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: s/p fall major surgical or invasive procedure: picc line placement history of present illness: 85m s/p fall down stair 14 steps with change in mental status. transported to for further care. he was noted to be briefly hypotensive to 70s in ed. past medical history: cervical spondylosis w/ mild myelopathy peripheral neuropathy hearing loss prostate ca s/p "surgery" depression cirrhosis (by radiographic appearance of liver on ct) cognition: no history of memory loss per son-in-law l cataract excision social history: widowed family history: noncontributory physical exam: vs: 97 112/62 64 16 93%/2l height: 69 in. weight: 87 kgs. (191.80 lbs) bmi: 28.3 gen: overweight older sleeping in bed; opens eyes briefly to name/sternal rub, then falls asleep heent: anicteric sclerae, op clear without e/e neck: no lad/tm, jvp 6 cv: rrr, s1/s2, no m/r/g appreciated resp: poorly assessed due to patient positioning; ctab anteriorly abd: +bs, s, nt/nd gu: foley in place ext: 2+ dps, no le edema skin: extensive confluent ecchymosis of r posterior thigh extending to mid back and to popliteal fossa and into groin; smaller ecchymoses of l posterior shoulder, posterior to r ear pertinent results: upon admission 10:30pm glucose-203* urea n-20 creat-1.1 sodium-140 potassium-4.6 chloride-103 total co2-28 anion gap-14 10:30pm ck(cpk)-515* 10:30pm ck-mb-11* mb indx-2.1 ctropnt-<0.01 10:30pm wbc-17.3* rbc-3.71* hgb-11.9* hct-35.2* mcv-95 mch-32.1* mchc-33.9 rdw-14.1 10:30pm plt count-187 10:30pm pt-13.3 ptt-28.1 inr(pt)-1.1 _ _ _ _ _ _ _ _ _ _ _ ________________________________________________________________ wbc rbc hgb hct mcv mch mchc rdw plt ct 06:20am 9.2 2.58* 8.5* 25.5* 99* 32.9* 33.2 15.7* 221 02:09am 11.2* 2.75* 8.9* 26.9* 98 32.4* 33.1 15.6* 184 source: line-r forearm #20 angio 05:59pm 28.3* 02:05pm 27.4* 01:29am 12.6* 2.80* 8.9* 26.3* 94 31.7 33.7 16.3* 158 source: line-a-line 09:46pm 25.5* source: line-arterial 03:03pm 25.8* source: line-arterial 01:16am 13.9* 2.88* 9.3* 27.0* 94 32.5* 34.6 15.9* 147* source: line-aline 08:44pm 24.8* source: line-aline 04:56pm 25.1* source: line-arterial 01:05pm 27.1* _ _ _ _ _ _ _ _ _ _ _ ________________________________________________________________ head ct impression: no intracranial hemorrhage. large subgaleal hematoma along the vertex. ct c-spine impression: 1. t1 spinous process fracture. 2. possible paget's disease involving c2-c3. 3. emphysema with 4-mm left apical nodule - f/u in 12 months. ct chest/abdomen/pelvis impression: 1. right buttock hematoma with evidence of active extravasation. findings were discussed with dr. at the time of initial review. 2. right and left adrenal nodules, incompletely characterized. recommend dedicated mri to further evaluate. 3. extensive atherosclerosis with notable coronary artery disease. 4. diffuse emphysema. 5. right eighth lateral rib fracture, t1 spinous process fracture. 6. left renal cyst. 7. shrunken liver, ? cirrhosis. _ _ _ _ _ _ _ _ _ _ _ ________________________________________________________________ echocardiography report , portable tte (complete) done at 1:33:32 pm final echocardiographic measurements results measurements normal range left atrium - long axis dimension: 3.7 cm <= 4.0 cm left atrium - four chamber length: 4.9 cm <= 5.2 cm left atrium - peak pulm vein s: 0.5 m/s left atrium - peak pulm vein d: 0.2 m/s left atrium - peak pulm vein a: 0.3 m/s < 0.4 m/s right atrium - four chamber length: 4.8 cm <= 5.0 cm left ventricle - ejection fraction: >= 65% >= 55% left ventricle - peak inducible lvot gradient: 26 mm hg aorta - sinus level: *4.5 cm <= 3.6 cm aortic valve - peak velocity: 1.3 m/sec <= 2.0 m/sec aortic valve - lvot diam: 2.3 cm mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 0.86 mitral valve - e wave deceleration time: 163 ms 140-250 ms tr gradient (+ ra = pasp): *28 mm hg <= 25 mm hg findings left atrium: normal la size. right atrium/interatrial septum: normal ra size. normal ivc diameter (<2.1cm) with >55% decrease during respiration (estimated ra pressure (0-5mmhg). left ventricle: suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. overall normal lvef (>55%). no resting lvot gradient. lvot gradient increases with valsalva. right ventricle: normal rv chamber size and free wall motion. aorta: moderately dilated aortic sinus. aortic valve: aortic valve not well seen. no as. trace ar. mitral valve: mitral valve leaflets not well seen. tricuspid valve: borderline pa systolic hypertension. pulmonic valve/pulmonary artery: pulmonic valve not well seen. pericardium: there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. general comments: suboptimal image quality - poor echo windows. suboptimal image quality - poor parasternal views. suboptimal image quality as the patient was difficult to position. conclusions the left atrium is normal in size. the estimated right atrial pressure is 0-5 mmhg. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). there was no resting left ventricular outflow gradient, but the gradient increased to mild with the valsalva manuever. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the aortic valve is not well seen. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are not well seen. there is borderline pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. impression: normal overall biventricular function. left ventricle is unusually small and underfilled. moderately dilated aortic sinus. _ _ _ _ _ _ _ _ _ _ _ ________________________________________________________________ chest xray s/p picc line placment placement of picc line via the right brachial vein access with the tip of the catheter in svc, and the catheter is ready to use. brief hospital course: he was admitted to the trauma icu with following injuries parietal/occipital subgaleal hematoma, right post 7 rib fracture, t1 spinous process fracture as well as a right buttock hematoma with active extravasation. he was actively resuscitated in the icu with aggressive fluid therapy. a tte showed hypovolemia and for a low hematocrit of 23 he was given units of packed red cells on ; post transfusion hematocrit 26. his respiratory status was tenuous likely due to fluid overload and he was given 60mg iv lasix for pulmonary edema. on he was given another 20mg iv lasix; a deep sputum culture was obtained showing gpc and gnr and he was started on vancomycin and ceftriaxone. the antibiotics will continue for 2 weeks. he remained in the icu for several days becoming delirious. geriatrics was consulted and made several recommendations pertaining to his medications such as scheduling tylenol, minimizing narcotics, and use of small doses of anti-psychotic to manage behaviors. he was eventually transferred to the regular nursing unit where later in the evening had a desaturation episode. he was also at that time noted with low urine output and was given a fluid challenge with increase in his urine output. he has a 22 coud?????? catheter in placed which was inserted by urology during his icu stay because of problems with urinary retention. the catheter may removed at the discretion of the primary team once voiding adequately while at rehab. his oxygen saturations did improve and he is currently 97% with forehead probe on liters per minute. of note on ct imaging of his chest a small nodule was detected; it is being recommended that he have follow up ct of his chest in the next several months. he will require follow up with his primary care doctor for this as an outpatient. he was evaluated by physical and occupational therapy and is being recommended for acute care rehab. medications on admission: gapapentin 600"', asa 81', fluoxetine 20', tramadol 50"prn, mvi, urinary med? qhs (not flomax) discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 2. tylenol 325 mg tablet sig: two (2) tablet po every six (6) hours: give around the clock. 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 4. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold fro sbp <110; hr <60. 6. oxycodone 5 mg tablet sig: -1 tablet po every 4-6 hours as needed for pain. 7. colace 100 mg capsule sig: one (1) capsule po twice a day. 8. senna 8.6 mg tablet sig: 1-2 tablets po twice a day as needed for constipation. 9. milk of magnesia 800 mg/5 ml suspension sig: thirty (30) ml's po twice a day as needed for constipation. 10. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) gm intravenous q 12h (every 12 hours) for 2 weeks. 11. ceftriaxone in dextrose,iso-os 1 gram/50 ml piggyback sig: one (1) gm intravenous q24h (every 24 hours) for 2 weeks. 12. insulin regular human 100 unit/ml solution sig: one (1) dose injection four times a day as needed for per sliding scale. discharge disposition: extended care facility: & rehab center - discharge diagnosis: s/p fall parietal/occipital subgaleal hematoma right posterior 7th rib fracture pneumonia t1 transverse process fracture right buttock hematoma acute blood loss anemia oliguira discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled discharge instructions: wear the soft cervical collar for comfort; velcro may be placed in front. followup instructions: follow up in 2 weeks with dr. , trauma surgery for your rib fractures and evaluation of your right buttock hematoma. call for an appointment. an ap end expiratory chest xray will be needed for this appointment. follow up in 4 weeks with dr. =, ortho spine surgery for your t1 transverse process fracture. call for an appointment. please follow up with your primary care doctor from rehab for folow up ct imaging of your chest becasue of a nodule found in your lung. you or your family will need to call for an appointment. procedure: venous catheterization, not elsewhere classified arterial catheterization diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute posthemorrhagic anemia personal history of malignant neoplasm of prostate depressive disorder, not elsewhere classified hypotension, unspecified accidental fall on or from other stairs or steps closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury closed fracture of one rib unspecified hereditary and idiopathic peripheral neuropathy other alteration of consciousness oliguria and anuria contusion of face, scalp, and neck except eye(s) cervical spondylosis with myelopathy contusion of buttock 

Answer: The patient is high likely exposed to