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: aspirin attending: chief complaint: confusion major surgical or invasive procedure: burr hole evacuation of left sdh history of present illness: hpi: the pt is a 84 year-old man w/ hx of cad, s/p aaa repair,vascular dementia, cva , cri and multiple other medical problems presented to from rehab for evaluation of confusion, r sided weakness and up to two falls in the last 48 hours, but over 4 falls in the last few days. per son, he has been more confused over the past day, and his speech has changed with word finding difficulties. he has been reportedly coherent and able to make his own decisions up to couple days ago. he has had acute changes in mental status where he has began to forget to do adls (eg. forgot to feed himself). he was also noted dragging "his right leg and r hand with decreased strength." patient is very off baseline per hcp. son, he has had an hx of prior ? "brain aneurysms" ~ 10yrs ago tx in tx, detailed history is unknown. on neuro ros, reports a headache that is strong, but unchanged from earlier today. he denies loss of vision, blurred vision, diplopia, but ros appears to be irreproducible. per home records he has had progressive vascular dementia,however his son states that he is and alert, able to perform basic adls independently (w/ exception of bathroom use) a vast majority of the time. there are multiple inconsistencies in hx obtained from son, hcp and records from home. past medical history: -cad -aaa s/p repair -htn -cva in -vascular dementia -syncope -hypercholesterolemia -chronic renal insufficiency -urinary retention, acontractile bladder without obstruction -bph -constipation -chronic pain, narcotic dependence -depression -severe anxiety -gerd with barretts esophagus -copd -asthma -chronic low back pain -uti oxacillin resistant coag + staph social history: world war ii veteran. lives with his wife, . past smoking history is 30 pack-years. no alcohol or drugs. family history: denies history of seizures or syncopal events. physical exam: physical exam: vitals: t: 98.9f p: 67 r: 16 bp:139/79 sao2:100% ra general: awake, cooperative, difficult to maintain attn. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no nuchal rigidity pulmonary: lungs cta cardiac: rrr, nl. s1s2 abdomen: soft, nt/nd, slightly distended. extremities: no edema, warm b/l. neurologic: -mental status: alert, oriented to self only. attention impaired. intact repetition, able to read and speak without difficulty, but with 3-5 second latency in his responses. able to follow central and appendicular commands. no evidence of neglect. -cranial nerves: ii: perrl 3 to 2mm and brisk. vff to confrontation. funduscopic unable to perform due to miosis. iii, iv, vi: eomi without nystagmus. v: facial sensation intact to light touch. vii: no facial droop, facial musculature symmetric. ix, x: palate elevates symmetrically. : 5/5 strength in trapezii and scm bilaterally. xii: tongue protrudes to the right. -motor: poor bulk, normal tone, but atrophy noted at temporal m. and intrinsic hand and foot m. r pronator drift. no adventitious movements, such as tremor, noted. no asterixis noted. strength is full in ues with exception of r deltoid 4, biceps 4+, triceps 4, we 4+. le 4+ ip and 4+ hamstrings. -sensory: light touch - impaired on rue and rle. pinprick - not done cold sensation - not done vibratory sense - not done proprioception -not done extinction to dss on the right. -dtrs: tri pat ach l 1 1 1 1 1 r 3 3 3 1 1 plantar response was flexor l, mute on r. -coordination: no intention tremor. -gait: deferred. on discharge: oriented x 2 with slight prompting, cn ii-xii intact, no facial , no drift, motor full, follows commands, speech clear. incision clean and dry. staples in place. pertinent results: , m 84 cardiology report ecg study date of 3:06:38 pm sinus rhythm. possible left atrial abnormality. septal q waves are non-diagnostic. there is likely left ventricular hypertrophy with early repolarization. compared to the previous tracing of there is no significant change. read by: , intervals axes rate pr qrs qt/qtc p qrs t 68 174 98 48 , m 84 radiology report ct head w/o contrast study date of 3:52 pm , eu 3:52 pm ct head w/o contrast clip # reason: ams, slight right sided weakness, evaluate for bleed medical condition: 84 year old man with ams and slight right side weakness reason for this examination: please eval for evidence of bleed contraindications for iv contrast: none. wet read: sbna sun 5:50 pm large left sided likely acute on chronic subdural hematoma. 7 mm rightward shift final report ct head without contrast. comparison: . history: altered mental status, evaluate for bleed. technique: mdct axially acquired images of the brain were obtained. no iv contrast was administered. coronal and sagittal reformats were not performed. findings: there is a large left-sided subdural hematoma with areas of hyperdensity and hypodensities suggestive of acute on subacute bleed. this hematoma measures approximately 3.4 cm in maximal width. there is rightward shift of normally midline structures by approximately 7 mm (2, 18). there is adjacent mass effect with effacement of the left frontal and posterior horns of the ipsilateral lateral ventricle. there is no intraventricular hemorrhage or evidence of trapped ventricle identified. the basilar cisterns are patent. slight widening of the ipsilateral prepontine cistern is noted and could represent mild uncal herniation. the patient is status post remote right frontal craniotomy. the -white matter differentiation is preserved. the sulci are prominent consistent with age-related atrophy. the visualized paranasal sinuses are clear. there is no evidence of acute fracture. impression: large acute-on-subacute left subdural hematoma with shift of normally midline structures toward the right by approximately 7 mm and slight left uncal herniation. , m 84 radiology report chest (single view) study date of 5:16 pm , eu 5:16 pm chest (single view) clip # reason: please eval for acute cardio-pulm process medical condition: 84 year old man with altered mental status reason for this examination: please eval for acute cardio-pulm process final report chest single view comparison: . history: altered mental status. findings: the cardiac silhouette is unchanged. the aorta is unfolded and ectatic with calcifications, similar in appearance when compared to prior exam. calcified nodule within the left mid lung zone is again identified and unchanged. clips within the right upper quadrant are noted. there is no focal consolidation, effusion, or pneumothorax. left basilar atelectasis is noted. calcification of the mitral valve is also identified. impression: 1. left basilar atelectasis. 2. ectatic and unfolded aorta with calcifications, unchanged. mitral valve calcifications. , m 84 radiology report shoulder (ap, neutral & axillary) trauma right study date of 9:38 pm , nsurg sicu-a 9:38 pm shoulder (ap, neutral & axilla clip # reason: please assess for fx, other anl medical condition: 84 year old man with mmp, now w/ r shoulder pain reason for this examination: please assess for fx, other anl final report right shoulder clinical information: right shoulder pain. findings: the humeral head is high riding consistent with longstanding rotator cuff tear. the humeral head articulates with the acromion. there are degenerative changes at the glenohumeral joint, moderate in degree. no fracture or other deformity noted. , m 84 radiology report ct head w/o contrast study date of 11:16 am , nsurg fa11 11:16 am ct head w/o contrast clip # reason: 84 year old man s/p l sdh drainage, evaluate for change prio medical condition: 84 year old man s/p l sdh drainage, evaluate for change prior to discharge. reason for this examination: 84 year old man s/p l sdh drainage, evaluate for change prior to discharge. contraindications for iv contrast: none. provisional findings impression: 4:46 pm pfi: left drainage catheter has been removed. no evidence of new hemorrhage or infarct. improvement in pneumocephalus. final report indication: 84-year-old male status post left subdural hemorrhage drainage. interval followup. technique: multidetector axial ct scan of the head was obtained without the administration of contrast. comparison: ct head dated and ct head dated . findings there has been interval removal of the left-sided drainage catheter. there has been improvement of the pneumocephalus from the prior examination. there is now a fluid collection within the space. there remains a small amount of hyperdensity layering posteriorly consistent with a small amount of residual blood. there are two burr holes in the left and surgical staples in place. there is no evidence of new hemorrhage or infarction. the ventricles are dilated and stable from prior examination. there is persistent effacement of the sulci, unchanged from prior as well as similar level of midline shift from prior. the paranasal sinuses and mastoid air cells are unremarkable. the patient is status post remote right-sided frontal craniotomy. impression: 1. interval removal of left-sided catheter drainage with improvement in pneumocephalus. recommend continued followup to ensure complete resolution of pneumocephalus. 2. no evidence of new hemorrhage. brief hospital course: pt was tranferred in from rehab for evaluation of confusion. ct of the brain revealed left sided chronic sdh with 7 mm of midline shift. being that the pt was on plavix he was given platelets. he was loaded with dilantin for sz prophylaxis. he was brought to the or the following am for burr hole evacuation of same. a catheter was left in the subdural space x 1.5 days to allow for brain expansion. it was then removed. follow up ct scans were stable. pt and ot evals deemed the pt an appropriated candidate for rehabilitation services. pt to restart his home dose plavix on . medications on admission: medications: - fentanyl patch 100 mcg every 72 hrs. - oxycodone 5mg q4h prn - klonopin 1mg qhs - hydroxide qhs 30ml - vitamijn d 1000u - plavix 75 mg daily - loperamide, mom, artificial tears prn - flomax 0.4mg daily - metoprolol tartrate 12.5mg - iron sulfate 325mg - b12 injection 1mg monthly - wellbutrin sr 150mg - nasal , prn - nexium 40mg daily - sumatriptan 50mg daily - apap, simethicone, maalox prn discharge medications: 1. pneumococcal 23-valps vaccine 25 mcg/0.5 ml injectable sig: one (1) ml injection asdir (as directed). 2. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 5. cholecalciferol (vitamin d3) 400 unit tablet sig: 2.5 tablets po daily (daily). 6. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 7. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 9. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 13. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 14. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for headache. 15. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 16. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 17. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 18. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. discharge disposition: extended care facility: for the aged - discharge diagnosis: left sdh discharge condition: neurologically stable discharge instructions: general instructionsyour staples should be removed on ?????? have a frien/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair only after sutures and/or staples have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. call your surgeon immediately if you experience any of the following ?????? 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. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain with / without contrast. md procedure: placement of intracerebral catheter(s) via burr hole(s) diagnoses: unspecified fall constipation, unspecified hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) retention of urine, unspecified chronic obstructive asthma, unspecified subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness aphasia barrett's esophagus vascular dementia, uncomplicated cerebral atherosclerosis history of fall muscle weakness (generalized) 

Answer: The patient is high likely exposed to