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 motor vehicle crash major surgical or invasive procedure: repair of right femur fracture history of present illness: 60 yo female restrianed driver who was involved in a motor vehicle vs pole; +loc. she was transported vis to for further care. past medical history: osteoarthritis diabetes htn hypercholesterolemia gout family history: noncontributory pertinent results: upon admission: 05:06pm hct-37.1 12:45pm urea n-29* creat-0.9 12:45pm amylase-117* 12:45pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:45pm glucose-205* lactate-5.3* na+-142 k+-3.6 cl--105 tco2-24 12:45pm wbc-17.3* rbc-4.96 hgb-15.3 hct-44.2 mcv-89 mch-30.8 mchc-34.6 rdw-13.7 12:45pm plt count-221 12:45pm pt-13.6* ptt-24.4 inr(pt)-1.2* 12:45pm fibrinoge-279 chest (portable ap) reason: eval for effusion medical condition: 60 year old woman with sternal fx, pulm contusions on vent for resp distress, s/p l chest tube removal reason for this examination: eval for effusion indication: 60-year-old female with sternal fracture status post chest tube removal. please evaluate effusions. comparison: chest radiographs from and . findings: there has been interval removal of nasogastric tube. there is no evidence of pneumothorax. small pleural effusions remain bilaterally, but there has been improved aeration at the bases bilaterally. cardiomediastinal silhouette is unchanged in appearance from previous study. impression: 1) small bilateral pleural effusions. 2) improved atelectasis at the bases bilaterally. cta neck w&w/oc & recons; cta head w&w/o c & recons reason: cta head/neck with aortic arch visualized please. planning contrast: optiray medical condition: 60 year old woman with significant stenosis lt cca, rt ica w/ subacute stroke reason for this examination: cta head/neck with aortic arch visualized please. planning for carotid surgery, eval cc & ica stenosis contraindications for iv contrast: none. cta neck history: 60-year-old woman with left posterior parietal subacute infarct. please assess the carotid vessels, possible carotid surgery. technique: contiguous 5 mm axial images from the skull base to the vertex were obtained before the administration of iv contrast. this was followed by a cta of the head and neck after the administration of 75 cc of optiray iv contrast. 1.25 mm axial, multiplanar, and volume rendered reconstructions were obtained. findings: comparison is made to mra of the neck from as well as mr of the head from and a head ct from . again seen is a small right internal capsule hemorrhage. a small left parietal infarct is again seen, with new hyperdensity within it, which likely represents petechial hemorrhage. there is approximately 60% narrowing of the lumen of the left internal carotid artery bulb. there is approximately 1 cm long flap within the left internal carotid artery bulb, consistent with a dissection. contrast is seen filling both the true lumen as well as the false lumen. within the first approximately 6 mm of the right internal carotid artery bulb, no intraluminal contrast is seen. contrast is seen filling the distal part of the internal carotid bulb. the right cervical and intracranial internal carotid artery is markedly diminished in size. no adjacent collateral vessels are seen. these findings suggest that this is a high grade stenosis and not a complete occlusion of the proximal right internal carotid artery bulb. note is made of anatomic variant where the occipital arteries bilaterally arise from the internal carotid arteries. the origin of the left occipital artery occurs just distal to the end of the dissection flap and on the right just distal to the high-grade stenosis of the right internal carotid artery bulb. the left common carotid artery is difficult to evaluate due to beam hardening artifact from the concentrated iv contrast within the adjacent left internal jugular vein. the origins of the vertebral arteries bilaterally show atherosclerotic disease, but the exact degree of stenosis is difficult to assess. note is made of a bovine aortic arch. note is made of a triplicated anterior cerebral artery with a branch arising from the communicating segment of the left internal carotid artery. there is a right-sided nasogastric tube as well as an endotracheal tube in place. fluid is seen within the nasal cavity and nasopharynx. there is an air-fluid level within the sphenoid sinuses. mucosal thickening of the ethmoid, maxillary, and right frontal recess are also noted. there are degenerative changes of the cervical spine without high-grade canal stenosis. partially imaged is a large left and a small right pleural effusion. adjacent densities of the dependent portions of the lungs are present, which likely represent atelectasis. impression: 1. short segment dissection of the left internal carotid artery bulb. 2. approximately 60% stenosis of the left internal carotid artery bulb. 3. high-grade stenosis of the right internal carotid artery bulb with diminution in size of the distal portion of the cervical and intracranial portions of the right internal carotid artery. 4. anatomic variant with the occipital arteries bilaterally arising from the internal carotid arteries. 5. new petechial hemorrhage of the left parietal infarct compared to as well as a stable right internal capsule hemorrhage. carotid series complete port reason: eval for carotid stenosis medical condition: 60 year old woman with new left parietal infarct reason for this examination: eval for carotid stenosis history: 60-year-old woman status post motor vehicle collision, presenting with left parietal cerebral infarct. radiologist: the study was read by dr. . technique: evaluation of the extracranial carotid arteries was performed with b-mode, color and spectral doppler ultrasound. findings: on the right side, a mild amount of plaque was seen in the internal carotid artery. peak systolic velocities on the right side were 92 cm/sec for the internal carotid artery, 60 cm/sec for the common carotid artery and 95 cm/sec for the external carotid artery. the right ica/cca ratio was 1.5. on the left side, a large amount of plaque was seen in the internal carotid artery. peak systolic velocities on the left were 441 cm/sec for the ica, 66 cm/sec for the cca and 70 cm/sec for the eca. the left ica/cca ratio was 6.6. both vertebral arteries presented antegrade flow. impression: 1. less than 40% stenosis in the right internal carotid artery. 2. 80-99% stenosis of the left internal carotid artery. these results were communicated over the phone on at 4:30 p.m. to the patient's physicians, and . cardiology report echo study date of patient/test information: indication: cerebrovascular event/tia. hypertension. height: (in) 62 weight (lb): 220 bsa (m2): 1.99 m2 bp (mm hg): 141/73 hr (bpm): 73 status: inpatient date/time: at 14:01 test: portable tte (complete) doppler: full doppler and color doppler contrast: saline tape number: 2007w002-0:26 test location: west sicu/ctic/vicu technical quality: suboptimal referring doctor: dr. measurements: left atrium - four chamber length: 5.1 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.1 cm (nl <= 5.0 cm) left ventricle - ejection fraction: >= 55% (nl >=55%) aorta - valve level: 2.9 cm (nl <= 3.6 cm) aortic valve - peak velocity: 1.1 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 0.9 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 1.29 interpretation: findings: left atrium: normal la size. right atrium/interatrial septum: normal ra size. the ivc is normal in diameter with <50% decrease during respiration (estimated rap 11-15mmhg). left ventricle: normal lv wall thickness, cavity size, and systolic function (lvef>55%). suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. aortic valve: normal aortic valve leaflets. mitral valve: mildly thickened mitral valve leaflets. no mvp. mild mitral annular calcification. pericardium: no pericardial effusion. general comments: contrast study was performed with 1 iv injection of 8 ccs of agitated normal saline at rest. patient was unable to cooperate with maneuvers. suboptimal image quality - poor echo windows. conclusions: technically suboptimal study due to very poor echo windows. the left atrium is normal in size. the estimated right atrial pressure is 11-15mmhg. no paradoxical flow is seen with saline injection at rest (patient unable to cooperate with maneuvers). left ventricular wall thickness, cavity size, and systolic function are grossly normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. no definite aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no definite mitral regurgitation is seen. there is no pericardial effusion. impression: technically suboptimal study. preserved global biventricular systolic function. no definite cardiac source of embolism identified. brief hospital course: she was admitted to the trauma service under the care of dr. . she underwent ct imaging to assess injuries; there were no intracranial or intraabdominal injuries identified. a small left apical pneumothorax was identified, a left chest thoracostomy tube was placed; this was eventually removed. orthopedics was consulted for her right femur fracture, she was taken to the operating room on for repair of this injury. her staples remain in place and they will need to be removed on ; she will need to follow up in 2 weeks with dr. . thoracic was consulted because of her mechanism of injury with air ag deployment and subsequent development of respiratory failure. there were no operative intervention for this. vascular surgery and stroke consults were placed because of a finding on radiographic imaging revealing a left carotid artery stenosis suggestive a dissection. it was recommended that she be placed on heparin drip as a bridge and placed on coumadin with goal inr ; her most recent inr was 1.3. she is to receive 5 mg coumadin on pm of . orthopedic spine surgery was also consulted because of a r c4-5 and c5-6 foraminal stenosis (mod-severe); there was no operative intervention, it was suggested to continue to follow her exam, which remained intact during her hospital stay. there was no cord or ligament injury. she did require an ng tube for initiation of tube feedings early on during her icu stay. a bedside swallow evaluation from speech language pathology was done along with a video swallow. the ng tube was eventually removed and her diet was advanced to soft with thin liquids. the tube feedings were stopped. physical and occupational therapy were consulted and have recommended short term rehab stay. medications on admission: wellbutrin colchicine allopurinol toprol metformin lotrel discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed for pain. 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 4. hydroxychloroquine 200 mg tablet sig: one (1) tablet po bid (2 times a day). 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 6. bupropion 75 mg tablet sig: one (1) tablet po bid (2 times a day). 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold for hr <60 and sbp <110. 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 10. atorvastatin 10 mg tablet sig: one (1) tablet po at bedtime. 11. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime): dose needs to be adjusted daily to maintain inr . 12. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed for pain. 13. colace 100 mg capsule sig: one (1) capsule po twice a day. discharge disposition: extended care facility: - discharge diagnosis: s/p motor vehiclew crash bilateral rib fractures intertrochanteric fracture right leg small left apical pneumothorax pulmonary contusions discharge condition: stable discharge instructions: you will need to continue on the heparin drip until your goal inr is reached. your right hip staples can be removed on per orthopedics. followup instructions: follow up with dr. , orthopedics, in 2 weeks. call for an apppointment. follow up in trauma clinic in 2 weeks, call for an appointment. follow up with vascular surgery in 2 weeks, call for an appointment to be seen by dr. . md, procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation open reduction of fracture with internal fixation, femur transfusion of packed cells diagnoses: anemia, unspecified pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified intracerebral hemorrhage acute respiratory failure closed fracture of sternum other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle traumatic pneumothorax without mention of open wound into thorax cerebral artery occlusion, unspecified with cerebral infarction contusion of lung without mention of open wound into thorax hemiplegia, unspecified, affecting unspecified side cervical spondylosis without myelopathy closed fracture of intertrochanteric section of neck of femur closed fracture of four ribs injury to internal carotid artery 

Answer: The patient is high likely exposed to