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 20 ft fall major surgical or invasive procedure: 1. open reduction and internal fixation of intra-articular fracture with fixation of 3 or more fragments. 2. application of external fixator device. 3. closed reduction of left long finger proximal interphalangeal joint dislocation. history of present illness: 38 yo male s/p ~15-20 foot fall off ladder this afternoon. denies loc. was taken to an area hospital, gcs 15 upon arrival. he was found to have rib fractures and mulitple orthopedics injuries. he was then transferred to for further care. past medical history: htn; depression; unilateral kidney; hypothyroidism. family history: noncontributory physical exam: upon admission: t:99.6 bp:136/83 hr:82 rr:19 o2sats:100 gen: laying down flat on icu stretcher in sl. distress. heent:atraumatic, normocephalic pupils:2.5mm to 3mm eoms intact neck:c-collar in place, supple. extrem: warm and well-perfused. point tenderness in lumbar area. has some bruising in r inner thight towards r buttock. neuro: mental status: awake and alert x3, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t fe ff ip q at g sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: pa ac right 2 2 left 2 2 propioception intact toes downgoing bilaterally rectal exam normal sphincter control per ed documentation pertinent results: 08:09pm po2-33* pco2-55* ph-7.31* total co2-29 base xs-0 comments-green top 08:09pm glucose-124* lactate-1.9 na+-142 k+-4.4 cl--104 07:52pm urea n-20 creat-1.2 07:52pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:52pm wbc-18.6* rbc-4.25* hgb-12.5* hct-35.1* mcv-83 mch-29.3 mchc-35.5* rdw-13.6 07:52pm plt count-313 07:52pm pt-13.1 ptt-26.5 inr(pt)-1.1 ct c-spine findings: the vertebral body heights and disc spaces are well preserved and well aligned. no paravertebral soft tissue swelling is noted. the contour of thecal sac is intact. please note that ct does not provide intrathecal details comparable to mri. emphysema is noted in the lung apices. acute fractures are noted involving the left first and second posterior ribs. these are only minimally displaced. impression: 1. no cervical spine fracture or malalignment. 2. acute left first and second rib fractures. ct chest/abdomen/pelvis impression: 1. acute fractures involving l1 and l2 vertebra with superior endplate compression and associated retropulsion resulting in at least mild central canal stenosis. correlation with mri is advised. associated transverse process fractures at l1. 2. acute fractures involving the anterior column of the right acetabulum and right inferior pubic ramus. no significant surrounding hematoma. 3. tiny left pneumothorax likely from a ruptured bleb in this patient with extensive paraseptal emphysema. ct t & l spine impression: 1. fractures of t11 through l3, as described above. thoracic spine mri with stir images may be helpful to exclude additional subtle vertebral body compression fractures. 2. fractures of the left first and second ribs. 3. atelectasis versus contusions in the dependent portions of the lungs. small pleural effusions. 4. probable sludge in the gallbladder. 5. left adrenal nodule with non-specific density characteristics. statistically, these most commonly represent adenomas. if the patient has a known primary malignancy, then further characterization may be performed by mri, or by multiphasic adrenal ct. fullness in the lateral limb of the right adrenal gland may also be evaluated at the same time, if indicated. brief hospital course: he was admitted to the trauma service. neurosurgery and orthopedics were consulted because of his injuries. his spine fractures were managed non operatively; he was fitted for a tlso brace which needs to be worn when out of bed at all times. he was taken to the operating room for repair of his wrist fracture, an external fixator was placed at that time. postoperatively there was some concern for cellulitis around his pin sites; the site was assessed by orthopedics who felt no obvious cellulitis. if once at rehab the exam changes orthopedics is recommending 10 day course of keflex. there was an incidental finding on ct imaging of the chest/abdomen which revealed bilateral adrenal nodules, which were incompletely characterized. these statistically represent adenomas and further evaluation with ct or mri may be obtained on a non-emergent basis. he will need to follow up with his pcp after discharge from rehab. he was evaluated by physcial and occupational therapy and is being recommended for rehab after his acute hospital stay. medications on admission: enalapril, lexapro, levoxyl, wellbutrin discharge medications: 1. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). 2. escitalopram 10 mg tablet sig: three (3) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. enoxaparin 30 mg/0.3 ml syringe sig: 0.3 ml's subcutaneous q12h (every 12 hours). 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 8. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day) as needed for constipation. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours). 10. ondansetron 4 mg iv q8h:prn discharge disposition: extended care facility: medical center - discharge diagnosis: s/p 20 ft fall left 1st&2nd rib fx's pneumothorax (<5%) left apex left radial head fracture w/ ia extension l1 & l2 compression fractures w/ 5mm retropulsion l1 transverse process fracture right acetabular & right inferior ramus fracture right gluteal subcutaneous hematoma absent right kidney discharge condition: hemodynamically stable, tolerating regular diet, pain adequately controlled. followup instructions: follow up with dr. / , np, on , call for an appointment. follow up with dr. , orthoepdics, in 4 weeks for your acetabular fracture. call for an appointment. you will need to follow up with your primary care doctor e from rehab for an incidental finding on your chest ct scan which revealed bilateral adrenal nodules. a repeat ct scan on a non-urgent basis is being recommended. follow up with dr. , neurosurgery, for any concerns related to your lumbar compression fractures, call if you need an appointment. procedure: open reduction of fracture with internal fixation, radius and ulna application of external fixator device, radius and ulna closed reduction of dislocation of hand and finger diagnoses: unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury traumatic pneumothorax without mention of open wound into thorax closed fracture of two ribs closed fracture of lumbar vertebra without mention of spinal cord injury accidental fall from ladder closed colles' fracture closed fracture of pubis benign neoplasm of adrenal gland closed fracture of acetabulum renal agenesis and dysgenesis closed dislocation of interphalangeal (joint), hand contusion of buttock 

Answer: The patient is high likely exposed to