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: s/p trauma- struck by motor vehicle major surgical or invasive procedure: left chest tube ivc placement history of present illness: ms. is a 66 year-old woman who was transferred via from hospital and being struck by a pick-up truck at low speed while crossing the street. she was reportedly pinned under the truck for five minutes. she did have loss of consciousness. past medical history: hypertension depression rct past surgical history- s/p vaginal hysterectomy, s/p appendectomy, s/p left total hip replacment social history: lives at home alone. reports occasional ethanol use. family history: non-contributory physical exam: physical exam on admission: vitals: hr 104 bp 111/74 rr 13 o2: 93% ra gen: awake and responding appropriately to questions. heent: pupils equal and reactive. airway: intact chest: left chest wall ecchymosis. bilateral breath sounds. cv: rrr. abd: soft. non-distended. diffuse tenderness. rectal: normal. guaiac negative. extr: bilateral dp pulses. abi on left side 0.9. 8-9 cm deep laceration on left popliteal fossa with no tendon involvement. nvi. skin: left lower extremity bruising. ecchymoses right shin, abrasion right heel. pertinent results: non-contrast head ct - slight short-interval increase in left posterior fossa subdural hematoma, layering subjacent to the tentorium without significant mass effect. there is also more evident left more than right frontotemporal subarachnoid hemorrhage and associated underlying diffuse axonal (shear) injury cannot be excluded. . ct torso with contrast - impression: 1. small left-sided hemothorax and left second through seventh rib fractures. 2. moderate amount of stranding within the left anterolateral chest and body walls. small foci of hyperdensity within the superior anterior left thoracic subcutaneous tissues represents vessel vs. foci of extravasation. no delayed images were obtained. . x-ray left hand - impression: fractures of the navicular, cuboid, all three cuneiforms, bases of the third, fourth, and fifth metatarsals, suspected fracture of the second metatarsal base as well. . right ankle x-ray - impression: 1. small avulsion fracture off the inferior anterior aspect of the right calcaneus. 2. mildly displaced avulsion fracture of the left lateral malleolus. . left anle x-ray impression: 1. small avulsion fracture off the inferior anterior aspect of the right calcaneus. 2. mildly displaced avulsion fracture of the left lateral malleolus. . chest x-ray impression: 1. moderate left pleural effusion consistent with known hemothorax, with increased in size since admission trauma chest radiograph of one day prior. 2. multiple left rib fractures. 3. marked gastric distention. . chest x-ray - left-sided chest tube is unchanged in position. left effusion appears slightly smaller but positional differences may account for this apparent change. worsening perihilar opacities attributed to pulmonary edema are demonstrated as well as persistent atelectasis in the retrocardiac region. . ct right and left ankles - left ankle: there is a fracture through the anterior/lateral aspect of the left lateral malleolus. there is no evidence of left talus fracture. there is subcutaneous edema particularly at the medial aspect of the left ankle, with no evidence of flexor, extensor or peroneal tendon tear. right ankle: there is a fracture through the anterior process of the calcaneus, which is comminuted and involves the calcaneocuboid articulation. there is a small well-corticated bony density inferior to the right lateral malleolus in keeping with old trauma or an accessory ossicle. there is no soft tissue edema around this ossicle. note is made of medial talar tilt with narrowing of the ankle mortise medially and widening of the ankle mortise laterally. there is soft tissue swelling overlying the medial and lateral aspects of the right ankle. there is no evidence of extensor, flexor or peroneal tendon tear on the right. . chest x-ray (ap) - no evidence of pneumothorax post-chest tube removal. interval improvement in pulmonary vascular congestion. atelectasis or consolidation at the left base. pleural thickening and/or fluid on the left. focal area of increased density in the upper right lung which may represent asymmetric edema or developing focal consolidation. 12:42pm glucose-145* lactate-4.8* na+-137 k+-3.6 cl--103 tco2-25 12:30pm urea n-16 creat-0.7 12:30pm amylase-38 12:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:30pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 12:30pm wbc-26.3* rbc-3.59* hgb-11.6* hct-33.4* mcv-93 mch-32.4* mchc-34.7 rdw-13.3 12:30pm plt count-328 12:30pm pt-12.8 ptt-22.9 inr(pt)-1.1 12:30pm fibrinoge-164 12:30pm urine color-yellow appear-clear sp ->1.035 12:30pm urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 12:30pm urine rbc-0-2 wbc-0-2 bacteria-rare yeast-none epi-0-2 brief hospital course: ms. was admitted to the the trauma surgical intensive care unit with the following injuries: small subdural hematoma, subarachnoid hemorrhage, displaced left 2nd-7th anterior rib fractures, left hemothorax, 7 cm laceration left popliteal fossa - sutured, right calcaneal avulsion fracture, left lateral malleolar avulsion fracture. she was transferred to the general surgical floor on hospital day 6. . #) intracranial hemorrhage- non-contrast head ct left posterior fossa subdural hematoma with layering subjacent to the tentorium without significant mass effect as weel as left more than right frontotemporal subarachnoid hemorrhage. neurosurgery was conulted and did not recommend any neurosurgical intervention. ms. should follow-up with dr. in 6weeks with repeat head ct. ms. did have brief (< 1 minute) episodes of vertigo beginning the day prior to discharge. episodes occurred with head movement and were associated with brief nausea but no headache. episodes were similar to episodes of vertigo patient experienced in the past. a repeat head ct was performed and showed improvement in subdural and no new areas of hemorrhage. on exam prior to discharge, patient did not have vertigo or nystagmus with normal mental status, strength and cranial nerve exam. . #) rib fractures- treated with pain management and incentive spirometry. patient was saturating well prior to discharge. . #) left hemothorax- repeat chest x-ray on hospital day 2 revealed an increase in left hemothorax. a left chest tube was placed and was removed on . repeat chest x-ray revealed no new pneumothorax. chest tube was discontinued on hospital day 7 and repeat chest x-ray was negative for pneumothorax. . #) orthopedic injuries- given left fibula fracture and right anterior process of calcaneus , orthopedic surgery was recommended a ct of the right and left ankles. ct revealed anterior process of right calcaneus fracture, tear tilt on the right with asymmetric mortise narrowing anteromedially and widening laterally and left distal fibular fracture. orthopedics recommended partial weight bearing in right lower extremity in aircast boot and weight bearing as tolerated in the left lower extremity in ankle stirrup. she should follow-up with dr. of orthopedics two weeks after discharge. . #) left popliteal fossa laceration- ms. an approxmiately 7/8 cm laceration of the left popliteal fossa. the wound was visualized and there was no tendon or artery involvement. an abi was performed to further evaluate for arterial injury and was 0.9 the wound was thoroughly irrigated. subcutaneous layer repaired with 3-0 vicryl interrupted sutures. skin repaired with 4/0 prolene interrupted sutures. sutures were removed on hospital day 7. . #) dvt prophylaxis- ivc filter was placed and patient was also started on subcutaneous heparin on hospital day 6. . # left and right ankle abrasions/ulcers- traumatic ulcer to left heel treated with dressing changes with adaptec. right foot abrasion/ulcer should have dressing changes with dry soft dressing. . # physical therapy- ms. was seen by physical therapy and was transferred to rehabilitation for further treatment. medications on admission: lisinopril 20 mg daily aspirin 175mg daily evista 60 celexa 80mg daily hctz 12.5 mg daily fosamax 70 mvi calcium and vitamin d discharge medications: 1. raloxifene 60 mg tablet sig: one (1) tablet po daily (). 2. citalopram 20 mg tablet sig: four (4) tablet po daily (daily). 3. alendronate 70 mg tablet sig: one (1) tablet po qfri (every friday). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. hexavitamin tablet sig: one (1) cap po daily (daily). 6. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: inhalation q4h (every 4 hours) as needed for wheezing. 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 9. oxycodone 5 mg tablet sig: 0.5-1 tablet po q3-4h (every 3 to 4 hours) as needed for pain. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 11. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 12. hydrochlorothiazide 25 mg tablet sig: 0.5 tablet po daily (daily). 13. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): this is a new medication for you. please follow-up with your primary care doctor regarding this medication. 14. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 15. aspirin 81 mg tablet sig: one (1) tablet po once a day. 16. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: medical center - discharge diagnosis: s/p trauma- struck by truck 1. small subdural hematoma 2. subarachnoid hemorrhage 2. displaced left 2nd-7th anterior rib fractures 3. left hemothorax 4. 7 cm laceration left popliteal fossa - sutured 5. right calcaneal avulsion fracture 6. left lateral malleolar avulsion fracture discharge condition: stable discharge instructions: you were admitted to the hospital after being struck by a truck and were admitted with the following injuries: small subdural hematoma and subarachnoid hemorrhage (bleeding in your head), left-sided rib fractures, a left hemothorax (blood surrounding your left lung), fractures in both ankles, and a laceration behind your left knee. . you were admitted to the icu and given a chest tube for the blood surrounding your left lung. you were seen by neurosurgery for the bleeding in your brain and they did not recommend any neurosurgical intervention. a ct scan on the day of discharge showed improvement in the bleeding in your brain. you should get a repeat ct scan in 6 weeks and see neurosurgeon dr for follow-up. . orthopedics was consulted for your ankle injuries and recommended a ct scan of your ankles which showed bilateral ankle fractures. it was recommended that you only partially bear weight on your right foot. you may bear weight as tolerated on your left foot. you should use the boots provided while walking. . you were started on the medication lopressor (metoprolol) for your blood pressure. you should dicuss this with your primary care doctor. . please call your doctor or return to the hospital if you experience * headache, * nausea, vomiting * worsening vertigo * weakness * difficulty speaking * loss of consciousness * new or worsening chest pain * shortness of brain * fever or chills * worsening of the wounds on your feet * any other symptoms that concern you followup instructions: please follow up with dr. or orthopedics in 2 weeks. call ( to make an appointment. . you should follow-up in trauma clinic with dr. in approximately 2 weeks. please call ( for an appointment. . please see your primary care doctor at your earliest convenience. md, procedure: insertion of intercostal catheter for drainage interruption of the vena cava transfusion of packed cells diagnoses: unspecified essential hypertension asthma, unspecified type, unspecified motor vehicle traffic accident involving collision with pedestrian injuring pedestrian traumatic hemothorax without mention of open wound into thorax open wound of knee, leg [except thigh], and ankle, without mention of complication ulcer of heel and midfoot hip joint replacement subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration fracture of lateral malleolus, closed closed fracture of six ribs closed fracture of metatarsal bone(s) closed fracture of cuboid closed fracture of navicular [scaphoid], foot 

Answer: The patient is high likely exposed to