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: history of present illness: the patient is a 54-year-old female who was an unrestrained driver in a motor vehicle crash going roughly 40 miles an hour head on into a tree. there was a question of whether or not the patient had fell asleep at the wheel. there was positive loss of consciousness at the scene. it was assumed by ems that the patient did hit the windshield with her head because of the damage to the car and the significant injuries to her forehead. the extrication at the scene did last greater than 15 minutes, but the patient was hemodynamically stable. the patient at the scene complained of chest pain, upper abdominal pain and right leg/ankle pain. past medical history: none medications: none past surgeries: none allergies: none initial physical: vital signs: t-max 100??????, pulse 94, blood pressure 102/49, 20, 97 on room air. general: no acute distress. head, ears, eyes, nose and throat: pupils equal, round and reactive to light and accommodation. tympanic membranes were clear. gcs of 15 at the scene and on arrival to the emergency department. cardiovascular: regular rate and rhythm. lungs: clear to auscultation bilaterally. no jugular venous distention. abdomen: soft, nontender, nondistended. chest: chest wall positive ecchymosis over the left chest. extremities: no peripheral edema, +2 dp and pt, positive ecchymosis over the right leg and right arm. positive deformity to the right lower leg with tenderness and decreased sensation. c-spine no tenderness. back no tenderness. initial labs: hematocrit of 31, chem-7 of 140/3.7, 108/19, 13/0.5, 157, amylase of 27, calcium 1.03, lactate of 2.8, negative urinalysis. radiology: ct scan of the abdomen which showed a grade 4 liver laceration at the prominent pancreatic tail. right ankle showed a distal tibia fibula fracture which was status post reduction at that time by orthopedics. the x-ray also showed good alignment following the reduction. ct of the lower limbs included the common medial malleolar and talar neck fracture. right tibia fibula films showed a distal fibula and tibia fracture on the right and no fractures of the right knee. ct of the c-spine was negative. ct of the head was also negative. chest x-ray and pelvis negative. the major injuries to the patient included a right distal tibia fibula fracture and a grade 4 liver laceration. hospital course: the patient was admitted to the trauma intensive care unit on the and was followed with serial hematocrits due to the grade 4 liver laceration. the patient also had a significant laceration to the forehead which ran superior to inferior over the right eye. plastic surgery was consulted and the wound washed with copious amounts of normal saline prior to a primary closure. the incision was roughly 7 to 8 cm long and there was also a second smaller 2 cm laceration at the temporal area. the patient's intensive care unit stay was fairly uneventful, but she did receive 2 units of packed red blood cells for a hematocrit that slowly dropped from 33 to 26. after the 2 units of packed red blood cells, the patient's hematocrit bumped appropriately and remained stable. orthopedics recommendations were to have the leg fixed with open reduction internal fixation after the patient was stabilized (1 to 2 weeks). after the patient was deemed to be clinically stable with stable hematocrit, the patient was transferred to the floor. the patient continued to have an uneventful stay interrupt the hospital. physical therapy and occupational therapy saw the patient and helped with ambulation. the patient had a fair deal of difficulty with movements and it was decided at that time the patient would be discharged to rehabilitation services prior to her surgery. during her stay on the floor, the patient's liver function tests bumped on the 15th to an alt of 333, ast of 79 and alkaline phosphatase of 195, total bilirubin of 7.1 and direct bilirubin of 3.8. over the 16th and 17th, the patient's alt decreased to 278, but ast increased to 90 and alkaline phosphatase was at 268. total bilirubin and direct bilirubin continued to 4.8 and 2.2. on the 18th, it was decided the patient could be discharged to rehabilitation services in stable condition. discharge physical: vital signs: t-max 98.4??????, 84, 106/72, 16, 98 on room air, in 1000, out 1600. general: alert and oriented. head, ears, eyes, nose and throat: dressing on forehead was intact. clean, dry and intact suture line. cardiovascular: regular rate and rhythm. respiratory: clear to auscultation bilaterally. abdomen: soft, nontender, positive bowel sounds. extremities: right lower extremity splint. labs: liver function tests from the 17th: alt 278, ast 90, alkaline phosphatase 268, total bilirubin 4.8, direct bilirubin 2.2. discharge diagnoses: 1. status post motor vehicle crash, unrestrained drive with polytrauma 2. distal tibia fibula fracture requiring open reduction internal fixation on the . grade 4 liver laceration 4. forehead laceration discharge medications: 1. protonix 40 mg po q 24 hours 2. percocet 5/325 1 to 2 tablets po q 4 to 6 hours prn 3. tylenol 650 mg po q 4 to 6 hours prn treatments: the patient will require venodynes at all times when in bed. the patient will also require physical therapy and occupational therapy designed appropriately by the rehabilitation services. the patient will continue on a regular diet. the patient will be non weight bearing in the right lower extremity and should have physical therapy to reflect the restricted activities. the patient will be scheduled for the open reduction internal fixation of the right tibia fibula fracture on the 23rd by department. the patient should have her liver function tests checked on the 19th and also 21st to continue to trend the grade 4 liver laceration. discharge condition: good and stable to rehabilitation services. follow up: the patient will follow up with dr. in the trauma clinic, phone number (. the patient will also need to be transported back to either on sunday or monday, the 22nd or 23rd for the open reduction internal fixation of the right tibia fibula. the patient will be admitted to the service at that time. the attending in orthopedics will be dr. at the department. , m.d. dictated by: medquist36 procedure: arterial catheterization closure of skin and subcutaneous tissue of other sites closed reduction of fracture without internal fixation, tibia and fibula closed reduction of fracture without internal fixation, tarsals and metatarsals diagnoses: acute posthemorrhagic anemia open wound of forehead, without mention of complication other alteration of consciousness motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle fracture of medial malleolus, closed closed fracture of astragalus injury to liver without mention of open wound into cavity, laceration, major tarsal tunnel syndrome 

Answer: The patient is high likely exposed to