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: left rib fractures, left clavicle fracture major surgical or invasive procedure: placement of epidural catheter , d/c history of present illness: this patient is a 84 year old male who complains of mvc. patient crashed his moped. he was helmeted, there was no loss of consciousness. he was initially taken to an outside hospital where he was found to have fractures of ribs 2 through 5. shortly thereafter, the patient became hypotensive and a repeat chest x-ray demonstrated a wide mediastinum. at this point to transfer was arranged here. in the interim, the patient has had a ct scan of the torso. this reveals no aortic injury. the patient's blood pressure stabilized with fluids, and he is remained stable for the past hour. timing: sudden onset severity: moderate duration: minutes to hours past medical history: pmh: htn social history: nc family history: son and daughter live with patient physical exam: : physical examination hr:80s bp:130/p resp:16 o(2)sat:98 normal constitutional: boarded/collared heent: normocephalic, atraumatic chest: clear to auscultation, tender chest wall upper left cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nontender, nondistended extr/back: extremities atraumatic skin: warm and dry neuro: speech fluent psych: normal mood, normal mentation pertinent results: hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 05:30 9.2 4.38* 12.5* 37.2* 85 28.6 33.7 15.9* 221 06:30am blood wbc-7.7 rbc-3.99* hgb-11.6* hct-33.7* mcv-84 mch-29.0 mchc-34.3 rdw-15.6* plt ct-154 12:26am blood wbc-8.3 rbc-3.80* hgb-11.0* hct-32.1* mcv-84 mch-28.9 mchc-34.2 rdw-15.7* plt ct-137* 06:12am blood wbc-9.8 rbc-4.01* hgb-11.7* hct-34.1* mcv-85 mch-29.2 mchc-34.3 rdw-15.8* plt ct-156 06:50pm blood wbc-14.4* rbc-4.57* hgb-13.2* hct-39.2* mcv-86 mch-28.9 mchc-33.7 rdw-15.6* plt ct-176 06:30am blood plt ct-154 12:26am blood plt ct-137* 06:12am blood plt ct-156 06:50pm blood fibrino-538* 12:26am blood glucose-102* urean-14 creat-0.8 na-138 k-4.3 cl-106 hco3-26 angap-10 06:12am blood glucose-99 urean-15 creat-0.8 na-139 k-4.3 cl-109* hco3-25 angap-9 06:50pm blood urean-21* creat-1.2 06:30am blood calcium-8.4 phos-3.0 mg-2.2 12:26am blood calcium-8.4 phos-2.3* mg-2.2 11:08pm blood lactate-1.1 : ekg: normal sinus rhythm. borderline first degree a-v block. right bundle-branch block. compared to tracing #1 there is no diagnostic interim change : impression: 1. left clavicle and left rib fractures, better assessed on osh ct. 2. irregular, bubbly appearance of the right humeral head. dedicated right shoulder radiographs are recommended : cat scan of pelvis: impression: 1. left posterior rib fractures (3-8th). left mid clavicle fracture. 2. mildly thickened esophagus. please correlate clinically and with egd is indicated. 3. lucent lesion in the right humeral head which is incompletely imaged, dedicated radiograph of the right humerus is recommended for further workup. 4. sclerotic lesion at the right medial pubic ramus, ddx includes post-radiation, bony metastasis (h/o prostate ca?) or degenerative : chest x-ray: mild interstitial pulmonary edema has worsened. heart is borderline enlarged. mediastinal and pulmonary vascularity is engorged. small right pleural effusion is new. no pneumothorax : echo: the left atrium and right atrium are normal in cavity size. the right atrial pressure is indeterminate. there is mild symmetric left ventricular hypertrophy with normal cavity size and global systolic function (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 ascending aorta and aortic arch are mildly dilated. the aortic valve leaflets are moderately thickened. there is moderate aortic valve stenosis (valve area 1.0-1.2cm2). no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is high normal. there is no pericardial effusion. impression: moderate to severe aortic valve stenosis. mild symmetric left ventricular hypertrophy with preserved global biventricular systolic function. dilated thoracic aorta : chest x-ray: findings: in comparison with the study of , there is continued pulmonary vascular congestion. some increased opacification at the left base raises the possibility of developing consolidation : right elbow x-ray: findings: again demonstrated is an extensive permeative and lytic process involving the right proximal humerus and humeral head, concerning for infiltrative neoplastic process. there is no evidence of cortical breakthrough, pathologic fracture, periosteal reaction or definite associated soft tissue mass. impression: permeative lesion involving proximal right humerus and head of humerus, concerning for neoplastic infiltration brief hospital course: 84 year old gentleman admitted to the acute care service after a fall off his moped. initially admitted to an outside hospital where on x-ray reported to have left sided fractured ribs, fractured left clavicle and a widened mediastinum. he was hypotensive and was transferred here. upon admission to the trauma intensive care unit, he was made npo and given intravenous fluids. he had a cat scan of his chest which did not show a widened mediastinum. it did show that he sustained left rib fractures and a fractured left clavicle. he also had a cardiac echo done with an ef >55%. he had a thoracic epidural catheter placed for management of his rib pain with hypotension upon placment. his rib pain was well managed with the epidural. since removal of his epidural catheter his rib pain has been managed with oral agents. he had an isolated episode yesterday of hypotension yesterday which was managed with increased oral fluids with no further recurrence. he is tolerating a regular diet. voiding without difficulty. he has been seen by physical therapy and is cleared for discharge with the recommendation of outside physical therapy. his vital signs are stable. he will follow-up with the acute care service in 2 weeks and with his primary care provider 1 week. medications on admission: : lisinopril 10', simvastatin 20', vit d 1000mcg', mag? discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours: as needed for pain. 3. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. disp:*20 tablet(s)* refills:*1* 4. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime): hold for diarrhea. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation: hold for diarrhea. 6. oxycodone 5 mg tablet sig: 0.5 tablet po every 4-6 hours as needed for pain. disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: left clavicular fracture left posterior rib fractures, displaced discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance related to left sided rib fractures discharge instructions: you were admitted to the hospital with left fracture ribs, left clavicular fracture. you are being discharged with the following instructions: your injury caused left posterior rib fractures , displaced , which can cause severe pain and subsequently cause you to take shallow breaths because of the pain. * you should take your pain medication as directed to stay ahead of the pain otherwise you won't be able to take deep breaths. if the pain medication is too sedating take half the dose and notify your physician. * pneumonia is a complication of rib fractures. in order to decrease your risk you must use your incentive spirometer 4 times every hour while awake. this will help expand the small airways in your lungs and assist in coughing up secretions that pool in the lungs. * you will be more comfortable if you use a cough pillow to hold against your chest and guard your rib cage while coughing and deep breathing. * symptomatic relief with ice packs or heating pads for short periods may ease the pain. * narcotic pain medication can cause constipation therefore you should take a stool softener twice daily and increase your fluid and fiber intake if possible. * do not smoke * if your doctor allows, non steroidal antiinflammatory drugs are very effective in controlling pain ( ie, ibuprofen, motrin, advil, aleve, naprosyn) but they have their own set of side effects so make sure your doctor approves. * return to the emergency room right away for any acute shortness of breath, increased pain or crackling sensation around your ribs ( crepitus ). followup instructions: please follow up with the with acute care service in 2 weeks. you can schedule this appointment by callling #. please follow up with your pcp 1 week. md procedure: insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: other iatrogenic hypotension unspecified essential hypertension personal history of malignant neoplasm of prostate other and unspecified hyperlipidemia acute pain due to trauma closed fracture of eight or more ribs motor vehicle traffic accident due to loss of control, without collision on the highway, injuring motorcyclist other fluid overload closed fracture of shaft of clavicle 

Answer: The patient is high likely exposed to