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: bactrim ds attending: chief complaint: subdural hematoma after fall major surgical or invasive procedure: cranitomy for left side subdural hematoma history of present illness: 88 yo w/htn and af who fell on admitted 2 days later . she had initial left sided bruising, but no other problems, yesterday, she got right sided bruising, saw pcp and still had no issues. last night, she was up much of night vomiting. today, she could walk earlier, but is now weak on the right. she has a ha and nausea. she also started slurring her speech earlier. at osh, had inr of 2.9 and ct showed large left sided sdh with slight sah component. given vit k 10 mg, ffp, and lasix, and zofran. then transferred here. here she feels she has been stable and her family agrees over the last few hours. repeat head ct stable. she has 8mm subfalcine shift, but no uncal herniation. past medical history: af htn social history: lives at home with her husband. family members present here. no etoh or smoking family history: noncontributory physical exam: vitals:98.4, 89, 142/83, 21, 97% on %ra gen:nad. heent:mmm. significant facial bruising and periorbital ecchymosis. neck: no carotid bruits cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally ext:no cyanosis/edema neurologic examination: mental status: awake and alert, cooperative with exam, normal affect orientation: oriented to person, place, and date attention: able to do dowb language: fluent with good comprehension and repetition. + dysarthria no apraxia, no neglect calculation intact cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 3 mm bilaterally. visual fields are full to finger movement. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations, intact movements motor: normal bulk and tone bilaterally no tremor full strength on the left. on the right, she has some giveway weakness, but is ~ throughout le (worse proximally) and 4+/5 in ue. +right pd. sensation: intact to light touch, pinprick in all extremities. toes were downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements normal, ffm normal. gait: not tested exam on discharge: the patient expired on pertinent results: 03:05am blood wbc-9.4 rbc-3.71* hgb-11.9* hct-36.4 mcv-98 mch-32.0 mchc-32.6 rdw-14.4 plt ct-288 03:05am blood plt ct-288 03:05am blood glucose-107* urean-26* creat-0.7 na-139 k-4.1 cl-102 hco3-30 angap-11 03:03am blood alt-22 ast-36 alkphos-126* totbili-1.3 03:05am blood calcium-8.7 phos-2.3* mg-2.1 03:03am blood tsh-1.4 02:00am blood digoxin-0.7* 03:05am blood phenyto-14.1 03:15am blood type-art po2-102 pco2-41 ph-7.53* caltco2-35* base xs-11 03:15am blood glucose-103 . ct head w/o contrast 9:20 pm impression: 1. left-sided subdural hematoma with associated 8-mm rightward subfalcine herniation as well as small subarachnoid component within the left frontal and temporal lobes. 2. left-sided subgaleal hematoma. 3. rounded hyperdense lesion abutting the left cerebellum likely representing a meningioma but not fully characterized. elective mr can be performed if clinically indicated. . ct head: findings: a large subgaleal hematoma again overlies the left frontal and temporal bones. a moderate-sized subdural hematoma again layers over the left cerebral convexity and extending along the left tentorium and falx. this hematoma measures at least 13 mm in greatest dimension and overall is unchanged in size compared to the previous examination. a small amount of subarachnoid hemorrhage is again seen within the left frontal and left temporal lobes is also unchanged in distribution. there is mild associated rightward shift of normally midline structures of approximately 5 mm and this is overall not significantly changed compared to the previous examination. diffuse effacement of the sulci within the left cerebral hemisphere is noted. a 1.8 x 1.8 cm heterogeneous but predominantly hyperdense lesion is again noted within the lateral aspect of the left cerebellum, not fully characterized. the soft tissues, osseous structures and visualized portions of the paranasal sinuses and mastoid air cells are grossly unremarkable. impression: largely unchanged left-sided subdural hematoma with associated 5 mm of rightward shift in addition to subarachnoid hemorrhage within the left frontal and temporal lobes. unchanged left-sided subgaleal hematoma. 1.8 cm heterogeneous hyperdense mass within the cerebellum most likely represents a meningioma. if clinically indicated, a non-emergent mri could be obtained to further characterize this lesion. . non-contrast head ct: there has been no significant change compared to eight hours prior. again seen is a moderate-sized subdural hematoma layering over the left cerebral convexity and extending along the left tentorium and falx, measuring 13 mm in greatest diameter. there is a persistent small amount of subarachnoid hemorrhage within the posterior frontal and temporal lobes. subfalcine herniation and 6 mm of midline shift are also unchanged. heterogeneously enhancing 1.8- cm lesion within the left lateral cerebellar hemisphere is redemonstrated. large subgaleal hematoma along the left frontal and temporal bones is stable. there is minimal opacification within the left sphenoid sinus and right mastoid air cells. impression: unchanged left subdural hematoma with 6 mm of rightward midline shift and subarachnoid hemorrhage within the frontal and temporal lobes. unchanged left-sided subgaleal hematoma. unchanged 1.8-cm heterogeneous left cerebellar mass which likely represents a meningioma. . non-contrast head ct: patient is status post left frontal, parietal and temporal bones craniotomy and evacuation of left convexity subdural hematoma. small amount of extra-axial blood is seen along the left cerebral hemisphere, adjacent to the falx and layering on the tentorium. the degree of rightward shift of normally midline structures (5 mm), effacement of the left cerebral hemisphere sulci and compression of the left lateral ventricle is unchanged. small amount of subarachnoid blood is seen within the left vertex, unchanged. 1.8 cm lesion, likely a meningioma within the left lateral cerebellar hemisphere is redemonstrated. expected postoperative pneumocephalus as well as left subgaleal scalp hematoma are identified. aersolized secretions are noted within the sphenoid sinuses. the remainder of the visualized paranasal sinuses and mastoid air cells remain normally aerated. impression: status post craniotomy and evacuation of left subdural hematoma. no new hemorrhage is identified. . ct head without contrast: findings: patient is status post left frontal, parietal, and temporal bones craniotomy with evacuation of the left convexity subdural hematoma. there is decrease in the subdural air since the prior study. no new areas of hemorrhage visualized. there are overlying leads on the head visualized. again visualized is a subdural hematoma along the falx. the left frontoparietal subgaleal hematoma is unchanged in thickness and size. the left vertex intraparenchymal hematoma is unchanged in extent. the ventricles appear normal. the posterior fossa structures appear normal. impression: status post left frontoparietal, temporal lobe subdural hematoma with decrease in the subdural air and decrease in the midline shift since the prior study. no new areas of hemorrhage identified. . ct head without contrast: findings: previously seen scalp eletrodes have been removed. the patient is status post left frontal, parietal, and temporal bone craniotomy and evacuation of left convexity subdural hematoma. a small amount of extra-axial blood is seen along the left cerebral hemisphere, adjacent to the falx and layering on the tentorium. the degree of rightward shift of normally midline structures (4 mm) is essentially unchanged from . a small amount of subarachnoid blood is again seen in the left vertex, essentially unchanged from . again a 1.9-cm lesion is seen in the left lateral cerebellar hemisphere consistent with a meningioma. expected postoperative pneumocephalus has decreased and there is a persistent left subgaleal scalp hematoma. the paranasal sinuses and mastoid air cells are essentially normally aerated. impression: status post craniotomy and evacuation of left subdural hematoma, similar to prior ct but with reduced pneumocephalus. no new hemorrhage identified. . ct head without contrast: findings: there is small left subdural fluid with hemorrhage layering within, with a transverse dimension of 6mm. ther eis mild shift of midline structures, unchanged. sudural blood layering on the tentorium and adjacent to the falx has decreased in size as has the subarachnoid blood seen in the left vertex. expected post-operative changes are noted in the left scalp. again noted is the presumed meningioma in the left side of the posterior cranial fossa. conclusion: no new hemorrhage, evolution of preexisting subarachnoid and subdural hemorrhage. . hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 02:16am 15.3* 2.93* 9.8* 29.5* 101* 33.4* 33.2 15.8* 659* source: line-a basic coagulation pt ptt inr(pt) 02:16am 15.9 30.5 1.4* source: line-a chemistry renal & glucose glucose urean creat na k cl hco3 angap 02:16am 97 45* 1.5* 143 3.8 109* 21* 17 source: line-a enzymes & bilirubin alt ast ld(ldh) alkphos amylase totbili dirbili 02:16am * 35 2.1* source: line-a other enzymes & bilirubins lipase 02:16am 36 source: line-a chemistry alb calcium phos mg 02:16am 2.1* 7.1* 3.8# 2.1 source: line-a blood gas blood gases type temp o2 flow po2 pco2 ph tco2 base xs intubat 02:26am art 38.1 93 35 7.49* 27 3 intubated whole blood, miscellaneous chemistry lactate k 02:26am 3.4* 3.6 hemogloblin fractions ( cooximetry) o2 sat 01:08pm 64 03:05am 86 calcium freeca 02:26am 1.03* brief hospital course: mrs was admitted to the icu and followed closely with frequent neurochecks, loaded with dilantin and blood pressure control. on the patient was noted to have 3 seizures consisting of an uncontrolled movement around her mouth, "tic-like" fast muscle movements. her dilantin level was increased to a goal of 15-20 and she was started on keppra. a eeg was done without seizure activity noted. the patient had a head ct which was stable. it was decided to evacuate the subdural due to the seizures. brought to the or for a left sided subdural hematoma evacuation. post operative ct shows a small amount of extra-axial blood is seen along the left cerebral hemisphere, adjacent to the falx and layering on the tentorium. the degree of rightward shift of normally midline structures was 4mm. she also had a incidental small meningioma noted. she had no further seizures confirmed by 24 hour eeg. her mental status improved on a daily basis. on she was alert and attentive with questionably following commands. on , ms. family decided to make her comfort measures only. she was extubated on the same day. once it was determined that she was stable off of the ventilator, she was transferred to the floor. her exam was deferred on the morning of to give the patient privacy and as ensure that the patient remained comfortable. on the evening of the patient's family notified the primary team that they were not aware that comfort measures only meant no nutrition and a morphine drip to keep the patient comfortable. at that point, the family decided that they were amenable to insertion of a feeding tube if necessary and that they no longer wanted to make the patient comfort measures only. the nurses were told to get vital signs at that time and the patient was found to have an o2 sat of 83% on a nonrebreather. the patient's lips were blue at that point in time. the family was consulted again since the patient was dnr/dni. respiratory therapy was consulted to place the patient on bipap. however, the respiratory therapist was not comfortable putting the patient on bipap on the floor. mrs. family decided that it would be okay to consent to a temporary intubation at this point and a code blue was initiated for respiratory distress. the patient was transferred to the sicu on the ventilator. after having a long discussion with the family, they decided that she would remain intubated for a temporary amount of time with the intention of extubation in the near future. the were adamant about not having heroic measures including using a defibrillator or performing chest compressions, however they were amenable to using vasoactive agents to get her cardiac function back to normal. on , dr. spoke to mrs. family, in addition to palliative care and representatives from the icu team, regarding her prognosis after she had been off of the ventilator for 24 hours from - . the family was made aware that the patient had little chance of survival and the premise of comfort measures only was thoroughly explained. the family made the decision at that time to extubate the patient and make her comfort measures only which was explained to them as putting the patient on a morphine drip, with iv boluses of morphine as necessary for incidental pain, dyspnea or agitation; ativan as necessary for agitation and a scopolamine patch for increased respiratory secretions. on , mrs. passed away from respiratory distress. medications on admission: coumadin 2mg daily metoprolol 50 digoxin 0.125 daily discharge disposition: expired discharge diagnosis: left sided subdural hematoma respiratory distress discharge condition: deceased discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances other incision of brain transfusion of packed cells transfusion of other serum diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation other convulsions unspecified fall compression of brain dermatitis due to drugs and medicines taken internally encounter for palliative care subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness other and unspecified coagulation defects oliguria and anuria other abnormal glucose subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness 

Answer: The patient is high likely exposed to