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: transfer from outside hospital with subdural hematoma major surgical or invasive procedure: 1. right-sided high frontal external ventriculostomy drain placement. 2. suboccipital craniectomy for decompression, evacuation of hematoma, decompression, duraplasty, cranioplasty. history of present illness: 85 y/o female transferred from an outside hospital after she fell at walking to the bathroom. pt is on coumadin for lower extremity dvt 6 months ago. pt has a history of dementia, hypertension and osteopenia. her inr at was 4.9 she received 4 units of ffp and 10mg of vitamin k. on outside film she found to have a left cerebellar hematoma approximately 4cm, subdural over tentorium, left parietal contusion and left zygomatic arch/maxillary sinus fractures. past medical history: 1. dementia 2. hypertension 3. osteopenia 4. leg dvt social history: lives in living, no alcohol or tobacco use family history: not known physical exam: physical exam on admission: t:99.4 bp:152/63 hr:91 r14 o2sats 94% gen: lying on stretcher awakes easily heent: pupils: 3mm min reactive eoms full; ecchymosis on left eye neck: in collar. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: dysarthric most likely related to blood in back of mouth. named 2 high frequency objects. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3mm min reactive bilterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, toes downgoing bilaterally coordination: significant dysmetria greater on left than right. pertinent results: ct c-spine w/o contrast 2:45 pm technique: contiguous axial images of the cervical spine were obtained with coronal and sagittal reformatted images. ct c-spine: again seen are postsurgical changes within the posterior fossa from recent mesh craniotomy overlying the left occipital region. there is soft tissue air tracking posterior to the spine, and within the spinal canal, related to recent surgery. no cervical spine fractures are seen. extensive degenerative changes are seen within the mid cervical spine level, including prominent posterior and anterior osteophyte formation at the c4-7 levels. there is no evidence of spondylolisthesis or fracture. there is an et tube, with the tip positioned within the mid trachea. within the visualized portion of the lung apices, no pneumothorax is seen. the soft tissues are within normal limits. there is limited evaluation of the intrathecal contents on ct; however, the contour of the thecal sac appears to be within normal limits. impression: 1. post-surgical changes are seen related to the patient's recent the left occipital mesh craniotomy. 2. no fracture or subluxation of the cervical spine is obtained. degenerative changes are seen at multiple levels. . ct t-spine w/o contrast 2:45 pm ct t-spine: no fracture or subluxation is identified. there is limited evaluation of intrathecal contents; however, the contour of the thecal sac is within normal limits. minimal degenerative change and endplate depression is noted involving the superior endplate of t5, without significant vertebral body loss of height. heavy atherosclerotic calcification is seen along the course of the aorta. there is bilateral bibasilar atelectasis and a small amount of pleural fluid bilaterally. an et tube is seen, with the tip in the mid trachea. impression: no fracture or dislocation is identified. ct l-spine w/o contrast 2:46 pm comparison: none. technique: axial images of the lumbar spine were obtained with coronal and sagittal reformatted images. additionally, axial non-enhanced images of the abdomen were also reformatted. ct l-spine: no fracture or subluxation is identified. there is degenerative change, predominantly within the l4-l5 and l5-s1 levels, and there is grade i retrolisthesis of l5 on s1 and grade 1 anterolisthesis of l4 on l5. disc calcification is seen, most predominantly at the l3-4 level, degenerative in origin. the vertebral body heights are preserved. no fractures are identified. on non-contrast enhanced images of the abdomen, there is low attenuation fluid around the liver. there is limited evaluation of solid organs without intravenous contrast. the spleen is normal in appearance. there is calcification of the aortic wall. there is focal coarse calcification involving the left adrenal gland. there is a tiny hyperdensity within the mid pole of the left kidney, which is not completely characterized on this study. there is a focal fluid-filled cystic region medial to the right renal hilum, which may represent a right upj obstruction. there is a focal area of well- circumscribed fluid and increased density inferior to the margin of the liver, which likely represents a sludge-filled slightly ectopic gallbladder. no free intraperitoneal air is seen. impression: 1. no fracture of the lumbar spine are identified. degenerative changes, including likely degenerative antero- and retrolisthesis are noted, as stated above. 2. there is a small amount of low attenuation fluid around the liver. this is of uncertain significance. there is limited evaluation of solid organs for injury without intravenous contrast. 3. there is a focal coarse calcification of the left adrenal gland. 4. there is a tiny hypodensity within the mid pole of the left kidney, which is not completely characterized on this study, and may represent a small hyperdense cyst - further evaluation with ultrasound could be obtained if indicated. 5. there is a prominent fluid filled structure adjacent to the mid pole of the right kidney, which likely represents upj obstruction. 6. given the small amount of free fluid within the abdomen, which is of uncertain significance, if there is any concern for traumatic intra-abdominal organ injury, further evaluation with a contrast-enhanced study should be obtained. . ct sinus/mandible/maxillofacial w/o contrast 6:40 am findings: the outside ct scan, reported in your history is not available for our independent review. findings: mildly displaced fractures of the lateral wall of the left orbit and left maxillary sinus, as well as extreme posterior aspect of the left orbital floor, are seen. there is no entrapment of orbital contents within the orbital floor fracture. there is apparent confirmation of the presence of the non- displaced left zygomatic arch fracture. there is a large air- fluid level within the left maxillary sinus, which in view of the multiple fractures, likely represents hemorrhage. no other fractures are seen. approximately 5 mm, relatively well circumscribed areas of bony lysis are noted, one within each c1 lateral mass. the left- sided lesion appears to slightly thin the adjacent medial cortical margin. the etiology for these findings is uncertain but their sharp margination suggests that they are benign. no other definite signs of fractures are appreciated. conclusion: multiple facial fractures as noted above. addendum: there is multilevel, relatively prominent facet joint degeneration in the visualized upper cervical vertebral segments. there is no definite sign for spinal cord compression. . ct head w/o contrast 2:44 pm ct head without iv contrast: patient has undergone interval left occipital craniotomy, and placement of a mesh device. postoperative changes, including pneumocephalus can be seen within the left posterior fossa. there has been evacuation of the previously seen hematoma adjacent to the left cerebellum. the caliber of the ventricles is stable in appearance. no new areas of acute hemorrhage are seen within the postoperative bed. a tiny focus of parenchymal contusion is seen within the left parietal lobe. additionally, there is a tiny focal hyperdensity within the sulcus in the region of the left parieto- occipital region which likely represents a tiny amount of subarachnoid hemorrhage. these are stable in size in comparison to prior study, and there are no changes in appearance consistent with evolution of the blood products. there has been interval placement of a ventricular drain traversing the right frontal lobe, with the tip within the left lateral ventricle. again seen are low-attenuation changes within the periventricular white matter, consistent with changes related to chronic small vessel ischemic infarct. again seen are fractures involving the left maxillary sinus, left lateral wall of the orbit, and the zygomatic arch on the left, which are stable in comparison to prior study. impression: interval evacuation of a left cerebellar hemorrhage, and performance of a mesh craniotomy. stable caliber of the ventricles bilaterally. placement of a right ventricular drain. no new areas of intracranial hemorrhage are identified. brief hospital course: neurology: patient admitted to neurosurgery service for cerebellar hemorrhage which was compressing the 4th ventricle on admission. an emergent extraventicular drain was placed by dr. in the or on hod 1. the patient was able to be extubated and was following commands post extubation. she was transferred to the neurosurgery step down unit where the extraventricular drain was clamped and then discontinued. repeat head ct's showed natural evolution of cerebellar hemorrhage and no worsening hydrocephalus. she worked with ot/pt who recommended rehabilitation inpatient services. the patient goal sbp less than 140 was achieved with metoprolol 12.5 mg po bid. she will continue on dilantin for 7 days. plastics: patient had facial trauma and evalauated by plastics and reconstructive surgery service.ct max/sinus showed mildly displaced fractures of the lateral wall of the left orbit and left maxillary sinus, as well as extreme posterior aspect of the left orbital floor, are seen. there is no entrapment of orbital contents within the orbital floor fracture. there is apparent confirmation of the presence of the non- displaced left zygomatic arch fracture. it was determined that these issues were non-urgent and follow in outpatient clinic was made. the patient also had an opthalmology consult and globe was determined to be intact. patient was on keflex for 5 days for facial fractures. fen/gi: patient passed swallow study and is on regular diet and thin liquids. she had a loose stool on day of discharge and stool softners should be held. medications on admission: medications prior to admission: aricept, coumadin, calcium + vitamin d discharge medications: 1. acetaminophen 650 mg suppository sig: suppositorys rectal q6h (every 6 hours) as needed. suppository(s) 2. dexamethasone 2 mg tablet sig: one (1) tablet po q8 () for 3 doses. 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day: while on decadron. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 5. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 6. senna 8.6 mg capsule sig: one (1) tablet po bid (2 times a day). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 8. hydralazine 20 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed for sbp > 160. discharge disposition: extended care facility: - discharge diagnosis: cerebellar bleed and subdural hematoma discharge condition: neurologically stable. discharge instructions: discharge instructions for craniotomy/head injury ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f please call to schedule an appointment with dr. to be seen in four weeks. you will need an mri of the brain with gadolidium followup instructions: 1. please call to schedule an appointment with dr. to be seen in four weeks. you will need an mri of the brain with gadolidium. 2. please call plastic surgery outpatient clinic for follow-up in weeks procedure: incision of cerebral meninges intravascular imaging of intrathoracic vessels other repair of cerebral meninges diagnoses: obstructive hydrocephalus unspecified essential hypertension unspecified fall other persistent mental disorders due to conditions classified elsewhere long-term (current) use of anticoagulants closed fracture of malar and maxillary bones closed fracture of other facial bones disorder of bone and cartilage, unspecified closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 

Answer: The patient is high likely exposed to