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 mvc major surgical or invasive procedure: intramedullary nail, left tibia. right chest tube history of present illness: 46 yo f s/p motor vehicle crash; t-boned with + airbag deployment +loc, intubated in the field for decreased oxygen saturation. transferred from referring hospital to for continued trauma care. past medical history: back surgery for lipoma removal c/b seroma s/p mvc seizures psychiatric disorder social history: reportedly lives with boyfriend and one son (has 3 sons) family history: non-contributory physical exam: vs on admission: t 98.2 hr 84 bp 108/98 o2 sat 98% gen: intubated/vented & paralyzed heent: puplis fixed 5-6 mm; left conjuctival hemorrhage; dried blood in nares neck: collared chest: cta bilat cor: rrr back: no stepoffs abd: soft, nt fast exam negative rectum: guaiac negative pelvis: stable extr: deformity lle; + ecchymosis; 2+ dp/pt pulses bilat pertinent results: 09:40pm type-art po2-197* pco2-41 ph-7.37 total co2-25 base xs--1 09:40pm lactate-1.1 09:28pm glucose-117* urea n-10 creat-0.5 sodium-142 potassium-3.8 chloride-109* total co2-23 anion gap-14 09:28pm alt(sgpt)-152* ast(sgot)-152* alk phos-89 tot bili-0.3 09:28pm calcium-9.0 phosphate-4.2 magnesium-1.6 09:28pm wbc-13.0* rbc-4.71 hgb-13.5 hct-39.7 mcv-84 mch-28.7 mchc-34.0 rdw-14.3 09:28pm plt count-349 09:28pm pt-12.8 ptt-22.7 inr(pt)-1.1 02:20pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:20pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-pos amphetmn-neg mthdone-neg ct reconstruction 3:32 pm ct l-spine w/o contrast; ct reconstruction reason: 46 year old woman s/p mva medical condition: 46 year old woman s/p mva reason for this examination: 46 year old woman s/p mva contraindications for iv contrast: none. emergency lumbar spine ct history: motor vehicle accident. technique: axial post-intravenously enhanced images of the lumbar spine were obtained. images were only submitted at this time using a bone algorithm. findings: within these limitations, there is no definite evidence of a fracture or abnormal alignment of the component vertebrae. the absence of soft tissue algorithm precludes optimum demonstration of the intervertebral discs and ligamentous structures. there is no definite paraspinal pathology seen, although more comprehensive analysis of the abdomen was obtained by the pre- existent torso ct scan. conclusion: no definite fracture. ct reconstruction 3:32 pm ct t-spine w/o contrast; ct reconstruction reason: 46 year old woman s/p mva medical condition: 46 year old woman s/p mva reason for this examination: 46 year old woman s/p mva contraindications for iv contrast: none. emergency ct scan of the thoracic spine history: motor vehicle accident. technique: axial non-contrast images of the thoracic spine. these were acquired only with bone window settings with corresponding coronal and sagittal reconstructions. findings: there is no definite spine fracture seen. there is a depression of the superior endplate of l1 with small anterior bridging osteophytes. the depression, when viewed axially, appears consistent with a schmorl's node. there is imaging of the right pneumothorax, consolidation within the superior segment of the right lower lobe and apparent collapse or consolidation of the left lower lobe. conclusion: no definite spine fractures. please note that the absence of soft tissue algorithms for reconstruction of the images precludes optimum depiction of the intervertebral discs and ligamentous structures. bilat lower ext veins port 8:49 am bilat lower ext veins port reason: please eval for dvt medical condition: 46 year old woman with bl le edema, immobilization reason for this examination: please eval for dvt indication: 46-year-old female with bilateral leg edema and immobilization. findings: grayscale and doppler son of the bilateral lower extremity veins was performed. bilateral common femoral, superficial femoral, and popliteal veins exhibit normal flow, waveforms, augmentation, and compressibility. no intraluminal thrombus is identified. impression: no evidence of deep venous thrombosis in either extremity. chest (portable ap) 12:52 pm chest (portable ap) reason: s/p ct pull ap chest 12:55 p.m . history: chest tube pulled. rule out effusion or pneumothorax. impression: ap chest compared to and 9: study performed at 11:25 this morning excluding the apex of the right chest showed a right pneumothorax and right lower lobe collapse both increased substantially since . current film shows little if any change. left lower lobe atelectasis is present as well and small left pleural effusion are stable. the heart is normal in size and midline. poor definition of the left bronchial tree suggests significant retention of secretions. cta chest w&w/o c &recons 7:30 pm cta chest w&w/o c &recons; ct 150cc nonionic contrast reason: r/o pe field of view: 36 contrast: optiray medical condition: 46 year old woman with tachypnea, difficulty maintaining sats reason for this examination: r/o pe contraindications for iv contrast: none. indication: history of tachypnea and difficulty maintaining sats, evaluate for pulmonary embolism. comparison: study from . technique: mdct acquired contiguous axial images were obtained from the lung bases to the thoracic inlet. multiplanar reconstructions were performed. contrast: 100 cc of iv optiray contrast were administered due to the rapid rate of bolus injection required for this study. cta of the chest: no filling defects or pulmonary emboli identified within the pulmonary arteries to the level of the segmental branches. the aorta demonstrates normal caliber and contour. ct of the chest with iv contrast: soft tissue window images demonstrate no mediastinal fluid or pathologically enlarged mediastinal lymphadenopathy. small bilateral pleural effusions are noted. lung window images demonstrate prominent bibasilar atelectasis. additionally, within the right lower lung zone, there is a focal opacity which corresponds to the area of contusion seen previously. there is now increased area of opacity adjacent to this, which may represent atelectasis. additionally, within the left middle lung zone, there are two areas of faint opacities which may represent areas of atelectasis or aspiration. the airways are patent to the level of the segmental bronchi bilaterally. there is a right pneumothorax, which is small, but appears to have increased slightly in comparison to prior study. additionally, there is a small amount of pneumomediastinum which is similar in comparison to the prior exam. limited images of the superior portion of the abdomen are unremarkale. bone windows: again seen are fractures within the sternum, and within the first, second and third left ribs, and within the right first rib. ct reconstructions: multiplanar reconstructions were essential in delineating the anatomy and pathology. impression: 1. no pulmonary embolism. 2. prominent atelectasis at the lung bases bilaterally, which was not seen previously. 3. opacity within the right mid lung zone corresponds to the area of contusion seen previously and new adjacent atelectasis. new opacities within the left mid lung zone may represent focal atelectasis or aspiration. 4. right pneumothorax is again seen, and appears slightly increased in comparison to prior study. 5. multiple rib fractures again seen, and a sternal fracture. results were discussed with dr. at 10:45 p.m. on . brief hospital course: patient admitted to the trauma service. orthopedic surgery was consulted, patient taken to the operating room on for im nail left tibia fracture. she is currently in a hinged brace and is on subcutaneous lovenox. her staples were discontinued on day of discharge. she is touch down weight bearing on her lle and will follow up with orthopedics in 1 week. plastic surgery was consulted because of her nasal bone fracture; this injury was treated with splinting for 1 week. she will need to follow up in clinic on . psychiatry was consulted because of her history with mental health problems; it was noted that patient was delirious during their evaluation. it was recommended that risperidone and klonopin to be initiated. she should have psychiatry consult while in rehab for ongoing assessment of her issues. social work was consulted for assessment of home situation and patient's initial reports of abusive relationship with boyfriend which she ultimately denied when social work investigated this allegation. physical therapy consulted and evaluation revealed need for short term rehab stay. patient has been accepted at a facility in . medications on admission: percocet paxil valium risperidol zonisamide discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. 2. zonisamide 100 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 4. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 5. enoxaparin 40 mg/0.4ml syringe sig: one (1) subcutaneous q 24h (every 24 hours): continue for 3 weeks. 6. acetaminophen 500 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. 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. oxycodone 5 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. discharge disposition: extended care facility: southeastern nursing and rehab discharge diagnosis: s/p mvc nasal septum fracture right pneumothorax pneumomediastinum left tibia/fibula fracture discharge condition: stable discharge instructions: follow up in clinic in 1 week. follow up in clinic on . follow up in trauma clinic in weeks. take all of your medications as prescribed. followup instructions: call for an appointment in clinic in 1 week. call for an appointment in clinic for next tuesday . call for an appointment in trauma clinic. md, procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours open reduction of fracture with internal fixation, tibia and fibula closure of skin and subcutaneous tissue of other sites closed reduction of nasal fracture diagnoses: urinary tract infection, site not specified unspecified essential hypertension other convulsions depressive disorder, not elsewhere classified cocaine abuse, unspecified anxiety state, unspecified traumatic pneumothorax without mention of open wound into thorax other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle contusion of lung without mention of open wound into thorax closed fracture of pubis closed fracture of nasal bones closed fracture of three ribs closed fracture of shaft of tibia alone concussion, with loss of consciousness of 30 minutes or less closed dislocation, sacrum open wound of other and multiple sites of face, complicated 

Answer: The patient is high likely exposed to