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: no known allergies / adverse drug reactions attending: chief complaint: fall from chair major surgical or invasive procedure: left chest tube placement history of present illness: this is an 80f who stood from her chair, felt dizzy, and fell to the floor. she suffered posterior 4th-7th rib fxs. no other injuries. past medical history: pmh: hypertension, hyperlipidemia, dm, gout psh: none family history: nc physical exam: emergency dep't exam: temp:99.0 hr:90 bp:212/80 resp:20 o(2)sat:99 constitutional: comfortable heent: normocephalic, atraumatic oropharynx within normal limits cardiovascular: left ribs - tender abdominal: soft, nontender, no luq tenderness, no abd tenderness skin: no rash neuro: speech fluent psych: normal mood heme//: no petechiae pertinent results: 02:35pm blood wbc-14.3* rbc-3.82* hgb-12.8 hct-36.8 mcv-96 mch-33.5* mchc-34.8 rdw-12.5 plt ct-266 01:47am blood wbc-12.3* rbc-3.32* hgb-10.8* hct-31.5* mcv-95 mch-32.5* mchc-34.3 rdw-12.5 plt ct-225 04:33pm blood wbc-11.4* rbc-3.35* hgb-11.0* hct-31.9* mcv-95 mch-32.9* mchc-34.6 rdw-12.7 plt ct-221 05:56am blood wbc-10.1 rbc-3.22* hgb-10.6* hct-30.5* mcv-95 mch-32.9* mchc-34.8 rdw-12.8 plt ct-217 03:50pm blood pt-12.6 ptt-19.6* inr(pt)-1.1 02:35pm blood glucose-300* urean-27* creat-1.3* na-139 k-3.9 cl-98 hco3-27 angap-18 cxr: multiple left-sided displaced rib fractures. cxr: inspiratory and expiratory views demonstrate a small apical pneumothorax and are otherwise stable compared with 14:53 hrs. echo: the left atrium is mildly dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. there is an anterior space which most likely represents a prominent fat pad. impression: normal global and regional biventricular systolic function. at least moderate mitral regurgitation. moderate pulmonary artery systolic hypertension. no lvot obstruction. cxr: there is a tiny left apical pneumothorax. left pleural effusion has almost completely resolved. the left hemidiaphragm is elevated. cardiac size is top normal. multiple left-sided rib fractures appear unchanged. there is a new left-sided chest tube. left lower lobe atelectasis has improved. cxr: tiny left apical pneumothorax, stable-appearing. near resolution of left pleural effusion. possible loculated left extrapleural fluid collection. carotid series: 1. heavily calcified hard plaque in both carotid bulbs and internal carotids without evidence of hemodynamically significant stenosis (less than 40% bilaterally). 2. vascularized soft tissue mass between the right ica and cca is consistent with a carotid body tumor. this could be further evaluated with mra or cta. ct chest: 1. contiguous, segmental fractures of the left fourth, fifth, sixth and seventh ribs, suggestive of flail chest. predominantly extrapleural high-density material surrounding these fracture sites consistent with extrapleural hematomas. moderately large left pleural effusion with high density inferiorly, which may indicate a component of hemothorax. adjacent relaxation atelectasis of the left lower lobe. 2. undisplaced fracture of the tip of the scapula. 3. multiple pulmonary nodules as described, the largest in the right upper lobe measuring approximately 1 cm. while this nodule has some features suspicious for malignancy, atypical infections including tuberculosis or other granulomatous disease can have a similar appearance. therefore, a repeat ct in six weeks is recommended to assess stability or resolution. a ppd test could also be considered. brief hospital course: this is an 80f who was admitted for management of posterior 4th-7th rib fractures. she was admitted to the icu for monitoring initially. she was doing well but was noted to have a new left hemotx on cxr . a 20f chest tube was placed with return of 500cc dark blood. the lung re-expanded, and the patient tolerated this well. she continued to be stable and was transferred to the floor . her dizziness was evaluated. echo was unconcerning. carotid series revealed a possible carotid body tumor. this will need to be followed up with mri. this patient was cared for and managed by the rotating attending surgeons of the acute care surgical service. medications on admission: metoprolol succinate er 100 mg lisinopril 20 mg daily aspirin 325 mg daily lipitor 10 mg daily folic acid 1 mg daily indomethacin 25 mg tid prn gout magnesium 1000 mg daily vitamin c 500 mg er daily fish oil 1,200 mg-144 mg-216 mg daily metformin 500 mg discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. tramadol 50 mg tablet sig: 0.5 tablet po q4h (every 4 hours) as needed for pain. disp:*15 tablet(s)* refills:*0* 4. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po twice a day. 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. metformin 500 mg tablet sig: one (1) tablet po twice a day. 9. aspirin 325 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: fall posterior 4th-7th rib fractures left hemothorax discharge condition: stable discharge instructions: you were admitted to the hospital after you had a dizzy episode and fell. you sustained left rib fractures and a small collapse of your lung. you had a chest tube placed for re-expansion of your lung. you are now prepared for discharge home with the following instructions: the chest tube site is currently covered with a waterproof bandage. it is ok to shower with this on. on monday, remove this bandage and replace with a small gauze pad and tape. change this daily until the site appears well healed. general discharge instructions: please resume all regular home medications, unless specifically advised not to take a particular medication. please take any new medications as prescribed. please take the prescribed analgesic medications as needed. you may not drive or heavy machinery while taking narcotic analgesic medications. you may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. please get plenty of rest, continue to walk several times per day, and drink adequate amounts of fluids. avoid strenuous physical activity and refrain from heavy lifting greater than 10 lbs., until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. please also follow-up with your primary care physician. please call your doctor or go to the emergency department if: *you experience new chest pain, pressure, squeezing or tightness. *you develop new or worsening cough, shortness of breath, or wheeze. *you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience an unusual discharge. *your pain is not improving within 12 hours or is not under control within 24 hours. *your pain worsens or changes location. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *you develop any concerning symptoms. followup instructions: please be sure to follow up with your primary care doctor in the next few days. when you do, have your creatinine (kidney function) rechecked to be sure that it has not worsened and that is ok to continue metformin. please follow up with the acute care service in 2 weeks. you can schedule your appointment by calling # . please let them know that you will need a standing end-expiratory chest x-ray prior to your visit. you will also need to follow up with the vascular surgery clinic in weeks. you can schedule this appointment by calling . procedure: insertion of intercostal catheter for drainage diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified other and unspecified hyperlipidemia traumatic pneumohemothorax without mention of open wound into thorax neoplasm of uncertain behavior of paraganglia closed fracture of four ribs fall resulting in striking against other object 

Answer: The patient is high likely exposed to