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 pedestrin struck by auto major surgical or invasive procedure: none history of present illness: 83 yo male pedestrian struck by auto, backed over at parking lot speed. normal sensorium past medical history: niddm social history: noncontributory family history: noncontributory physical exam: 78 155/68 11 100% on 2 l nc aaox3, perrl neck tender ctab cv reg extr: no evidence of trauma pertinent results: 08:00pm ck(cpk)-816* 08:00pm ck-mb-7 ctropnt-<0.01 08:00pm hct-33.0* 12:05pm wbc-5.5 rbc-3.50* hgb-11.4* hct-31.8* mcv-91 mch-32.7* mchc-36.0* rdw-12.8 12:05pm plt count-79* 06:00am glucose-175* urea n-18 creat-0.6 sodium-135 potassium-3.8 chloride-104 total co2-20* anion gap-15 06:00am wbc-6.5 rbc-3.73* hgb-11.9* hct-34.0* mcv-91 mch-31.9 mchc-35.0 rdw-12.7 ct head w/o contrast 12:54 am ct head w/o contrast reason: pedestrian struck by car.r/o bleed medical condition: 83 year old woman with trauma reason for this examination: eval for bleed contraindications for iv contrast: none. indication: trauma. comparison: none. technique: mdct acquired images of the head obtained without iv contrast. findings: there is calcification in the basal ganglia bilaterally. there is no evidence of acute intra or extra-axial hemorrhage. the -white matter differentiation appears preserved. there is no hydrocephalus or shift of normally midline structures. there is slight periventricular white matter hypodensity consistent with chronic small vessel disease. there may be a small lacune in the left caudate nucleus. no fractures are seen. there is hypoplasia of the mastoid air cells bilaterally. mucosal thickening is present in the left maxillary sinus. impression: no evidence of acute intracranial hemorrhage or fracture. ct pelvis w/contrast 12:47 am ct chest w/contrast; ct abdomen w/contrast reason: ped. struck field of view: 36 contrast: optiray medical condition: 83 year old woman with ped struck reason for this examination: fx, trauma contraindications for iv contrast: none. indication: pedestrian struck. comparison: none. technique: mdct acquired images of the chest, abdomen and pelvis were obtained after the administration of iv contrast. coronal and sagittal reformatted images were also obtained. ct of the chest with iv contrast: the aorta and great vessels appear intact. there are coronary artery calcifications. there is an ill-defined patchy opacity in the right upper lung (series 2, image 16) that may represent lung injury. there is bilateral lower lobe atelectasis. the density values of this effusion are consistent with fluid. no pathologically enlarged mediastinal, axillary, or hilar lymph nodes. there is no pericardial effusion. ct of the abdomen with iv contrast: the liver enhances homogeneously. there is a 3-4 mm area of hypoenhancement in the spleen. gallbladder, pancreas, adrenal glands, and kidneys are unremarkable. loops of small and large bowel are grossly normal with no definite wall thickening. there is no mesenteric or free fluid. no intraabdominal free air. there is extensive atherosclerotic disease of the aorta and aortic branches. ct of the pelvis with iv contrast: there is a 1.8-cm right adnexal cyst. there is a foley catheter within the bladder. rectum and sigmoid colon are unremarkable. bone windows reveal a comminuted left scapular fracture. there are posterior and lateral fractures of the left fourth and fifth ribs. there are lateral fractures of the left sixth, seventh and eight ribs. there is a posterior fracture of the left eleventh rib. no other fractures are identified. there is no definite extravasation seen in the region of the scapular fracture. there is a mild s-shaped scoliotic curvature of the spine. there are degenerative changes. impression: 1. multiple left-sided rib fractures including segmental fractures of the fourth and fifth ribs. 2. comminuted left scapular fracture. 3. small left-sided pneumothorax. 4. posterior lung opacity that may represent atelectasis bilaterally. 5. focal ill-defined patchy ground-glass opacity in the right upper lobe that may represent early contusion. 6. small left-sided pleural effusion with density values not suggestive of hemorrhage. 7. 1.8 cm right adnexal cyst. further evaluation with ultrasound may be considered on a nonurgent basis, when the patient's current clinical issues have resolved. 8. 3-4mm hypoenhancing area in the spleen is present is present. in the setting of trauma, particularly in this patient with left rib fracture, a tiny splenic contusion cannot be excluded. notably, there is no perisplenic hematoma. the above was conveyed to the emergency board dashboard at 1:40 a.m. on . preliminary results were also discussed with the trauma team at the time of the image acquisition. ct abdomen w/contrast 12:47 am ct chest w/contrast; ct abdomen w/contrast reason: ped. struck field of view: 36 contrast: optiray medical condition: 83 year old woman with ped struck reason for this examination: fx, trauma contraindications for iv contrast: none. indication: pedestrian struck. comparison: none. technique: mdct acquired images of the chest, abdomen and pelvis were obtained after the administration of iv contrast. coronal and sagittal reformatted images were also obtained. ct of the chest with iv contrast: the aorta and great vessels appear intact. there are coronary artery calcifications. there is an ill-defined patchy opacity in the right upper lung (series 2, image 16) that may represent lung injury. there is bilateral lower lobe atelectasis. the density values of this effusion are consistent with fluid. no pathologically enlarged mediastinal, axillary, or hilar lymph nodes. there is no pericardial effusion. ct of the abdomen with iv contrast: the liver enhances homogeneously. there is a 3-4 mm area of hypoenhancement in the spleen. gallbladder, pancreas, adrenal glands, and kidneys are unremarkable. loops of small and large bowel are grossly normal with no definite wall thickening. there is no mesenteric or free fluid. no intraabdominal free air. there is extensive atherosclerotic disease of the aorta and aortic branches. ct of the pelvis with iv contrast: there is a 1.8-cm right adnexal cyst. there is a foley catheter within the bladder. rectum and sigmoid colon are unremarkable. bone windows reveal a comminuted left scapular fracture. there are posterior and lateral fractures of the left fourth and fifth ribs. there are lateral fractures of the left sixth, seventh and eight ribs. there is a posterior fracture of the left eleventh rib. no other fractures are identified. there is no definite extravasation seen in the region of the scapular fracture. there is a mild s-shaped scoliotic curvature of the spine. there are degenerative changes. impression: 1. multiple left-sided rib fractures including segmental fractures of the fourth and fifth ribs. 2. comminuted left scapular fracture. 3. small left-sided pneumothorax. 4. posterior lung opacity that may represent atelectasis bilaterally. 5. focal ill-defined patchy ground-glass opacity in the right upper lobe that may represent early contusion. 6. small left-sided pleural effusion with density values not suggestive of hemorrhage. 7. 1.8 cm right adnexal cyst. further evaluation with ultrasound may be considered on a nonurgent basis, when the patient's current clinical issues have resolved. 8. 3-4mm hypoenhancing area in the spleen is present is present. in the setting of trauma, particularly in this patient with left rib fracture, a tiny splenic contusion cannot be excluded. notably, there is no perisplenic hematoma. the above was conveyed to the emergency board dashboard at 1:40 a.m. on . preliminary results were also discussed with the trauma team at the time of the image acquisition. ct c-spine w/o contrast 12:47 am ct c-spine w/o contrast reason: pedestrian struck by car.r/o fx medical condition: 83 year old woman with ped struck reason for this examination: fx contraindications for iv contrast: none. indication: pedestrian struck. comparison: none. technique: mdct acquired images of the cervical spine were obtained with coronal and sagittal reformatted images. findings: there are degenerative changes at multiple levels. there is mild- to-moderate spinal stenosis at the lower c4 level secondary to endplate osteophytes. no definite fracture is seen. there is no prevertebral soft tissue swelling. there is no facet joint dislocation or subluxation. limited images of the lung apices demonstrate a small left apical pneumothorax that is better characterized on the ct torso obtained on the same day as well as dependent opacity. impression: degenerative changes with no definite fracture. . foot 2 views left 9:25 am foot 2 views left reason: ? fracture medical condition: 83 year old woman with bruised left 2nd toe s/p fall / midfoot bruising reason for this examination: ? fracture indication: bruised left second toe. fine bone detail of the second toe is partially obscured by overlying adjacent soft tissue and osseous structures. with this limitation in mind, no acute fracture is evident. there is no evidence of dislocation. incidental note is made of the presence of spurring of the calcaneus along the plantar surface and at the insertion site of the achilles tendon. chest (portable ap) 5:35 am chest (portable ap) reason: eval progression of l ptx medical condition: 83 year old woman with with multiple rib fx reason for this examination: eval progression of l ptx portable chest, comparison: . indication: left pneumothorax. a very small left pneumothorax is again demonstrated, most evident laterally in the upper left hemithorax, and not significantly changed allowing for positional differences. there has been interval increase in size of a left pleural effusion, now moderate in size. numerous left-sided rib fractures and left scapular fracture are noted. cardiac and mediastinal contours are stable, and the right lung is grossly clear. impression: persistent tiny left pneumothorax. enlarging left pleural effusion, which may be due to hemothorax given multiple rib fractures. . chest (portable ap) reason: ptx? change in effusion radiographically? this is a post pro medical condition: 83 year old woman with with multiple rib fx, s/p 625 cc removal of bloody effusion, now doing well. reason for this examination: ptx? change in effusion radiographically? this is a post procedure film. indication: status post removal of bloody fusion. comparison: four hours earlier. chest ap: there is interval marked decrease in the left-sided pleural effusion. there is some residual left lower lung zone atelectasis noted. multiple rib fractures and scapular fractures is again identified. impression: marked decrease in the left-sided pleural effusion. brief hospital course: patient admitted to the trauma service. orthopedics was consulted because of her scapula fracture; non operative intervention. sling is being used for comfort. because of her rib fractures she developed a hemothorax, a thoracentesis was performed where 625 cc's of frank bloody fluid was returned. serial cxr's and hematocrits following this procedure were stable. acute pain service was consulted because of her rib fractures; she was initially on pca dilaudid which was changed to oral pain medication. patient became very drowsy with the narcotics and they were subsequently stopped. she is now on tylenol prn which has been effective. for the past few days, she was not on pain medication and reported that her pain was controlled. . patient on glipizide at home, this was discontinued, then reduced during her hospitalization. normal dose at home was 10 daily, now 2.5 upon discharge. her blood glucose was moderately well controlled during this admission, and toward the end of admission after having been off all insulin for >24 hours, the pt had two fsbg noted to be in the low 60s. she was asymptomatic. the metformin and acarbose were kept at their home doses. this should be addressed as an outpatient once the pt stabilizes from this trauma. she was discharged to rehab on 2.5mg po. physical and occupational therapy were consulted; she will require home services per their recommendation. social work was consulted for patient/family coping issues. medications on admission: metformin glyburide acarbose discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 2. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. acarbose 50 mg tablet sig: one (1) tablet po bid (2 times a day). 5. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. atorvastatin 10 mg tablet sig: 0.5 tablet po at bedtime. 7. glipizide 2.5 mg tab, sust release osmotic push sig: one (1) tab, sust release osmotic push po bid (2 times a day). disp:*60 tab, sust release osmotic push(s)* refills:*2* discharge disposition: extended care facility: discharge diagnosis: s/p pedestrian struck rib fractures left scapular fracture small left pneumonthorax discharge condition: stable discharge instructions: follow up with your primary doctor in the next week; you will need your liver function tests followed up. follow up in trauma clinic in weeks (see below). take all of your medications as prescribed. try to eat and drink well. if you have diarrhea, drink gatorade or powerade to hydrate yourself. followup instructions: call your primary doctor, dr. for an appointment in next week. call for an appointment in trauma clinic in weeks. procedure: thoracentesis diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled motor vehicle traffic accident involving collision with pedestrian injuring pedestrian traumatic pneumohemothorax without mention of open wound into thorax closed fracture of scapula, unspecified part closed fracture of six ribs 

Answer: The patient is high likely exposed to