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 fall major surgical or invasive procedure: none history of present illness: year old very active patient who was in his usual state of health until last night when he remembers going to the bathroom (cannot pinpoint time but says it was dark)and falling. no recollection of other events until he was found by wife this am at the bottom of the house's staircase around his own vomitus. presents responsive to emergency department via ems for for further care. past medical history: right inguinal hernia denies other past medical history social history: married, lives with wife family history: noncontributory pertinent results: 06:51pm glucose-160* urea n-27* creat-1.2 sodium-145 potassium-4.1 chloride-113* total co2-23 anion gap-13 06:51pm calcium-7.7* phosphate-3.7 magnesium-1.7 06:51pm wbc-14.9* rbc-3.22* hgb-10.0* hct-29.3* mcv-91 mch-30.9 mchc-34.1 rdw-13.7 06:51pm plt count-140* 06:51pm pt-13.7* ptt-27.8 inr(pt)-1.2* 12:20pm ck(cpk)-671* 12:20pm ck-mb-17* mb indx-2.5 08:50am alt(sgpt)-20 ast(sgot)-38 ck(cpk)-425* alk phos-77 tot bili-0.5 08:50am lipase-40 08:50am ctropnt-0.01 ct head impression: no acute intracranial process. hyperdensity seen in the upper spinal canal at the region of the cervical cord is concerning for possible extra- axial blood at that location. ct c-spine impression: 1. hyperdense material within the spinal canal, consistent with likely extra- axial hemorrhage, recommend comparison with mr. 2. no fracture or dislocation, though note is made of a retrolisthesis as detailed above as well as multilevel degenerative change. 3. prevertebral soft tissue swelling, concerning for prevertebral hematoma. ct chest/abdomen/pelvis impression: 1. hematoma in the right neck, correlating with that detailed on clinical exam. while no active extravasation is seen, injury to branches of the external carotid artery is not excluded. 2. prevertebral collection, concerning for prevertebral hematoma. 3. right paratracheal collection. this finding is nonspecific and most likely represents settling of hematoma in that location. given age, nodal conglomerate is not excluded, though less likely given the lack of other adenopathy. also, it is in proximity to the esopagus (and history indicates emesis) so esophageal injury is not excluded, though unlikely given the lack of aberrant gas. 4. small bilateral pleural effusions and atelectasis. 5. multiple fractures, including the sternum, multiple left ribs and transverse processes in the thoracic spine as well as in the spinous process. 6. nodule in the left lower lobe of the thyroid, as detailed above, this finding should be correlated with ultrasound when clinically stable. nodules in the lungs should be correlated to malignancy risk factors, which, if present merit 12month follow-up. esophageal barium swallow impression: limited study due to ineffective swallowing, with study promplty terminated due to aspiration. within this limitation, there is no obvious extraluminal contrast to suggest leak in the region interest seen on ct. however, due to the limitations, above, this study cannot definitively rule out esophageal injury. echo report findings left atrium: normal la size. right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. mildly dilated ascending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. moderate tr. pericardium: no pericardial effusion. general comments: the patient appears to be in sinus rhythm. conclusions the left atrium is normal in size. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is no pericardial effusion. impression: normal global and regional biventricular systolic function. mild mitral regurgitation. moderate tricuspid regurgitation. moderate pulmonary hypertension. chest ap impression: 1. left lower lobe collapse and/or consolidation with blunting of left costophrenic angle, unchanged. 2. faint opacity right base, question atelectasis versus small amount of pleural fluid, also likely unchanged. 3. the patient has known multiple sternal and rib fractures and t-spine transverse process fractures seen on the torso ct, which are not well depicted radiographically. brief hospital course: he was admitted to the trauma service and transferred to the trauma icu for close monitoring. he underwent ct imaging and no acute intracranial processes were noted. he sustained manubrial fracture, left ribs fractures, a dural hematoma extending approximately from c2 to the t2 level, a right neck hematoma. thoracic surgery was consulted because of concern for an of esophageal injury; he underwent a barium swallow and no extraluminal contrast was identified. an incidental finding of a thyroid nodule in the left lower region was noted on ct imaging and is being recommended for a 12 month follow up ct scan. (see ct report in pertinent results section of summary) he was later transferred to the regular nursing unit and was there for several hours when he was noted to have mental status changes and atrial fibrillation with rvr. cardiology was consulted and he was given prn lopressor vs standing beta blockade as his blood pressure was running on lower side. once his blood pressure stabilized he was started on toprol xl 12.5 mg with hold parameters. his change in mental status was thought secondary to delirium given his traumatic injuries and narcotics he had previously received and so olanzapine was started and given at hs. his mental status improved significantly. a bedside swallow evaluation was performed by speech and initially he was placed on thickened liquids with ground solids. because his mental status improved his diet was upgraded to soft solids and thin liquids. he was evaluated by physical and occupational therapy and is being recommended for acute rehab. medications on admission: denies medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. oxycodone 5 mg/5 ml solution sig: five (5) mg po q4h (every 4 hours) as needed for pain. 4. acetaminophen 160 mg/5 ml solution sig: six y (650) mg po q6h (every 6 hours). 5. metoprolol succinate 25 mg tablet sustained release 24 hr sig: 0.5 tablet sustained release 24 hr po daily (daily): hold for hr <60 and/or sbp <110. 6. olanzapine 2.5 mg tablet sig: one (1) tablet po at bedtime: hold for increased sedation noted during the daytime hours. 7. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. disposition: extended care facility: hospital at diagnosis: s/p fall right neck hematoma left rib fractures manubrial fracture scaphoid fracture t3/t4 transverse process fractures atrial fibrillation thyroid nodule (incidental finding) spinous process fracture t3 condition: hemodynamically stable, tolerating a regular (soft/ground) diet, pain adequately controlled followup instructions: follow up with dr. , orthopedic spine surgery in 2 weeks; call for an appointment. follow up in 2 weeks with dr. , trauma surgery for evlauation of your neck hematoma and rib fractures. you will need an end expiratory chest xray for this appointment so please inform the office of this. follow up with your primary care doctor from rehab for follow up of the thyroid nodule and for the atrial fibrillation noted on ct scan imaging. you or a member of your family will need to call for an appointment. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnoses: atrial fibrillation closed fracture of sternum accidental fall on or from other stairs or steps swelling, mass, or lump in head and neck gross hematuria delirium due to conditions classified elsewhere contusion of face, scalp, and neck except eye(s) closed fracture of three ribs nontoxic uninodular goiter c5-c7 level with unspecified spinal cord injury closed fracture of t1-t6 level with unspecified spinal cord injury closed fracture of navicular [scaphoid] bone of wrist 

Answer: The patient is high likely exposed to