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: technique: ct imaging of the abdomen and pelvis with 150 cc of optiray. nonionic contrast was used due to patient allergies. comparison: prior ct of chest and a prior ct of torso from . ct abdomen with contrast: there is a large pericardial effusion which has increased in size when compared with . the visualized portions of the lung bases are clear with no evidence of pleural effusion. the heart and great vessels are otherwise unremarkable. there is evidence of air within the retroesophageal region near the the esophageal hiatus. this finding is concerning for esophageal perforation or a focus of intraperitoneal air. the liver is normal in contour and attenuation. there is evidence of possible pneumobilia within the proximal intrahepatic bile ducts. there are several dots of air in the region of the porta hepatis that could be located within the peritoneum or within the biliary system. the common bile duct is dilated. the spleen, adrenal glands, and kidneys are unremarkable. there is an enlarged lymph node in the region of the portahepatis measuring 2.4 x 1.1 cm. there are extensive draining collaterals along the anterior abdominal wall that likely reflect the patient's known chronic svc occlusion. there are no abnormally dilated loops of large or small bowel. ct pelvis with contrast: the urinary bladder is distended. the uterus and rectum are unremarkable. there is no evidence of pathologic pelvic lymph node enlargement. bone windows show no suspicious lytic or sclerotic lesions. impression: 1. large pericardial effusion which is increased in size when compared with (over) 1:37 am ct abdomen w/contrast; ct pelvis w/contrast clip # ct 150cc nonionic contrast reason: midepigastric pain, kub: no perf nor sbo sx, field of view: 32 contrast: optiray amt: 150 ______________________________________________________________________________ final report *abnormal! (cont) . 2. extraluminal retro-esophageal air in the region of the esophageal hiatus. this finding is concerning for esophageal perforation; however intraperitoneal air from a more distal perforation of a hollow viscus cannot be excluded. an esophagram and fluoroscopic evaluation of the upper gi tract is advised to better evaluate this finding. 3. dilatation of the common bile duct with evidence of possible pneumobilia. air bubbles are seen in the region of the porta hepatis that could represent air within the biliary system or intraperitoneal air from a perforation of a hollow viscus in the region. 4. enlarged lymph node in the region of the porta hepatis. these findings were relayed to the emergency medicine team responsible for this patient shortly after interpretation. procedure: other esophagoscopy injection or infusion of other therapeutic or prophylactic substance pericardiotomy dilation of esophagus diagnoses: esophageal reflux congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified malignant neoplasm of bronchus and lung, unspecified long-term (current) use of anticoagulants drug-induced delirium acute pericarditis, unspecified 

Answer: The patient is high likely exposed to