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: cc: major surgical or invasive procedure: s/p anterior cervical discectomy c2-c3 history of present illness: hpi: 65m was outdoors cutting tree branch when 700# branch hit him on the head. he was found upside down in his harness with the branch on the ground. found to have l occipital laceration that was stapled at osh. gcs 15. transferred to for further evaluation. past medical history: htn social history: lives alone ex wife lives on family history: unknown physical exam: on arrival physical exam: afeb 68 145/70 22 96% gen: wd/wn, comfortable, nad. heent: pupils: r 2.5->2mm, l 4->3.5mm, anisocoria from prior l eye injury according to pt, , l occipital staples. neck: supple. no c-spine tenderness. no neck pain. lungs: ctab. cardiac: rrr. nl s1/s2. abd: +bs, s, nt/nd. extrem: warm and well-perfused. no cyanosis, clubbing, or edema. neuro: mental status: aa+ox3, cooperative with exam, normal affect. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: anisocoric pupils, reactive to light. 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 or tremors detected. strength full power throughout. no pronator drift. no babinski. no clonus. sensation: intact to light touch bilaterally. reflexes: b t br pa ac right 2+ 2+ left 2+ 2+ toes downgoing bilaterally. currently on this day of discharge - pt is aaox3 non focal neuro exam ambulatory pain controlled speech clear pertinent results: radiology preliminary report mr head w & w/o contrast 3:44 pm mr head w & w/o contrast reason: rule out infarct or underlying lesion contrast: magnevist medical condition: 65 year old man with hypodensity within the left cerebellum reason for this examination: rule out infarct or underlying lesion contraindications for iv contrast: none. mr head history: 65-year-old man with left cerebellar hypodensity, assess for infarct or underlying lesion. technique: multiplanar multisequence mr images of the head were obtained before and after the administration of iv gadolinium. findings: comparison is made to prior head ct from and as well as a prior mr of the cervical spine from . there is a small area of t2 hyperintensity with slow diffusion involving the left cerebellum corresponding to the hypodensity seen on ct scan. this finding likely represents an infarct. there is also a small area of t2 hyperintensity and slow diffusion involving the left inferior posterior temporal lobe just above the temporal bone which likely represents an area of contusion. another small area of t2 hyperintensity with some minimal slow diffusion and enhancement is seen along the left lateral temporal lobe which also likely represents an area of contusion. small bilateral subdural hematomas are seen over the temporal poles as well as a small subdural hematoma over the right frontal lobe. tiny amount of blood within the occipital horns of the lateral ventricles are seen which is decreased in size compared to . the previously seen fluid-fluid level within the cisterna magna is not seen on this study. there is a minimal amount of deep and periventricular white matter t2 hyperintensities which likely represents chronic microangiopathic changes. the ventricles and extra-axial csf spaces are unchanged in size or configuration. mucosal thickening of the visualized paranasal sinuses are seen. impression: 1. infarct of the left cerebellum corresponding to the hypodensity seen on ct scan. 2. few small contusions of the left temporal lobe. 3. small bilateral subdural hematomas and decreasing amount of blood within the occipital horns of the lateral ventricles. dr. radiology final report ct orbit, sella & iac w/o contrast 4:22 pm ct orbit, sella & iac w/o cont reason: further eval temporal bone fracture, temporal bone ct per en medical condition: 65 m s/p head trauma, c/o hearing loss reason for this examination: further eval temporal bone fracture, temporal bone ct per ent contraindications for iv contrast: none. ct orbit. history: 65-year-old male with trauma complains of hearing loss. technique: ct of the temporal bones was performed with 1.25 mm axial and coronal and oblique sagittal reconstructions. findings: comparison is made to a prior head ct from as well as a concurrent head mr. the scout images show a new anterior fixation and screws over c2 and c3. there is overlying prevertebral soft tissue swelling, which likely represents post- surgical change. again seen are multiple fractures of the right temporal bone with approximately 2-mm depression of the bony fragment. one of the fracture lines extends to the floor of the right middle cranial fossa but does not appear to extend into any of the skull base foramina or carotid canal. a nondisplaced fracture of the right zygomatic arch is again seen. no fractures extending into the mastoid air cells, middle ear cavities, inner ear structures are noted. the mastoid air cells and middle ear cavities are clear. there is no dislocation of the ossicles. the inner ear structures appear normal. calcification of the carotid siphons is seen bilaterally. there is depression of the right nasal bone. minimal mucosal thickening of the maxillary sinuses and the ethmoid air cells are seen bilaterally. there is moderate mucosal thickening of the sphenoid sinus. incidental note is made of onodi cells bilaterally with pneumatization of the optic struts. several periapical lucencies around maxillary teeth are seen which may represent periodontal disease versus periapical inflammatory lesions. note is again made of two small hemorrhagic contusions of the left temporal lobe and a small hypodensity of the left cerebellum. small subdural hematomas of the overlying temporal lobes bilaterally are again seen. impression: again visualized is a minimally depressed fracture of the right temporal bone as well as a nondisplaced fracture of the right zygomatic arch. two small left temporal lobe hemorrhagic contusions, infarct of the left cerebellum, and small bilateral subdural hematomas are again seen. the middle ear cavities and inner ear structures are intact. dr. approved: sun 2:23 pm radiology preliminary report chest (pa & lat) 9:47 am chest (pa & lat) reason: eval for fever source medical condition: 65m pod1 s/p acdf c2-3, spiking to 103.7 no apparent source reason for this examination: eval for fever source history: 65-year-old male one day following spinal surgery with fever of 103.7. comparison: none available. two views of the chest: bilateral basilar atelectasis is likely a postoperative finding. mild cardiomegaly may be suggestive of longstanding hypertension. no pneumothorax or effusion is identified. there is no focus of consolidation to suggest pneumonia. impression: bilateral basilar atelectasis, likely postoperative. dr. dr. dr. cardiology report ecg study date of 11:56:32 pm sinus rhythm. left anterior fascicular block. non-specific lateral st-t wave changes. compared to the previous tracing of no significant change. read by: , k. intervals axes rate pr qrs qt/qtc p qrs t 88 198 90 366/415 43 -39 104 radiology final report mr cervical spine w/o contrast 11:52 pm mr cervical spine w/o contrast reason: eval for ligamentous injury medical condition: 65m s/p closed r temporal fx, pneumocephalus, epidural hematoma c2-3 w indentation of cord, ?c3 fx reason for this examination: eval for ligamentous injury mr cervical spine history: 65-year-old male status post closed right temporal fracture with epidural hematoma at c2/3, question c3 fracture. evaluate for ligamentous injury. technique: sagittal t1, t2, stir of the cervical spine extending from the skull base to the t1/2 level and axial t2 and gre images extending from the mid c2 through the c7/t1 levels were obtained. findings: comparison is made to ct of the cervical spine from as well as a head ct from that same date. the alignment of the cervical spine is normal. there is no loss of vertebral body heights or intervertebral disc space heights. there is no prevertebral soft tissue swelling or edema. the visualized bone marrow signal is normal. there is no evidence of ligamentous disruption or injury. the visualized brainstem, cervical cord, and upper thoracic cord are normal in signal intensity and caliber. within the cisterna magna, there is a fluid-fluid level consistent with layering hemorrhage. along the left side of the spinal canal, there is a t1 and t2 intermediate signal intensity lesion with some blooming on the gradient echo images extending from the mid portion of c2 through the c3 levels and measuring approximately 3.3 x 0.9 cm in its greatest craniocaudal and ap dimensions. this finding most likely represents hemorrhage. this hemorrhage is distorting the left ventrolateral aspect of the adjacent cord. this hemorrhage appears to be located within the thecal sac as opposed to in the epidural space. this hemorrhage may be either subdural or subarachnoid in location. within the superior left cerebellum is a small area of t2 hyperintensity, which may represent an area of contusion. impression: 1. no evidence of ligamentous injury. no bone marrow edema or loss of vertebral body heights. 2. either left-sided subdural or subarachnoid hemorrhage extending from the c2 to the c3 level. 3. fluid-fluid level within the posterior fossa, which likely represents a subdural hematoma. 4. small t2 hyperintensity of the left superior cerebellum, which may represent an area of contusion. comment: the above findings were discussed with the trauma team on at 11:00 a.m. dr. approved: wed 11:10 am radiology final report ct head w/o contrast 5:44 pm ct head w/o contrast reason: please perform exam at 1700 on , please evaluate for medical condition: 65 year old struck by large tree branch, + loc reason for this examination: please perform exam at 1700 on , please evaluate for intracranial pathology contraindications for iv contrast: none. indication: struck by a large tree branch and loss of consciousness. comparison: ct head . findings: compared to a day prior, there is more obvious layering blood within the posterior horns of the lateral ventricles bilaterally. a previously described focus of high density within a sulcus of the right temporal lobe (2:19) is likely not significantly changed and may represent a small amount of subarachnoid hemorrhage. a right middle cranial fossa hematoma does not appear to have significantly changed in size. more obvious today compared to a day prior is an approximately 13- mm focus of hypodensity within the left cerebellum. previously described fractures including a right temporal bone fracture extending to the skull base and right zygoma fractures are better evaluated on the initial trauma head ct. high-density opacification within the sphenoid sinus and mucosal thickening within the maxillary and ethmoid sinus is again noted. left parietal occipital skin staples are in place with associated swelling. impression: 1. high-density blood layering within the posterior horns of lateral ventricles bilaterally is new. unchanged appearance of possible right temporal small subarachnoid blood and subdural blood within the right middle cranial fossa. 2. more obvious small focus of hypodensity within the left cerebellum may represent axonal injury or evolving infarct. mri may be helpful to further characterize as clinically indicated. 3. multiple skull fractures, better evaluated on the initial trauma head ct. findings discussed with dr. at the time of dictation. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 2:24 pm brief hospital course: pt was admitted to the sicu after initial er eval. follow up ct and mri's were ordered. he was maintained in a cervical collar. ct scan revealed epidural hematoma in cervical spine. follow up head ct was stable. he was transferred to the floor on hospital day # 3. mri revealed a large left sided hnp and he was taken to the or for and acd at c23 on . his post operative course has been uneventful. he did have a small subcutaneous hematoma on but this has remained stable. he was seen by ent for c/o decreased hearing in the left ear. their recommendations were followed and he will follow up with them in 1 week with audiologic testing. i reviewed ct results with dr. today who states that there is no fracture that extends through any vascular channels. he id have post op fever on day 2 and cultures will be followed up. urine analysis is negative for infection/ he agrees with the plan for d/c home today. medications on admission: lisinopril 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. neomycin-polymyxin-hc 3.5-10,000-1 mg-unit/ml-% drops, suspension sig: four (4) drop otic tid (3 times a day) for 4 days. disp:*1 1* refills:*0* 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: spinal epidural hematoma s/p anterior cervical discectomy c2-c3 right temporal bone fracture / non displaced / closed fracture decreased left hearing discharge condition: neurologically stable discharge instructions: ?????? do not smoke ?????? keep wound(s) clean and dry / no tub baths or pools for two weeks from your date of surgery ?????? if you have steri-strips in place ?????? keep dry x 72 hours. do not pull them off. if they have not fallen off in 2 weeks time, you may remove them yourself ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting ?????? limit your use of stairs to 2-3 times per day ?????? have a family member check your incision daily for signs of infection or swelling / if your voice gets hoarse or your swallowing is difficult or you are drooling go to the nearest emergency room or call 911 ?????? you may shower briefly without the collar / back brace unless instructed otherwise ?????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc. unless directed by your doctor ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? clearance to drive and return to work will be addressed at your post-operative office visit - you are to light activities for 6 weeks and no working for 3 months - please call dr if you have any questions. call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine ?????? any weakness, numbness, tingling in your extremities ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f ?????? any change in your bowel or bladder habits ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication followup instructions: ent in 1 week with dr. at with audiology testing follow up with your pcp with regards to your hospitalization and bp control. take your blood pressure medication as previously ordered. dr. in 6 weeks with xrays of your c-spine at md procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc fusion or refusion of 2-3 vertebrae diagnoses: unspecified essential hypertension pulmonary collapse struck accidentally by falling object closed fracture of second cervical vertebra other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation closed fracture of malar and maxillary bones closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration closed fracture of base of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to