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: sudafed attending: chief complaint: transfer from osh with pulm contusions, ortho/spine injuries major surgical or invasive procedure: at the hospital: bilateral chest tubes, tracheal intubation history of present illness: 25m s/p high-speed mva, ejected from vehicle, found 20 ft from car, +etoh, transferred post-intubation and sedation secondary to combativeness, with multiple injuries, bilateral chest tubes in place (pneumo on l, contusion on r), rib fractures, bilat l3-4 transverse process fx's. past medical history: complex medical hx, most data from osh records/pcp : --approx 3yr s/p l cva with minor current defecits. --paroxsysmal afib, ? secondary to etoh use --prior acute alcohol hepatitis --on coumadin, coreg, digoxin, ace-inhib --etoh abuse social history: etoh abuse, denies other drug use. prior rehab / aa. works as travelling salesman single family history: non-contrib physical exam: on arrival: sedated, intubated, bilateral chest tubes in place. non-responsive secondary to sedation heent: perrl, no apparent injury pulm: cta bilaterally cards: rrr c s1/s2 abd: soft, no masses felt, no ecchymosis/scars gu: rectal with normal tone, no blood, guaic negative ext: l leg external rotated, mild hip deformity, 2+ pulsesx4, 2+ reflexes throughout pertinent results: 05:50am blood wbc-18.0* rbc-4.67 hgb-15.0 hct-43.6 mcv-93 mch-32.0 mchc-34.3 rdw-12.9 plt ct-272 07:25am blood wbc-5.9 rbc-3.04* hgb-9.6* hct-26.9* mcv-89 mch-31.6 mchc-35.7* rdw-13.2 plt ct-268# 05:50am blood pt-21.6* ptt-25.5 inr(pt)-2.1* 07:25am blood plt ct-268# 05:50am blood fibrino-227 05:50am blood urean-14 creat-1.2 05:55pm blood glucose-95 urean-12 creat-0.8 na-139 k-3.9 cl-108 hco3-24 angap-11 07:25am blood glucose-100 urean-11 creat-0.5 na-141 k-3.6 cl-106 hco3-27 angap-12 05:50am blood amylase-47 07:25am blood calcium-8.2* phos-3.4 mg-2.1 05:55pm blood calcium-7.3* phos-3.1 mg-1.7 05:50am blood digoxin-0.8* 05:50am blood asa-neg ethanol-70* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 06:03am blood type-art temp-36.1 rates-24/ tidal v-600 fio2-100 po2-263* pco2-37 ph-7.28* caltco2-18* base xs--8 aado2-425 req o2-72 -assist/con intubat-intubated 01:37pm blood type-art po2-78* pco2-38 ph-7.43 caltco2-26 base xs-0 ct l-spine w/o contrast 3:31 pm ct l-spine w/o contrast reason: traumaeval possible l2-l4 fxs seen on outside films medical condition: 25 year old man s/p mvc reason for this examination: traumaeval possible l2-l4 fxs seen on outside films contraindications for iv contrast: none. indication: status post mvc with possible l2 through 4 fractures seen on outside films. there are no prior studies for comparison. technique: contiguous axial images through the lumbar spine were obtained without iv contrast. coronal and sagittal reformatted images were generated. ct of the lumbar spine without contrast: the lumbar vertebral body heights and alignment are maintained. there are fractures of the left l2 through l4 transverse processes. there is a fracture of the right l5 inferior facet and right superior s1 facet. there is a fracture of the left inferior l5 facet. these are best seen on the sagittal reformatted images. the right twelfth rib is distracted from the costovertebral junction posteriorly by approximately 5 mm (the left twelfth rib costovertebral junction measures 2 mm for comparison). there are ossific structures in the right flank, at all lumbar levels which are located about 3 cm lateral to the remaining transverse processes, which likely represent right transverse process fractures. though ct does not provide intrathecal detail comparable to that of mri, no central spinal stenosis is clearly appreciated. there are small disc bulges at l4-5 and l5-s1. there is edema in the posterior subcutaneous soft tissues, stranding adjacent to the psoas muscles (right greater than left) and there is edema/obscuration of fat planes within the paraspinal muscles. there is mild stranding in the fat inferior to both kidneys and the retroperitoneal fat at the level of the kidneys near the vasculature. impression: 1. fracture of the left l2-l4 transverse processes. 2. fracture of the right l5 inferior facet, right s1 superior facet, and left l5 inferior facet. 3. mild distraction of the right twelfth rib from the costovertebral articulation. 4. probable fractures of the right lumbar transverse processes, less likely dystrophic calcifications. findings were discussed with dr. on the afternoon of . the study and the report were reviewed by the staff radiologist. dr. dr. ########### ct c-spine w/o contrast 12:05 pm ct c-spine w/o contrast reason: assess for fracture medical condition: 25 year old man with mvc ejection, reason for this examination: assess for fracture contraindications for iv contrast: none. indication: mvc ejection. assess for fracture. there are no prior studies for comparison. technique: contiguous axial images through the cervical spine were obtained without iv contrast. coronal and sagittal reformatted images were generated. ct of the cervical spine without contrast: no fracture of the cervical spine is detected. the cervical vertebral body heights and alignment are maintained. intervertebral disc spaces are grossly maintained. the prevertebral soft tissues are difficult to assess given indwelling orogastric and endotracheal tubes, but no definite abnormalities are appreciated. axial images and sagittal reformatted images demonstrate prominence of the epidural soft tissues posterior to the c2 and c3 vertebral bodies, of undetermined significance. the finding could represent prominent epidural veins, though an epidural hematoma cannot be entirely excluded. mild cervical spondylitic changes are seen throughout the cervical spine. there is dense consolidation at the right lung apex, possibly representing contusion. there is a small pneumothorax seen at the left lung apex, and minimal dependent change posteriorly. impression: 1. no cervical spine fracture or malalignment. 2. prominence of the epidural soft tissues posterior to c2 and c3. while finding could represent prominent epidural veins, an acute process such as an epidural hematoma cannot be entirely excluded and further evaluation with mri is recommended. 3. dense consolidation at the right lung apex, partially imaged, likely representing a contusion. 4. small left apical pneumothorax. findings were discussed with dr. on the afternoon of . the study and the report were reviewed by the staff radiologist. dr. dr. ############### ct pelvis ortho w/o c 12:04 pm ct pelvis ortho w/o c reason: ?frx medical condition: 25 year old man s/p mvc, l hip dislocation, ?acetabular frx reason for this examination: ?frx contraindications for iv contrast: none. ct pelvis without contrast, . indication: 25-year-old male status post mvc, left hip dislocation. axial non-contrast ct images through the pelvis were obtained. sagittal and coronal images were reformatted. there are no previous studies for comparison. findings were called to dr. of the emergency room at the time of interpretation on at 5:30 p.m. findings: comparison is made to the prior plain film which demonstrated dislocation of the left hip. there is a small fracture fragment in the anterior margin of the acetabulum which is mildly displaced. there are two intra-articular fracture fragments in the posterior margin of the joint. the larger fracture fragment measures approximately 1.3 cm and the smaller fracture fragment measures approximately 6 mm. the apparent donor site is from within the acetabulum. there is widening of the left hip joint, anterior aspect. there is a small joint effusion which may represent hemarthrosis. the visualized left femur appears intact. the inferior and superior pubic rami are intact. the pubic symphysis appears intact, as do the bilateral sacroiliac joints. limited visualization of the lumbosacral spine demonstrates fractures of the left and right transverse processes of l4. there is displacement of the right transverse process fracture fragment posterolaterally by approximately 2.9 cm. there is a large right paraspinal musculature hematoma. there are fractures of the bilateral l5 and s1 facets. no fracture fragment is seen within the visualized portion of the lumbar spinal canal, however, dedicated imaging of the lumbar spine is recommended. there is anterior subluxation of the c2 coccygeal vertebral level with respect to c3 by approximately 5 mm. no discrete coccygeal fracture is seen. views of the pelvis demonstrate a small amount free fluid within the dependent portion of the pelvis. there is fluid along the right paracolic gutter. there is dense contrast material and air within the bladder which is decompressed by a foley catheter. impression: 1. two separate intra-articular fracture fragments in the posterior margin of the left hip joint as above. small avulsed fracture fragment in the anterior margin of the left acetabulum. 2. bilateral l4 transverse process fractures with a large right paraspinal/psoas hematoma. 3. bilateral l5 and s1 facet fractures. 4. subluxation of c2 on c3 within the mid-coccyx. the study and the report were reviewed by the staff radiologist. dr. dr. ################ hip unilat min 2 views left reason: ap &cross table lateral medical condition: 25 year old man high speed mvc, ejected, lle deformity reason for this examination: ap &cross table lateral study: left hip, two views, . history: 25-year-old man with dislocation. findings: ap left hip has been relocated and has normal alignment. no gross fractures are seen. rest of the bony structures are intact. there is a foley catheter. dr. ################# mr cervical spine w/o contrast 1:37 am mr cervical spine w/o contrast reason: eval ligamentous injury medical condition: 25 year old man s/p mvc reason for this examination: eval ligamentous injury contraindications for iv contrast: none. emergency cervical spine study history: status post motor vehicle collision. evaluate for ligamentous injury. technique: sagittal t1, t2, and stir images of the cervical spine were obtained, with axial t2 and gradient echo images acquired as well. comparison study: ct scan of the cervical spine, from , reported by drs. and as revealing "no cervical spine fracture or malalignment". prominence of the epidural soft tissues posterior to c2 and c3. while the finding could represent prominent epidural veins, an acute process such as an epidural hematoma cannot be entirely excluded and further evaluation with mri is recommended. findings: there is no definite sign for or an intra- or extra-dural abnormality seen within the bony central spinal canal. the spinal cord has a normal configuration and signal pattern. there is no disc or vertebral abnormality seen. however, there is a moderately large area, partially imaged, of mixed t2 signal within the posterior midline soft tissues, posterior to the upper thoracic spinous processes. clearly, in view of the recent trauma, a hematoma in this locale needs to be considered. just to the right of midline, within the mid cervical region, there is also a semilunar-shaped area of elevated t2 signal, appreciated best on the stir images at the level of c4-5. again, this finding could represent edema in paraspinal soft tissues. there does appear to be slight extension of this edema towards the interspinous ligaments at this locale as well. there is a probable small amount of secretions within the posterior aspect of the oropharynx and there is a small air-fluid level within the sphenoid sinus. conclusion: 1. there is a probable hematoma within the upper thoracic posterior soft tissues. 2. there is edema within the right mid cervical, posterior paraspinous soft tissues, with a question of mild interspinous ligament edema at the levels of c4-5 as noted above. 3. there is high t2 signal within the right lung apex, a finding which appears to correlate with the ct scan findings of the day previous. at that time, the question of the lung contusion was raised. we paged you with these results today. dr. brief hospital course: #pulm: arrived intubated with bilateral chest tubes. hx of pneumo on l, apparently only contusion on the r. pt. maintained on the ventilator for the first 2 days of admission without adverse event. once his spinal and orthopedic injuries had been fully assessed, he was extubated without event. both chest tubes had minimal drainage throughout hospitalization and were removed on hd#2 without event. pt. sat'ing well without dyspnea on day of discharge without supplemental oxygen . #spinal: pt. with some worry for cervical and lumbar injury at time of admission. at no time was he suffering symptoms of spinal cord injury. neurosurgery was consulted, and after an mr cleared his c-spine. he l-spine injuries (listed fully above) were considered non-operative. neurosurg eventually signed off the case; the patient needs only po pain control for best healing. . #pt/ot: pt with understandable difficulty ambulating and performing tasks of daily living. pt seen and evaled by pt and ot; recommendation for inpatient rehab from both services. . #ortho: dislocated l hip in the trauma bay. seen by ortho and set while in the ed. on further imaging, pt. with mildly displaced ant. acetabular frx with 2 intraarticular fragments. followed by ortho service, plan to f/u with ortho in 2 weeks and repeat ct of l hip with probable non-operative management. partial weight bearing on lle. . #ribs: numerous fractures b/l. po pain control. . #pain: pt. with some difficulty achieving excellent po pain regimen. d/w pain service, and patient started on tizanidine as adjuvant therapy to his regimen of tylenol, oxycontin and oxycodone with good effect. pain controlled on this stable regimen on the day of discharge. . #nutrition: by time of discharge pt was fully tolerating full po diet . dispo: to rehab inpatient. medications on admission: dig, coreg, ?ace-inhib, coumadin discharge medications: 1. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 2. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 3. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 4. tizanidine 2 mg tablet sig: two (2) tablet po tid (3 times a day). 5. oxycodone 5 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for breakthrough pain. 6. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 7. morphine 30 mg tablet sustained release sig: two (2) tablet sustained release po q12h (every 12 hours). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. warfarin 5 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: of - , nh discharge diagnosis: l acetabular fracture multiple bilateral rib fractures l2-l4 transverse process fractures r l5 inferior facet, r s1 superior facet, l l5 inferior facet frx l pneumothorax bilateral lung contusions seconary diagnosis: htn paroxsymal afib known prior cva alcohol abuse discharge condition: good discharge instructions: please return to the hospital if you have increasing pain, difficulty breathing, difficulty urinating, new difficulty with walking, numbness or weakness in your extremities, or any other symptoms that worry you or your family. followup instructions: f/u with your pcp within week of discharge. you will need daily inr checks until your inr has stabalized at an appropriate level. f/u with orthropedics for your l hip within 2 weeks of discharge. you will need a ct scan before this appointment. call asap upon discharge for an appointment md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours closed reduction of dislocation of hip diagnoses: traumatic pneumothorax without mention of open wound into thorax closed fracture of lumbar vertebra without mention of spinal cord injury contusion of lung without mention of open wound into thorax closed fracture of multiple ribs, unspecified street and highway accidents motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of acetabulum closed posterior dislocation of hip acute alcoholic intoxication in alcoholism, episodic 

Answer: The patient is high likely exposed to