline shift. he was placed on dilantin for seizure prophalaxsis. otolarygology was consulted for oropharyngeal foreign bodies visualized on ct, for which they performed dl at the bedside to remove the foreign bodies. a repeat ct of the neck was obtained, and the foreign bodies were not visualized. ct imaging additionally showed a mild displaced comminuted left clavicle fracture for which no surgical intervention was needed. on hd #2 the patient was taken to the operating room for an exploratory laparotomy and repair of a ruptured right diaphragm. his operative course was uncomplicated with a 100cc estimated blood loss. he remained intubated postoperatively and was transported to the intensive care unit. he was weaned from the ventilator and extubated on hd #3. his right chest tube was placed to water seal and he was transferred out of the icu to the surgical floor. his foley catheter was discontinued on hd #4 and his chest tube was removed. he maintained adequate oxygenation and was encouraged to use the incentive spirometer. his post chest tube removal showed no change in teh pre-existing fluid or hemothorax, there were no signs of tension pneumothorax. he was started on a regular diet. his hematocrit has remained stable. on hd #5, he was evaluated by occupational and physical therapy. physical therapy provided a sling for comfort for his clavicular fracture, and he was instructed in rom exercises. he has been cleared for discharge home by both physical and occupation therapy and instruction given to family. medications on admission: unknown discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever. 2. phenytoin 50 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day) for 3 days: last day . disp:*18 tablet, chewable(s)* refills:*0* 3. ipratropium bromide 0.02 % solution sig: one (1) inh inhalation q6h (every 6 hours). 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain: may cause drowsiness, avoid driving while on this medication. disp:*25 tablet(s)* refills:*0* 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob, wheezing. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for diarrhea. 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. discharge disposition: home discharge diagnosis: trauma: mvc injuries: r hemothorax r diaphragm injury r perinephric hematoma very small liver lac (<1cm) l clavicle fx small tentorium sdh discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent ( sling left arm) discharge instructions: you were admitted to the hospital after you were involved in a motor vehicle accident. you sustained injuries to your chest, lung, head, and clavicle. you were taken to the operating room for repair of a left diaphragmatic rupture. you had a chest tube in your lung for removal of fluid and that has since been removed. you did have a small bleed in your head, so you may experience headache. you were monitored in the intensive care unit and once your vital signs stabilized, you were transferred to the floor. you have recovered from your injuries to the point that you can be discharged home. because you had a small laceration to your liver please follow these instructions: avoid contact sports and/or any activity that may cause injury to your abdominal area for the next 6-8 weeks. *if you suddenly become dizzy, lightheaded, feeling as if you are going to pass out go to the nearest emergency room as this could be a sign that you are having inernal bleeding from your liver or spleen injury. *avoid any blood thinners such as motrin, naprosyn, indocin, aspirin, coumadin or plavix for at least 3-5 days unless otherwise instructed by the md/np/pa. other recommendations include: please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing or shortness of breath * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. you also had a small bleed in your head. for this reason you should let us know if you develop the following: *sever headache *visual changes *difficulty speaking *weakness one side of your body *seizure or "passing out" *facial droop please use your incentive spirometer every 2 hours while awake followup instructions: department: when: friday at 3:25 pm with: , md building: sc clinical ctr campus: east best parking: garage dr is your new physician at . he works closely with dr. , both will be involved in your care. please call your insurance and name dr. as your pcp. must be done before your appointment. dr. speaks spanish. department: general surgery/ when: tuesday at 3:30 pm with: , md with: acute care clinic building: lm bldg () campus: west best parking: garage we are working on a follow up appointment with dr. in neurology within a month to follow up on your head injury. you will be called with the appointment. if you have not heard within 2 days post discharge, please call . procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours extraction of other tooth removal of intraluminal foreign body from larynx without incision other repair of diaphragm diagnoses: alcohol abuse, unspecified injury to liver without mention of open wound into cavity, laceration, minor subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness traumatic hemothorax without mention of open wound into thorax closed fracture of clavicle, unspecified part injury to kidney without mention of open wound into cavity, laceration injury to diaphragm, without mention of open wound into cavity other motor vehicle nontraffic accident involving collision with stationary object injuring passenger in motor vehicle other than motorcycle open wound of tooth (broken) (fractured) (due to trauma), complicated 

Answer: The patient is high likely exposed to