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 59 year old man with a history of stage iv adenocarcinoma of the lung, who originally presented with a neck mass in and was found to have stage iv lung cancer with metastases to his left neck and subcarinal lymph nodes, status post a right upper lobe wedge resection in . he completed a course of carboplatin and taxol as well as radiation therapy. a follow-up ct scan in and showed interval worsening of the pulmonary nodules as well as retroperitoneal lymph nodes. he was started on taxotere therapy in . in , an isolated brain metastases was discovered, status post suboccipital craniotomy with resection of tumor and stereotactic radiosurgery in . the patient presented to hospital the saturday prior to admission with atypical right sided chest pain. there, a ct angiogram showed small filling defects of tertiary branches of his pulmonary vasculature and a pericardial effusion. he was started on heparin, with a drop in his platelet count from 244,000 to 130,000 in three days. he was believed to have hit and was transferred to for hirudin therapy. in the emergency room, the patient was comfortable, with a heart rate in the 120s and a blood pressure 110 to 120/70. his oxygen saturation was 98% on two liters. a repeat ct angiogram showed tiny nonocclusive filling defects in the lower lobes bilaterally, consistent with emboli, and a large pericardial effusion with a pulsus of 30. an emergent echocardiogram was performed that was consistent with tamponade. the patient was taken to the catheterization laboratory for pericardiocentesis under fluoroscopy. past medical history: 1. stage iv adenocarcinoma with clear cell features of lung, as described above. 2. hypertension. medications on admission: accupril 10 mg p.o.q.d., prednisone 10 mg p.o.q.d. allergies: the patient has no known drug allergies. social history: the patient smoked one pack per day for forty years and occasionally uses alcohol. he has no history of drug abuse. he is married and lives with his wife. physical examination: on physical examination, the patient was a pleasant male in no acute distress who was afebrile with a heart rate of 115, respiratory rate 20s, blood pressure 90s/60s with an oxygen saturation of 98% on two liters. head, eyes, ears, nose and throat: unremarkable. neck: no jugular venous distention. lungs: clear to auscultation bilaterally. cardiovascular: tachycardiac with no murmurs but a rub in systolic and diastole loudest at the apex. abdomen: benign. extremities: without edema, groin sites looked good. laboratory data: white blood cell count was 11.6, hematocrit 29.7, platelet count 237,000 and normal differential. coagulation studies showed a prothrombin time of 14.6, inr 1.5 and partial thromboplastin time 34.1. chem-7 showed a sodium of 135, chloride 101, bicarbonate 20, bun 22 and creatinine 1.4. electrocardiogram revealed sinus tachycardia with biphasic p waves but normal voltage criteria after catheterization. hospital course: mr. was admitted to the coronary care unit after a pericardial drain was placed in the catheterization laboratory. he was observed to have a large amount of serosanguinous drainage that tapered off over two days. the drain was successfully removed after a repeat echocardiogram showed minimal reaccumulation and he had drained less than 25 cc over 24 hours. a repeat echocardiogram performed 24 hours after the drain was pulled showed no further reaccumulation of fluid. the drainage fluid was positive for malignant cells and so was likely secondary to lung metastases. as anticoagulation for his pulmonary embolism was contraindicated secondary to his bleeding pericardial metastases, an inferior vena cava filter was placed to lower the risk of future pulmonary embolism. the patient's oncologists, dr. and dr. , had a discussion with him regarding his life expectancy, which is about one month secondary to his underlying disease. the patient understood this and wished to remain a full code. after the repeat echocardiogram after drain removal was negative, the patient was discharged home to follow up with an echocardiogram in three days to evaluate for recurrence of the fluid. condition at discharge: improved. discharge status: to home. discharge diagnoses: 1. tamponade secondary to pericardial metastases. 2. pulmonary embolism, status post inferior vena cava filter placement. 3. stage iv metastatic adenocarcinoma of the lung. 4. hypertension. discharge medications: prednisone 10 mg p.o.q.d. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization interruption of the vena cava pericardiocentesis diagnoses: unspecified essential hypertension secondary malignant neoplasm of pleura malignant neoplasm of other parts of bronchus or lung other pulmonary embolism and infarction acute pericarditis, unspecified 

Answer: The patient is high likely exposed to