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: history of present illness: this is a 52 year old female, restrained passenger in rollover motor vehicle accident, reported positive loss of consciousness by question secondary to ethyl alcohol on board. the patient was hemodynamically stable, to hospital where trauma series showed right rib fractures with flail chest, transferred to for further management. stable en route. the patient complained of right-sided chest pain. past medical history: past medical history includes gastroesophageal reflux disease. past surgical history: none. allergies: penicillin. medications: prilosec 40 q.d. social history: positive alcohol socially and negative tobacco. physical examination: vital signs on admission 99.0 temperature, 93 pulse, blood pressure 154/86, respirations 18, sating 100% on nonrebreather. coma scale is 15. she was alert and oriented times three, hysterical. positive contact windows in place. extraocular movements intact. tympanic membranes were clear. no stepoffs in her face or lacerations. trachea midline. equal breathsounds bilaterally. chest stable, no crepitus. abdomen soft, nontender, nondistended. fas negative. pelvis stable. rectal, normal tone. guaiac negative. extremities, 2+ dorsalis pedis and posterior tibia, no deformity, no tenderness to palpation. spine, no deformities. the patient could not cooperate with examination. laboratory data: on admission white blood cell count 22.4, hematocrit 38.7, platelets 316. chemistries, sodium 145, potassium 3.7, chloride 110, bicarbonate 26, bun 14, creatinine 0.8, glucose 142. coagulation studies within normal limits. arterial blood gases on admission was remarkable for pco2 of 49, serum toxicology was negative. urinalysis was negative. study of chest x-ray showed right 3 through 6 anterior, posterior rib fractures, no pneumothorax. pelvis was negative. computerized tomography scan of the head was negative. computerized tomography scan of the cervical spine showed right transverse process fractures at c6 and c7 with subcutaneous emphysema. computerized tomography scan of the chest showed small right anterior pneumothorax with bilateral pulmonary contusions, small right pleural effusion showed rib fractures posteriorly at ribs 1 through 9 and laterally at 3 through 6. computerized tomography scan of the abdomen shows small posterior liver contusion. thoracic, lumbosacral spines were negative. hospital course: the patient was transferred from the emergency department to the intensive care unit with flail chest as her primary injury, secondary to multiple rib fractures. ortho spine was consulted and she was seen by dr. who saw her regarding her transverse process fractures for which she prescribed a hard collar for the next three weeks and follow up with him. the patient also has bilateral acromioclavicular separations, seen on radiographs on the day after admission and on the day of discharge she had repeat imaging showing the left acromioclavicular separation to be more severe than anticipated previously. she will follow up with dr. regarding that in one week. while in the intensive care unit the patient was never intubated. there was a thoracic epidural that was placed for pain control. this was placed by the anesthesia service. this adequate controlled her pain while she was in the intensive care unit. it was discontinued prior to her discharge without event. while in the hospital she received heparin subcutaneously for deep vein thrombosis prophylaxis, pepcid for gastrointestinal prophylaxis and her pain was well controlled with fentanyl and with the thoracic epidural. the patient had a slight decrease in hematocrit down to 32. she in addition had repeat chest x-ray which showed stable hematoma on the right side. the patient did have an abdominal film due to having mild abdominal distention and the film was normal. the patient had an magnetic resonance of her lumbar spine which showed question of ligamentous injury posteriorly and degenerative disc disease. while in the intensive care unit she had daily laboratory data. her white count was slightly elevated to around 18 on hospital day #2, this eventually decreased down to within normal limits. she had her electrolytes repleted to within a normal range daily. acute pain service was consulted for the epidural placement as described previously. she was transferred to the floor on hospital day #4. while on the floor she remained stable throughout the remainder of her hospital stay. she was seen by occupational therapy and physical therapy which suggested home occupational therapy and physical therapy. after the epidural was discontinued she was placed on a dilaudid pca which controlled her pain accordingly. she was breathing comfortably off of the epidural prior to discharge. she remained afebrile with stable vital signs while on the floor. she was in stable condition and wanted to go home the day of discharge. discharge instructions: the patient will follow up with trauma clinic in three weeks. she will follow up with dr. in one week to address her cervical spine fractures and her bilateral acromioclavicular separations. she will also follow up with her primary care physician regarding this visit. discharge medications: vioxx, tizanidine, zolpidem, hydromorphone, and flexeril for muscle spasm. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt application of neck support diagnoses: traumatic pneumothorax without mention of open wound into thorax contusion of lung without mention of open wound into thorax flail chest injury to liver without mention of open wound into cavity laceration, unspecified closed fracture of fifth cervical vertebra closed fracture of eight or more ribs closed fracture of sixth cervical vertebra other motor vehicle traffic accident involving collision on the highway injuring passenger in motor vehicle other than motorcycle closed dislocation of acromioclavicular (joint) 

Answer: The patient is high likely exposed to