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: clarithromycin attending: chief complaint: s/p skiing accident vs. tree major surgical or invasive procedure: epidural catheter placment epidural catheter removal history of present illness: 68 yo male admitted to following traumatic skiing accident vs tree with multiple injuries; no reported loc. he was hypotensive at the scene. injuries including grade ii left renal lac with subcapsular hematoma without evidence of urinary extravasation, grade splenic laceration, multiple left-sided rib fractures, left pneumothorax and l1 transverse process fracture. he was transported form an area hospital to for further care. past medical history: nephrolithiasis, htn, h/o pe/dvt to lle, h/o c. diff, diverticulitis social history: denies tobacco/etoh family history: noncontributory physical exam: upon admission: 79 115/74 24 98% fm healthy appearing elderly male in moderate distress. awake and alert. anicteric. mmm. face mask in place pupils nonreactive no hemotympanium no crepitus cta bilaterally abd firm/nd pelvis stable spine with no step offs rectal tone normal guaiac negative pulses 2+ and equal bilaterally pertinent results: upon admission: 01:15am glucose-155* urea n-28* creat-1.7* sodium-137 potassium-5.1 chloride-107 total co2-25 anion gap-10 01:15am calcium-7.1* phosphate-3.4 magnesium-1.7 01:15am wbc-9.2 rbc-3.66* hgb-11.5* hct-33.0* mcv-90 mch-31.5 mchc-34.9 rdw-13.1 01:15am neuts-91.9* lymphs-5.5* monos-2.4 eos-0.2 basos-0 01:15am plt count-100* 01:15am pt-14.2* ptt-27.5 inr(pt)-1.2* 10:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg chest (pa & lat) reason: please eval for resolution of ptx history: previous pneumothorax. impression: pa and lateral chest compared to through 6: previous small left pneumothorax, largely posterior, is diminishing. small volume of left pleural fluid and basal atelectasis are stable. orientation of multiple acute left lower lateral rib fractures is unchanged. right lung clear. asbestos-related diaphragmatic pleural calcification noted. heart size normal. 4/0/08 renal u.s. indication: rising creatinine, look for flow to kidneys. comparison: ct. findings: color and pulsed doppler imaging was also utilized to assess vascular supply to the kidneys. the right and left kidneys measure 10.9 and 10.3 cm respectively. there is mild hydronephrosis of the right kidney. this is unchanged or slightly worse from allowing for limitations in comparing different modalities. a small amount of blood around the left kidney is redemonstrated. there is no left hydronephrosis. no shadowing stones are identified in either kidney. a small/moderate amount of free fluid is redemonstrated about the spleen and liver; assessing changes in hemoperitoneum is difficult given difference in technique. the visualized portions of the bladder are normal. both kidneys demonstrate normal blood flow on color imaging. doppler waveflow analysis of main renal arteries demonstrates brisk upstrokes bilaterally. impression: 1. mild right hydronephrosis, stable or slightly increased from . 2. small left perinephric blood collection with normal blood flow in the major renal vessels. 3. hemoperitoneum. cta abd w&w/o c & recons reason: please eval for psa/resolution clinical indication: status post splenic laceration several days ago. technique: mdct images are acquired from the lung bases to the mid abdomen with and without intravenous contrast. multiplanar reformations are provided for interpretation. findings: direct comparison is made to prior ct dated . bilateral pleural effusions are identified, left greater than right. areas of adjacent passive atelectasis are also seen. since the prior ct scan, there is increasing air within the pleural space noted at the lung base. recommend a chest x-ray for further characterization. evaluation of the spleen reveals interval decrease in the degree of perisplenic hematoma. there is a focal area of relative seen on image #67 of series 3. the differential considerations for this finding do include a small contained vascular injury such as a pseudoaneurysm or arteriovenous fistula. if clinically indicated, focused ultrasound in this area may be used for further characterization. stable appearing left renal laceration is identified. the adrenal glands and right kidney appear unremarkable. pancreas, gallbladder, and liver are grossly unremarkable. the visualized portions of the bowel are grossly unremarkable. _____ left-sided rib fractures identified. small air is noted to dissect along the superior aspect of the diaphragm, well seen on image #35 of series 5. bibasilar areas of pleural calcification are identified. these findings suggest prior asbestos exposure. impression: 1. small, hyperattenuating focus seen within the splenic parenchyma with differential considerations including contained vascular injury such as a splenic arterial pseudoaneurysm or arteriovenous fistula. if clinically dictated, a focused ultrasound may be used for further characterization. 2. increasing air within the pleural space as noted. recommend a chest x-ray for further evaluation. 3. bilateral pleural effusions and areas of adjacent passive atelectasis. 4. unchanged appearance of a left renal laceration. ct head w/o contrast 10:44 pm history: skiing accident with known severe intra-abdominal injuries. non-contrast head ct no priors are available. there is no evidence of intracranial hemorrhage, mass effect, shift of midline structures, hydrocephalus, or acute major vascular territorial infarct. - white matter differentiation appears well preserved. exam was slightly limited due to motion artifact. no underlying osseous abnormalities are identified. there is mild circumferential mucosal thickening involving the right maxillary sinus and the ethmoid air cells with remaining paranasal sinuses and mastoid air cells appearing unremarkable. soft tissues and globes are normal. impression: no acute traumatic injury. brief hospital course: he was admitted to the trauma icu for close observation. serial exams and his hematocrits were followed closely. his hematocrits have remained stable, most recent value 29.7 on . an epidural catheter was placed for pain control due to his multiple rib fractures. the epidural remained in place for 4 days and was discontinued; prior to this he was started on long acting narcotics; ms contin made him feel too sleepy and so he was changed to oxycontin. he also received dilaudid for breakthrough pain.once stable he was transferred to the regular nursing unit. he was noted to have an elevated blood pressure; at home he had been on an acei, beta blocker and thiazide diuretic; these were restarted and his blood pressure stabilized. at one point he complained of dysuria, a u/a was sent and was positive, he was treated with ciprofloxacin po for 5 days. he later developed hematuria noted with an increase in his creatinine. urology and nephrology consults were placed. it was felt that the rise in creatinine was due to contrast load from all of the scans he had undergone. pulmonary: cxr - l apical ptx on cxr, monitored clinically cxr - decrease in the size of the left-sided pneumothorax since the prior examination. stable amount of left pleural fluid and left lower lobe atelectasis. the patient remained asymptomatic from the ptx and no intervention was performed fen/gi: advanced to regular diet without complication. renal: the patient developed hematuria, difficulty voiding, and a rising creatinine. renal and urology were consulted .............................. heme: received total of 4urbc including osh. venodyne boots, no sqh given his splenic pseudoaneurysm. id: 5d course of cipro for +ua completed on . endo: no issues during hospitalization. upon discharge, the patient was afebrile with all vitals stable, tolerating po feeds, ambulating well, with pain controlled on po pain medication, and urinating without difficulty medications on admission: atenolol 25', enalapril 10', hctz 25', nexium discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). disp:*60 tablet sustained release 12 hr(s)* refills:*0* 4. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain. disp:*80 tablet(s)* refills:*0* 6. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 7. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day) as needed for constipation. 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 10. zofran 4 mg tablet sig: 1-2 tablets po every eight (8) hours as needed for nausea. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p skiing crash vs. tree left pneumothorax splenic laceration grade subcapsular renal hematoma multiple rib fractures - left 5,6,8,9,10 l1 left transverse process fracture acute renal failure discharge condition: good discharge instructions: return to the emergency room if you develop any fevers, chills, headache, dizziness, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea and/or any other symptoms that are concenring to you. followup instructions: you will need to follow up with your primary care within the next several days to have your renal function labs drawn. follow up with dr. , trauma surgery, in 2 weeks, call for an appointment. follow up with dr. , nephrology in weeks, cal for an appointment. procedure: insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt removal of other therapeutic device diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified traumatic pneumohemothorax without mention of open wound into thorax personal history of venous thrombosis and embolism hydronephrosis closed fracture of lumbar vertebra without mention of spinal cord injury contusion of lung without mention of open wound into thorax closed fracture of five ribs injury to kidney without mention of open wound into cavity, laceration injury to spleen without mention of open wound into cavity, laceration extending into parenchyma fall from skis 

Answer: The patient is high likely exposed to