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: liver laceration s/p fall shock liver r/t hypotension pituitary macroadenoma rxn/xrt (), major surgical or invasive procedure: none history of present illness: 51m s/p pituitary macroadenoma resection c/b intracranial hemorrhage (details unknown) s/p post-op radiation therapy (completed 2 weeks ago) presented to hospital from (where he has been since operation) after (ct head negative for acute injury) but on , he was found to be unresponsive, hypotensive(sbp 60s) and hypoxic (o2 sats 70s) w/ hct 22 in ed. ct abd w/ po contrast only (had acute renal failure) demonstrated liver laceration/hematoma and 3 right-sided rib fractures. he was resuscitated w/ crystalloid (3l) and 4 prbcs and no pressors were required - has been hemodynamically stable since. at baseline,he ambulates, speaks normally but is oriented to only person and has memory issues. however, his mental status had significantly declined and was only responding to noxious stimuli. repeat head ct did not demonstrate any new evidence of acute changes. his transminases were increasing and were >2800 on transfer,tbili 1.2. he was transferred to for further management. past medical history: pituitary macroadenoma s/p resection via craniotomy and radiation completed 2 weeks prior to admission c/b ich w/ residual cortical encephalomacia; hypothyroidism; adrenal insufficiency; diabetes insipidus; psychosis; s/p falls x2 social history: previously worked in construction, lives in ,ma; married w/ two children; +smoking hx >35 pack years; no etoh;occasional marijuana use in past family history: unable ot obtain physical exam: o: t: 97.3 hr: 89 bp: 151/95 r: 21 o2sats: 96% 4l nc gen: wd/wn, comfortable, nad. heent: r eye edema and ecchymosis neck: supple; rij cvl c/d/i lungs: diminished bilaterally. cardiac: rrr abd: decreased bs, soft, +ttp ruq (patient grimaces), +mild distension, no fluid wave, no rebound extrem: 1+ edema bilaterally neuro: mental status: lethargic, wakes to noxious stimuli and voices intermittently, oriented to person only. language: says name, mumbles. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2mm bilaterally. iii, iv, vi: extraocular movements appear intact but minimal movements bilaterally v, vii: did not follow command viii: hearing intact to voice. ix, x: did not follow command : did not follow command xii: did not follow command motor: normal bulk and tone bilaterally. no abnormal movements, tremors. weak movement to toes and hand grip bilaterally. ct/mri: labs: 134 103 28 agap=9 -------------<115 4.1 26 1.1 ca: 8.9 mg: 2.3 p: 2.6 alt: 3195 ap: 377 tbili: 1.0 alb: ast: 2812 ldh: 2820 dbili: tprot: : 46 lip: 47 9.9 \ 11.0 / 106 / 30.7 \ pt: 16.0 ptt: 25.8 inr: 1.4 pertinent results: :mra brain w/o contrast 1. no evidence of acute ischemia, or acute hemorrhage. 2.bilateral aca infarct of uncertain chronicity, likely chronic with signal abnormality suggesting cortical laminar necrosis and developing encephalomalacia. 3. post-surgical changes at the sella turcica, with evidence of packing material (uncertain on procedure performed), and sella turcica floor remodeling, presumably related to resected mass. significant residual tumor encasing the right cavernous sinus. : ct chest//pelvis 1. evolving large subcapsular hematomas with the more anterior hematoma displaying internal liquification and a thick surrounding rim. the additional irregular surrounding low-density lesions within the right lobe are most suggestive of underlying evolving lacerations and intraparenchymal hematomas although some may be bilomas. if there remains a high clinical concern for superinfection, these would be amenable to diagnostic needle aspiration under ultrasound or ct. 2. irregular thickening and enlargement of the left adrenal gland is nonspecific with differential including focal adrenal lesion such as adenoma or adrenal hematoma. can consider evaluation with mri on non emergent basis. 3. nondisplaced rib fractures involving the right fifth through ninth ribs. interval increase in size to simple right pleural effusion. 4. extensive atherosclerotic disease involving the aorta with occlusion of the left common iliac and proximal portions of the left internal and external iliac vessels. infrarenal aortic ectasia measuring just under 3 cm. 02:48pm blood glucose-115* urean-28* creat-1.1 na-134 k-4.1 cl-103 hco3-26 angap-9 10:03am blood glucose-99 urean-20 creat-1.0 na-153* k-4.0 cl-118* hco3-28 angap-11 03:07am blood glucose-91 urean-15 creat-0.7 na-142 k-3.1* cl-107 hco3-31 angap-7* 03:00am blood glucose-86 urean-11 creat-0.6 na-143 k-4.3 cl-108 hco3-32 angap-7* 08:05am blood glucose-112* urean-11 creat-0.7 na-140 k-3.9 cl-102 hco3-32 angap-10 12:25pm blood glucose-127* urean-19 creat-1.1 na-151* k-4.2 cl-111* hco3-28 angap-16 01:31pm blood glucose-137* urean-15 creat-0.8 na-142 k-4.1 cl-106 hco3-27 angap-13 08:58am blood na-146* k-4.3 cl-111* 06:15am blood glucose-81 urean-15 creat-0.5 na-143 k-4.0 cl-108 hco3-28 angap-11 07:40am blood glucose-72 urean-11 creat-0.6 na-131* k-4.3 cl-96 hco3-26 angap-13 07:40am blood glucose-109 urean-11 creat-1 na-148* k-5.9 cl-111 hco3-24 angap-19 05:00am blood glucose-90 urean-15 creat-0.6 na-139 k-3.9 cl-102 hco3-27 angap-14 02:48pm blood wbc-9.9 rbc-3.87* hgb-11.0* hct-30.7* mcv-79* mch-28.3 mchc-35.7* rdw-18.4* plt ct-106* 02:47am blood wbc-8.0 rbc-3.73* hgb-10.4* hct-29.5* mcv-79* mch-27.9 mchc-35.3* rdw-18.4* plt ct-104* 03:01am blood wbc-6.4 rbc-3.40* hgb-9.7* hct-27.7* mcv-82 mch-28.5 mchc-35.0 rdw-18.8* plt ct-88* 03:07am blood wbc-6.1 rbc-3.18* hgb-8.9* hct-26.0* mcv-82 mch-28.0 mchc-34.3 rdw-18.9* plt ct-81* 06:55am blood wbc-9.5 rbc-3.58* hgb-9.7* hct-29.2* mcv-82 mch-27.2 mchc-33.4 rdw-18.7* plt ct-225 03:01pm blood wbc-11.1* rbc-3.33* hgb-9.3* hct-28.3* mcv-85 mch-28.1 mchc-32.9 rdw-19.3* plt ct-668* 07:40am blood wbc-5.0 rbc-3.57* hgb-9.8* hct-29.7* mcv-83 mch-27.3 mchc-32.8 rdw-18.5* plt ct-676* 07:40am blood wbc-6.3 rbc-3.46* hgb-9.6* hct-28.9* mcv-84 mch-27.9 mchc-33.3 rdw-18.4* plt ct-467* brief hospital course: he was admitted to the west 1 service under dr. for management of liver lac, altered mental status. a cvl was inserted for iv hydration. serial hematocrits were done and stabilized. iv hydrocortisone, ddavp and levoxyl were resumed. a post pyloric feeding tube was inserted and feedings were started. he became confused and non-responsive. he was found to be hypernatremic and alteration of thyroid function. this was treated with d5w infusion. hepatology was consulted. elevated lfts were attributed to shock liver. hepatitis serologies were sent and were negative. dilantin was held. dilantin level was 24.6. neurology was consulted for acute mental status changes noting up going left today. mri was done to r/o ischemia noting no evidence of acute ischemia, or acute hemorrhage. bilateral aca infarct of uncertain chronicity, likely chronic with signal abnormality suggesting cortical laminar necrosis and developing encephalomalacia. there was significant residual tumor encasing the right cavernous sinus. altered mental status was felt to be partially due to elevated dilantin level as well as metabolic derangement due to pan pituitary failure in addition to hypoxic insult due to hypotension experienced on . dilantin dose was adjusted. on : endocrinology was consulted. tsh was low 0.029 with low t3 & t4. levoxyl was given iv then switched to po once diet was resumed. hydrocortisone dose was increased. hyernatremia was felt to be from not enough free water and not diabetes insipidus. free water was given via the tube feeding with improvement of sodium. cabergoline was resumed when diet was resumed. hydrocortisone doses were decreased. on : a cxr was done noting a large right pleural effusion with adjacent large atelectasis of the right middle and right lobes with increased left lower lobe opacities consistent with increasing atelectasis and small pleural effusion. on : po 0.1 mg po bid ddavp,and sqh were started.iv free water replacement was stopped and, free water replacement via dobhoff was increased to 315 q6h. on , patient was discharged to the floor however late that night the patient devloped fevers and had na upto 153,so he was transferred back to the icu. : he was restarted on d5w gtt. ct a/p showed bile lakes secondary to hepatic arterial infarct/ischemia, but no e/o abscess. large right pleural effusion w/ associated collapse of the rll.a right side ij line for access. : iv d5w was increased to 150cc/hr. desmopressin dose was changed from 0.1mg po bid to 1 mcg sc bid. picc line was placed but it was coiled, so it was pulled back to midline. the patient was again febrile to 101.6, repeat cultures. : the picc line got rewired in ir. the patient had an episode of afib w/ response of ~130bpm. the rythm converted to sinus when his cvl was removed, and was given 5mg lopressor. he passed s&s, started on pureed diet/thin liquids. his iv d5w was d/ced as his na levels improved. : he got 2u rbcs for hct of 21.his post transfusion hct was 27.8. his g-tube flushes were decreased to q6hr given improving na 134. : he was transferred to the floor.his foley was d/ced. :his free water flush through the tube feeds was increased to 500cc/q6h from 300 q6h because of increasing sodium levels. also because if his low blood dilaintin levels he was given increased doses of dilantin. :his dilantin level continued to stay low despite an increased dose, so he was given 1200 mg of iv dilantin over an hour.free water flush through the tube feeds was decreased to 400cc/q6h. :he was started on phenytoin infatab and po demporessin.free water flush through the tube feeds was decreased to 350 cc/q6h. he pulled off his dobhoff tube. : his blood sodium levels continued to be stable.an ir guided postpyloric dobhoff was replaced. :his diet was advanced to thin liquids.blood sodium checks continued. :patients serum sodium was high (148-151).free water flushes were increased to 500cc q4h. : as the phenytoin levels continued to be low despite trying various formulations,a/p neuro recs the patient was started on levetiracetam with the plan to bridge and later d/c phenytoin on an outpatient basis. :patients serum sodium continued to stay high. free water flushes were increased to 500cc q3h. :desmopressin acetate was increased to 0.2 mg po bid due to high serum sodium levels. :serum sodium was decreasing to around 140.the free water flushes were decreased to 500 q 6hrs. : the serum sodium level continued to stay normal at 141 on this regimen. on the day of discharge the patient was tolerating tubefeeds, tolerating a thin regular diet,having stable sodium levels on the current tubefeeds regimen,and having improving mentation. he would need regular daily sodium checks and would be following up in neurology clinic in 2 weeks for appropriate management of the antiseizure medication. medications on admission: levothyroxine 125 po qd, cabergoline 0.5po qd, hydrocortisone 20 po qd, desmopressin 0.1 po qd, pantoprazole 40 po qd, loratadine 10 po qd, ferrous sulfate 325 po qd, lisinopril 5po qd, magnesium oxide 400 po bid, methylphenidate (dosage uncertain), phenytoin 150 q8h, potassium chloride 40mg po qd discharge medications: 1. heparin (porcine) 5,000 unit/ml solution : one (1) inj injection tid (3 times a day). 2. hydrocortisone 5 mg tablet : three (3) tablet po daily (daily): am dose. disp:*30 tablet(s)* refills:*2* 3. hydrocortisone 5 mg tablet : one (1) tablet po qpm (once a day (in the evening)). disp:*20 tablet(s)* refills:*2* 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*20 tablet,rapid dissolve, dr(s)* refills:*2* 5. levothyroxine 125 mcg tablet : one (1) tablet po daily (daily). 6. acetaminophen 650 mg/20.3 ml solution : one (1) po q6h (every 6 hours) as needed for fevers. 7. cabergoline 0.5 mg tablet : one (1) tablet po 3x/week (3 times a week). 8. miconazole nitrate 2 % powder : one (1) appl topical (2 times a day) as needed for rash. 9. insulin regular human 100 unit/ml solution : as per sliding scale injection asdir (as directed). 10. levetiracetam 500 mg tablet : 1.5 tablets po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 11. desmopressin 0.1 mg tablet : two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 12. phenytoin 50 mg tablet, chewable : six (6) tablet, chewable po three times a day: 300 mg tid. please follow weekly level, dose adjustment in hospital. discharge disposition: extended care facility: hospital - discharge diagnosis: liver laceration s/p fall shock liver r/t hypotension pituitary macroadenoma rxn/xrt (), discharge condition: mental status: confused - always. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. fall risk discharge instructions: you will be transferred to in please call endocrine -dr. (on vacation, back in 2 weeks but will have coverage for emergencies) . family building- , fax pcp center- , fax *** patient needs daily sodium level drawn. please follow closely and discuss with endocrinologist as indicated followup instructions: endocrine -dr. . family building- , fax pcp center- , fax procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances central venous catheter placement with guidance diagnoses: unspecified pleural effusion acute posthemorrhagic anemia acute and subacute necrosis of liver unspecified acquired hypothyroidism unspecified fall pulmonary collapse other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation mechanical complication due to other implant and internal device, not elsewhere classified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits glucocorticoid deficiency hyperosmolality and/or hypernatremia injury to liver without mention of open wound into cavity, hematoma and contusion personal history of irradiation, presenting hazards to health other specified hypotension diabetes insipidus injury to liver without mention of open wound into cavity laceration, unspecified closed fracture of five ribs unspecified psychosis other conditions of brain history of fall iatrogenic pituitary disorders personal history of benign neoplasm of the brain 

Answer: The patient is high likely exposed to