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: hemothorax/pneumothorax left rib fracture major surgical or invasive procedure: : 1. left thoracotomy. 2. open reduction and internal fixation with plates of ribs . 3. evacuation of hemothorax. 4. flexible bronchoscopy. history of present illness: the patient is a 63m who was in when he fell coming out of the shower on . he hit the left side of his chest against the tub and suffered rib fractures . patient also developed a hemothorax for which a chest tube was placed. patient initally improved but soon after his respiratory status declined. on patient was intubated for desaturation episode and was suctioned to relieve mucous plugging. patient was extubated on . he was followed with serial cxr's that became concerning for bilateral pneumonias. patient was started on antibiotic treatment. the hospital course was further complicated by an episode of afib on for which the patient was cardioverted and started on amiodarone drip, which was later transitioned to po amiodarone. echo was performed that showed lv hypertrophy, mitral regurg, and an ef 45-50%. sputum cx in grew psa, for which patient was getting capsofungin. patient came to from for further management of his poor respiratory status. past medical history: atrial fibrillation hypertension hyperlipidemia gastri ulcer bleed 20 years ago social history: married lives with his wife: 60 pack-year quit with this incident etoh: drinks ~4beers/night. family history: non-contributory physical exam: vs:t: 98.0 hr 112 sr bp 112/84 sats: 94% ra w/activity 88-90% general: 63 year-old male in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: regular normal s1,s2 no murmur resp: decreased breath sounds faint crackles at base gi: benign extr: warm 2+ bilateral pedal edema incision: left thoracotomy site clean, dry, margins well approximated no erythema neuro: awake, alert, oriented pertinent results: wbc-11.1* rbc-3.45* hgb-10.3* hct-31.4 plt ct-674* wbc-11.4* rbc-3.23* hgb-9.7* hct-29.5 plt ct-600* wbc-10.7 rbc-3.12* hgb-9.5* hct-28.7 plt ct-499* wbc-13.5* rbc-3.11* hgb-9.6* hct-29.3 plt ct-512* wbc-14.1* rbc-3.06* hgb-9.4* hct-28.1 plt ct-401 wbc-20.5* rbc-3.02* hgb-9.3* hct-28.3 plt ct-391 wbc-16.4* rbc-3.49* hgb-10.7* hct-31.9 plt ct-382 neuts-88.3* lymphs-8.9* monos-1.5* eos-1.0 baso-0.2 glucose-86 urean-10 creat-0.6 na-134 k-4.5 cl-99 hco3-31 glucose-101* urean-12 creat-0.6 na-138 k-4.7 cl-102 hco3-32 glucose-126* urean-14 creat-0.5 na-139 k-3.9 cl-96 hco3-37* alt-78* ast-62* alkphos-98 totbili-0.4 alt-19 ast-20 ld(ldh)-211 alkphos-60 totbili-0.7 calcium-8.3* phos-4.1 mg-1.9 tsh-4.2 bronchoalveolar lavage right lung bal. gram stain (final ): 3+ (5-10 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): multiple organisms consistent with oropharyngeal flora. 1+ (<1 per 1000x field): yeast(s). respiratory culture (final ): 10,000-100,000 organisms/ml. commensal respiratory flora. yeast. 10,000-100,000 organisms/ml.. acid fast smear (final ): no acid fast bacilli seen on direct smear. no acid fast bacilli seen on concentrated smear. acid fast culture (preliminary): fungal culture (preliminary): . . second morphology. potassium hydroxide preparation (final ): cxr: 10/28/10:1. resolving left upper lobe pneumonia. stable right middle lobe opacification may represent stable right middle lobe pneumonia. improved right lower lobe opacification likely reflecting resolving right lower lobe atelectasis. 2. loculated left pleural effusion. 3. resolved retrocardiac opacification. cct: impression: 1. extensive abnormalities involving nearly the entire right upper lobe, comprised of ground-glass centrally, consolidation peripherally and air bronchograms, with interstitial thickening. this is not a typical distribution for aspiration. given the asymmetry compared to the remaining lung, this likely represents infection, or possibly hemorrhage. much less likely asymmetric edema . 2. moderate bilateral pleural effusions with collapse of both lower lobes. 3. enlarged left adrenal gland with inflammatory changes compatible with adrenal hemorrhage. 4. enlarged mediastinal lymph nodes, likely reactive and related to infectious process in the right upper lobe. 5. comminuted and displaced fractures of left-sided ribs. echo: the left atrium is mildly dilated. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: suboptimal image quality. normal global and regional biventricular systolic function. moderate pulmonary hypertension. ecg: afib/flutter brief hospital course: mr. is a 63 year-old male transfer from for flail chest, hemothorax and pneumothorax, right upper lobe pneumonia. upon arrival he was fm02 desaturated requiring cpap for oxygenation. left anterior chest tube in place. on arrival a chest ct was done (see report). a right ct was placed with 150cc of serousanguinous drainage. on he was taken to the operating room for left thoracotomy. open reduction and internal fixation with plates of ribs . evacuation of hemothorax and flexible bronchoscopy. he was transferred back to the sicu intubated and was successfully extubated on . respiratory: nrb oxygen saturations 90-92% desaturates to 85% on room air. aggressive pulmonary toilet, nebs around the clock. chest tube: left chest tube and right chest tubes with 1 liter serous drainage were removed once drainage decreased. cardiac: atrial fibrillation cardioverted in and started on amiodarone which was continued. (baseline lfts and tsh 4.2) echocardiogram moderate pa htn, normal ef > 55%. on he was tachycardic 130's. metoprolol was started with a good response. he was discharged on toprol 50 mg , amiodarone 200 mg x 1 wk then 200 mg daily. he will need follow-up with his pcp/cardiologist for further recommendation and ecg monitoring. blood pressure remained stable 100-110's. his home dose diovan was not restarted during this hospitalization. gi: ppi's and bowel regime continued nutrition: tolerated a regular diet renal: renal function within normal limits. good urine out put. perpheral edema bilateral lower extemities. gentle diuresis was started. his electrolytes were monitored closely and repleted as needed. id: infectious disease was consulted for his pneumonia. bal cultures grew (nonpathogenic) not albican therefore no treatment was recommended. pain: iv dilaudid converted to po dilaudid with good control. heme: he was started on aspirin 325 mg for anticoagulation. he will follow-up with his pcp. disposition: he was seen by physical therapy who deemed him safe for home. he will follow-up with dr. and his pcp . as an outpatient. medications on admission: home medications diovan 160 mg, zetia 10 mg daily, aspirin 81 mg, mvi discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily): take twice a day for 1 week then daily starting . disp:*30 tablet(s)* refills:*2* 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po q12h (every 12 hours). disp:*60 tablet sustained release 24 hr(s)* refills:*2* 4. hydromorphone 4 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 5. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 6. zetia 10 mg tablet sig: one (1) tablet po once a day. 7. aspirin 325 mg one daily discharge disposition: home with service facility: vna discharge diagnosis: mechanical fall with left rib fractures , hemo/pneumothorax atrial fibrillation converted x 1 hypertension hyperlipidemia gastric ulcer bleed 20 years ago discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, cough or chest pain -incision develops drainage -you may shower. wash incision with mild soap and water pat dry -no tub bathing, swimming or hot tub until incision healed -no driving while taking narcotics. take stool softners with narcotics -walk 4-5 times a day for 10-15 minutes increasing to a goal of 30 mins daily weights: keep alog. call your pcp if you have pound weight gain. lasix 20 mg daily. drink oj or eat a banana to replete your potassium cardiac medication: take amiodarone 200 mg twice daily then 200 mg daily. call your pcp for appointment followup instructions: follow-up with dr. date/time: 9:00 in the building clinic chest x-ray radiology clinical center 30 minutes before your appointment. please call your pcp . for an appointment in weeks procedure: closed [endoscopic] biopsy of bronchus other incision of pleura open reduction of fracture with internal fixation, other specified bone diagnoses: unspecified pleural effusion unspecified essential hypertension atrial fibrillation atrial flutter other and unspecified hyperlipidemia traumatic pneumohemothorax without mention of open wound into thorax candidiasis of lung fall from other slipping, tripping, or stumbling contusion of lung without mention of open wound into thorax flail chest closed fracture of six ribs 

Answer: The patient is high likely exposed to