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: no known allergies / adverse drug reactions attending: chief complaint: left scapular fracture status-post motor vehicle accident with elements of traumatic brain injury major surgical or invasive procedure: none history of present illness: 37 year old female tranferd from osh after high-speed mvc in which patient was ejected from the vehicle and found unresponsive on the road. pupils were reported to be non-reactive at the scene by ems. patient was intubated after etomidate and succinylcholine and reportedly had ct scan of the head at osh that showed occipital soft tissue swelling but no active hemorrhage. the patient arrived to intubated and sedated for further management. past medical history: past medical history: none past surgical history: c-section allergies: none social history: lives at home with husband. denies toxic habits family history: non-contributory physical exam: general: awake and alert, periodically confused heent: mucous membranes moist and pink; no scleral icterus; no ocular or nasal discharge; no lesions on face neck: no cervical tenderness cardiac: regular rate and rhythm; normal s1 and s2; no murmurs appreciated pulmonary: clear to auscultation bilaterally; no wheezes, crackes, or ronchi abdomen: soft, non-tender, non-distended; no masses palpated; no rebound or gaurding extremities: ecchymoses on left upper extremity near the shoulder; resolving ecchymoses over the left scapula neuro: periodically confused; cranial nerves ii-xii grossly intact; motor in all 4 extremities; sensation intact pertinent results: 11:03pm glucose-106* lactate-1.8 na+-139 k+-3.5 cl--104 tco2-21 10:50pm urea n-12 creat-0.7 10:50pm lipase-21 10:50pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 10:50pm wbc-22.5* rbc-4.73 hgb-13.1 hct-40.0 mcv-85 mch-27.7 mchc-32.8 rdw-12.9 10:50pm plt count-317 10:50pm pt-11.3 ptt-27.0 inr(pt)-1.0 10:50pm fibrinoge-162* 10:50pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg radiology: ct head without contrast : impression: 1. possible small anterior right parafalcine subdural hematoma. no associated midline shift or central herniation. 2. right parietal subgaleal hematoma ct cervical spine : impression: 1. minimally displaced t1 spinous process fracture. no additional acute fractures. 2. no malalignment ct torso :impression: 1. minimally displaced left scapular body fracture. displaced fractures of the t1 and t2 spinous processes. 2. likely left upper lobe pulmonary contusion, less likely infection, although a neoplastic process such as brochioloalveolar carcinoma cannot be excluded. recommend follow-up chest ct in 3 months. 3. low density tissue in the prevascular space is likely residual thymic tissue. attention on follow-up ct in 3 months is recommended. 4. tiny l. pneumothorax. 5. endotracheal tube ends 1.2 cm above the level of the carina. recommend withdrawing by 2 cm. 6. bilateral sacroiliitis ct head without contrast : impression: 1. no significant interval change in small quantity of either subdural or subarachnoid hemorrhage in the anterior right parafalcine region. an additional focus of subdural hemorrhage overlying the right frontal lobe is also unchanged. no new intracranial hemorrhage. 2. no shift of midline structures or central herniation. 3. increased right frontoparietal subgaleal hematoma. mri cervical spine : impression: 1. diffuse soft tissue injury in the posterior cervical soft tissues and avulsion fractures of the t1 and t2 spinous processes are identified. mild soft tissue injury to the interspinous region of c1 and c2 is seen. no ligamentous disruption is identified. 2. fluid in atlanto-occipital joint and mild thickening of the transverse ligament indicates some mild craniocervical ligamentous injury, but no evidence of subluxation seen or definite fracture identified. 3. no evidence of spinal cord signal abnormalities or extrinsic spinal cord compression. no intraspinal hematoma seen. 4. fluid within the nasopharynx and within the sphenoid sinus could be related to intubation. 5. small incidental thyroglossal duct cyst. mri brachial plexus : impression: 1. no evidence for brachial plexus disruption, abnormal edema, or evidence for hematoma which could account for left upper extremity weakness. 2. incidental 7-mm thyroglossal duct cyst. brief hospital course: the patient is a 37 year old female who was transferred from an osh following a high-speed mvc which resulted in the patient being ejected from the vehicle and arrival at bidmd intubated and sedated. on admission she was known to have a minimally displaced left scapular fracture from imaging at the osh, right parietal subgaleal hematoma, and possible small anterior right parafalcine subdural hematoma not associated midline shift or central herniation. she was admitted to the trauma icu and acs team for further work-up and management, and was evaluated by the orthopedics team soon after arrival. they determined her scapular fracture to be benign and without indication for surgical intervention. she was conservatively managed with a sling for the left upper extremity. additionally, the patient was evaluated by the neurosurgery team. at the time of examination the patient demonstrated some left upper extremity weakness, which prompted a mri of the cervical spine and left bracial plexus which were both within normal limits. the patient was begun on keppra 500mg for seizure prophylaxis given her head trauma, with plans to complete a full 7-day course. by hospital day 2 the patient was sufficiently improved as to be extubated, and she was able to move all four extremities without difficulty. repeat imaging demonstrated the subdural hematoma to be stable, with no evidence of active bleed. the neurosurgery team determined no need for surgical intervention and planned for out-patient follow-up with the patient. the patient remained in the trauma icu until hospital day 3 for close monitoring due to periods of significant confusion and agitation. by hospital day 3 she had stabilized sufficiently for transfer to the floor, with good control of her agitation with prn ativan. by that time she was able to tolerate a regular diet and was able to ambulate with assistance provided by the physical therapy team. on hospital day 4 the patient's cervical collar was removed without any increase in neck tenderness or impairment of function. the patient continued to have periods of confusion with agitation which upon discussion with the neurology and neurosurgery team was determined to be most likely secondary to a post-concussive state. between that time and hospital day 7 the patient's mental status continued to improve with decreased episodes of agitation, and she was increasingly able to ambulate with greater independence. trazadone 50mg qhs was begun on hospital day 7 to help improve the patient's sleep-wake cycles as her husband and the nursing staff noted that she was often awake during the night and drowsy during the days. this had good effect, and by hospital day 9 the patient was cleared by both physical therapy and occupational therapy for discharge home under the 24 hour supervision of her husband. due to lack of insurance the patient was not eligible for home occupational therapy services, however her needs (including requirement of constant supervision given her residual confusion secondary to her post-concussive state) were discussed in length with her husband, who expressed understanding and accepted full responsibility of her care at discharge. at the time of discharge the patient was tolerating a regular diet, was able to ambulate with minimal assistance, was alert and oriented during awake hours, and had full function of all four extremities. she was discharged with the appropriate medications for pain management and seizure prophylaxis. her application of mass health insurance had been submitted, and appropriate follow-up appointments were scheduled with the orthopedics team, traumatic brain injury team, and a primary care provider. medications on admission: none discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 7 days. disp:*80 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. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. acetaminophen 500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 5. lorazepam 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for agitation for 7 days. disp:*35 tablet(s)* refills:*0* 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 days. disp:*8 tablet(s)* refills:*0* 8. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) for 2 weeks. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: left scapular fracture status-post motor vehicle accident with elements of traumatic brain injury discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions: -take your pain medication as prescribed -keep left upper extremity in sling: non-weight bearing -exercise should be limited to walking; no lifting, straining, or excessive bending -increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking over the counter stool softener such as docusate (colace) while taking narcotic pain medication -unless prescribed by your doctor, do not take any anti-inflammatory medicines such as mortrin, aspirin, advil, or ibuprofin etc. -if you are on a medication such as coumadin (warfarin), or plavix (clopidogrel) prior to your injury, you may safely resume taking this medication -if you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow-up with laboratory blood drawing in one week. this can be drawn at your pcp's office, but please have the results faxed to . if you have been discharged on keppra (levetiracetam), you will not require blood work monitorin. followup instructions: provider: , od phone: date/time: 11:00 provider: , md phone: date/time: 10:00 provider: , : date/time: 2:40 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle superficial injury of cornea postconcussion syndrome subdural hemorrhage following injury without mention of open intracranial wound, with concussion, unspecified monoplegia of upper limb affecting unspecified side closed fracture of scapula, other 

Answer: The patient is high likely exposed to