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: 1. abdominal pain 2. left arm pain 3. right arm pain major surgical or invasive procedure: 1. orif, carpal tunnel decompression history of present illness: is a previously healthy 21 year old man who was working at a construction site when he fell from about 25 feet in the airto the ground, hitting a metal bar with his midsection along the way. he never experienced loss of consciousness, and gcs at the scene was 15. he was first seen at an outside hospital where radiologic workup demonstrated a questionable splenic laceration and left lunate dislocation. he was brought by ambulance to the emergency room, where his gcs remained 15, and was complaining of b/l distal arm pain as well as abdominal pain. past medical history: none social history: otherwise healthy 21 year old man, lives with his fiancee in new family history: noncontributory physical exam: heent: perrla, eomi, normocephalic/atruamatic. + hard collar chest: cta b/l, no wheezes, crackles, or rhonchi, + abrasions to anterior chest. nontender. cv: heart rate rrr, no m/g/r abdomen: soft, tender at epigastrium/luq, nondistended, + bs, no hepatosplenomegaly ext: no c/c/e pertinent results: 11:00pm wbc-16.6* rbc-4.32* hgb-13.9* hct-38.3* mcv-89 mch-32.2* mchc-36.4* rdw-13.7 11:00pm amylase-43 12:30am glucose-103 urea n-15 creat-1.1 sodium-139 potassium-4.3 chloride-108 total co2-25 anion gap-10 02:05am wbc-9.5 rbc-3.79* hgb-12.3* hct-33.4* mcv-88 mch-32.5* mchc-36.8* rdw-13.5 09:29am hct-30.9* 08:42pm hct-31.6* ***** ct chest/abdomen/pelvis: indication: 21-year-old man status post fall from 25 feet, splenic laceration on outside ct. comparison: none. technique: mdct acquired axial images of the chest, abdomen and pelvis were obtained with iv contrast. multiplanar reformatted images were also displayed. ct of the chest with iv contrast: there is no evidence of acute aortic injury. heart and great vessels appear unremarkable. no pathologically enlarged mediastinal, hilar, or axillary lymphadenopathy. small right-sided pneumothorax seen, with pleural air seen at the right apex, tracking medially along the mediastinum, with small anterior basilar component also noted. no evidence of left-sided pneumothorax. multiple areas of patchy bilateral airspace opacities seen, with upper lobe predominance, consistent with contusion. dependent changes also seen at the bases. nondisplaced right sixth rib fracture noted. ct of the abdomen with iv contrast: high-density fluid is seen surrounding the spleen consistent with a hemorrhage, measuring upwards of 95 hounsfield units. there is no evidence of active extravasation of contrast. the hilar vascular structures appear intact. linear and irregular region of hypodensity and relative non- at the upper lateral aspect of the spleen, more likely representing laceration, less likely pre-existent splenic cleft. high- density fluid also is seen surrounding the right lobe of the liver, measuring upwards of 50 hounsfield units. no acute injury identified within the liver. the pancreas, adrenal glands, and kidneys appear unremarkable. sludge noted within the gallbladder. no abnormally dilated loops of bowel are seen. no evidence of free air within the abdomen. ct of the pelvis with iv contrast: small-to-moderate amount of fluid seen tracking into the pelvis. small amount of fluid seen lateral to the cecum. again, this finding is consistent with hemoperitoneum. the rectum, sigmoid appear unremarkable. the air seen within the bladder consistent with foley catheterization. bone windows: no suspicious lytic or blastic lesions are identified. nondisplaced fracture of the right sixth rib noted. impression: 1. likely splenic laceration with with high-density fluid seen surrounding the spleen and inferior aspect of the liver consistent with hemoperitoneum. no evidence of active extravasation identified. 2. small right-sided pneumothorax, with air seen at the apex, tracking along the mediastinum, and at the anterior right base. 3. bilateral patchy airspace opacities seen within the lungs with upper lobe predominance, consistent with contusion. 4. nondisplaced right sixth rib fracture. 5. small-to-moderate amount of fluid seen tracking down to the pelvis, also consistent with hemoperitoneum. ***** ct cspine: findings: there are small calcific densities adjacent to the left t1 lamina which may represent calcification of the ligamentum flavum but a minimally displaced fracture cannot be excluded. no other fractures are identified. the vertebral body heights are preserved. alignment is anatomic. there is no prevertebral soft tissue swelling. the atlanto- occipital and atlanto-axial joints articulate normally. the visualized mastoid air cells, middle ear cavities and paranasal sinuses are clear. in the lung apices bilaterally, there is diffuse ground-glass and consolidative opacity which is suggestive of contusion and/or aspiration. small bilateral pneumothoraces are identified, not measuring more than 5 mm in width. impression: 1. minimally displaced fracture through the lamina versus calcification of the ligamentum flavum on the left at t1. no other fractures identified. 2. bilateral apical opacities in the lungs, which are suggestive of aspiration and/or contusion. 3. tiny bilateral apical pneumothoraces ***** xrays b/l upper extremities: three views of the left wrist are suboptimal due to overlying splints and inability to get true lateral projection. the lunate is dislocated anteriorly with poorly assessed associated fractures of both lunaate and possibly the triquetral and navicular bones. there is an undisplaced fracture of the radial styloid and an oblique fracture of the proximal shaft of the second metacarpal. three views of the right elbow show a minimally displaced and probably comminuted intraarticular fracture of the radial head. two radiographs of the right forearm show no fractures, although these do not optimally assess the wrist joint. impression: multiple fractures including lunate fracture-dislocation. the patient has ct ordered and i assume staff is aware of all these injuries. e- mails sent to dr. and dr . brief hospital course: upon arrival in our emergency room, mr. was hemodynamically stable. cts of the head, cspine, and torso were repeated, as well as plain films of both upper extremities. these confirmed a grade laceration of the spleen, left lunate dislocation, left distal radial head fracture, minimally displaced fracture of the right distal radial head, and a minimally displaced fracture of the left lamina of the t1 vertebra. there were also bilateral pulmonary contusions visible on the ct of the chest and the patient was desatting to 93% on room air, so the decision was made to admit him to the icu for observation. he remained alert and oriented at all times, and serial hematocrits were stable. orthopedics, plastics, and spine services were consulted for management of mr. injuries. plastic surgery took the patient to the or the next day for carpal tunnel decompression and orif of the dislocated lunate bone, which the patient tolerated well. the spine service recommended that he remain in a hard collar for at least 3 months to allow his t1 vertebra to heal properly. management of his right distal radius fracture was done conservatively with only a sling for comfort. the patient was subsequently transferred out of icu to the floor, where he continued to do well. as his pain was well controlled, he was tolerating a regular diet, and was ambulating and managing his adls well, the decision was made to discharge him home on . he is instructed to follow up with dr. in hand clinic in 1 week and the clinic in weeks, and to remain in the hard collar for at least 3 months. medications on admission: 1. mvi 1 tab daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 2. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthru pain. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. grade splenic laceration 2. r 6th rib nondisplaced fracture 3. l distal radius fracture 4. dislocated l lunate 5. minimally displaced fracture l t1 lamina discharge condition: good. discharge instructions: please keep hard collar on at all times until your followup spine appointment. keep left hand elevated as much as possible. call or return to ed if new neck/hand pain, decreased movement or sensation in left hand, shortness of breath/chest pain, fevers/chills, dizziness/lightheadedness. diet: you may resume a regular diet as tolerated. activity: no heavy lifting > 15 lbs or strenuous physical activity for 3-4 weeks. medications: take dilaudid as needed for pain; no driving or operating heavy machinery while taking pain medication. you should also take colace as needed for constipation while you are taking the pain medication. followup instructions: followup with dr. () in one week. followup in ortho/spine clinic () in weeks procedure: open reduction of fracture with internal fixation, radius and ulna closed reduction of fracture without internal fixation, radius and ulna release of carpal tunnel closed reduction of fracture without internal fixation, carpals and metacarpals diagnoses: abrasion or friction burn of trunk, without mention of infection accidents occurring in other specified places closed fracture of one rib traumatic pneumothorax without mention of open wound into thorax closed fracture of lumbar vertebra without mention of spinal cord injury injury to spleen without mention of open wound into cavity, laceration extending into parenchyma other closed fractures of distal end of radius (alone) carpal tunnel syndrome accidental fall from scaffolding closed fracture of shaft of metacarpal bone(s) 

Answer: The patient is high likely exposed to