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: bike vs car accident major surgical or invasive procedure: right thoracotomy, orif ribs history of present illness: 67ym w/ hemopneumothorax, rib fx, clavicle fx and ac dislocation tranferred from hospital . on pt was riding bike, swerved to avoid another cyclist coming around corner in opposite direction, and lost control and hit a car. +helmet, -loc, ~20mph, a/o on scene. went to , was in icu x 2 days received pain control, ortho c/s, and decided to transfer to . past medical history: syndrome s/p subtotal colectomy , prostate ca s/p radical prost. , back melanoma s/p wle , h/o sb desmoid tumors s/p resection x 2 social history: etoh-1 bottle of wine a week, denies tob and drugs retired cpa married family history: nc physical exam: general: nad, well appearing, a&o skin: bruising along the right supraclavicular fossa heent: no facial abrasions or hematomas lung: breath sounds over right cvs: rrr abd: no significant distention or ttp neuro: no sensory loss over right upper ext ext: limited rom over right shoulder, fracture deformity over right clavicle injury list: 1. r hemopneuomthorax 2. displaced r mid clavicle fx w/ separation of ac joint 3. fx. of 7th rib r 4. contusions of r chest/hip 5. abrasions of r knee, l hand/shoulder 6. ? r renal lac pertinent results: cxr : no interval change from previous chest xrays. there's a possible tiny right apical pneumothorax ct chest impression: 1. severe right chest deformity due to multiple right anterior upper rib fractures. 2. small non-hemorrhagic ipsilateral pleural effusion and lower lobe atelectasis. 3. known anterior small-to-moderate right pneumothorax. 4. comminuted right clavicular fracture associated with hematoma; right subclavian artery and vein likely intact. brief hospital course: pt was admitted to thoracic surgery for right thoracotomy and orif ribs s/p bike vs car accident and flail chest injury. pt tolerated the procedure well with an ebl of 100cc. for further detail of the procedure please refer to the operative note. the patient had an uncomplicated post operative hospital course. pod4, chest tube was pulled and cxr showed no new pneumothorax. upon discharge, the patient was afebrile with all vital signs stable, tolerating po feeds, amublating, and with pain controlled on po pain meds. medications on admission: sulindac 150", ranitidine 150", tamoxifen 10" discharge medications: 1. tamoxifen 10 mg tablet sig: one (1) tablet po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 4. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. sulindac 150 mg tablet sig: one (1) tablet po bid (2 times a day). 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q 3hrs prn as needed for pain. disp:*70 tablet(s)* refills:*0* 8. motrin 400 mg tablet sig: 1 tablet po every eight (8) hours: take every 8hrs w/ food for 2 weeks then taper off as pain allows. disp:*90 tablet(s)* refills:*1* discharge disposition: home discharge diagnosis: syndrome s/p subtotal colectomy , prostate ca s/p radical prost. , back melanoma s/p wle , h/o sb desmoid tumors s/p resection x 2 right thoracotomy 1st rib resection. discharge condition: good discharge instructions: call dr. office if you develop chest pain, shortness of breath, fever, chills, redness or drainage from your chest incision. you may shower on thursday. after showering, remove the chest tube site dressing and cover the area with a clean bandaid daily until healed. no tub bathing or swimming for 3-4 weeks. do not drive while taking narcotoc pain medication. followup instructions: you have a follow up appointment with dr. on at 2:30 pm in the clinical center . please arrive 45 minutes prior to your appointment for cxr on the in radiology. procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage fiber-optic bronchoscopy incision of chest wall open reduction of fracture with internal fixation, other specified bone insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt removal of other device from thorax diagnoses: personal history of malignant neoplasm of prostate traumatic pneumohemothorax without mention of open wound into thorax iatrogenic pneumothorax osteoarthrosis, unspecified whether generalized or localized, site unspecified benign neoplasm of colon personal history of malignant melanoma of skin flail chest pedal cycle accident injuring pedal cyclist closed dislocation of acromioclavicular (joint) closed fracture of shaft of clavicle 

Answer: The patient is high likely exposed to