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: sulfonamides / penicillins / zestril attending: chief complaint: chest pain, pericardial effusion major surgical or invasive procedure: pericardiocentesis history of present illness: 63yo f with nsclc s/p chemo and xrt, recent pe on coumadin, l-sided pleural effusion s/p vats and pleurx catheter , with cp and sob. found to have moderate-sized pericardial effusion without signs of tamponade, and ? stes. she had a recent hospitalization from for pulmonary embolism and malignant pleural effusion. she had experienced some mild substernal chest pressure during that admission that was felt to be gerd. she had no further episodes of chest pressure until yesterday. onset while watching tv, , with some sob with deep breathing, no associated n/v/lh/d/ha, not relieved by tylenol x 4. she has also had increased le edema, although she states it has been progressive for a long time. she denies worsening orthopnea, pnd. . in the ed, she was afebrile with hr 110s, bp 95/53. she received levo/flagyl for suspected postobstructive pneumonia, cta to look for pe, 4l ns. her ekg was read as having possible st elevations inferiorly. tte showed moderate-sized pericardial effusion without tamponade. the chest pressure resolved in the ed, spontaneously per the patient. past medical history: 1. nsclc: dx , l-sided, s/p 2 cycles cisplatin and etoposide with xrt, s/p 3 cycles taxetere , malignant pleural effusion s/p vats and pleurx catheter on , on 4l home o2 2. pe: dx , on coumadin 3. pid social history: works at as administrator, lives with son and grandson, + tobacco history but quit months ago, denies etoh and drug use family history: thalasemia, g6-pd defciency, breast ca in aunt at age 60, father died of lung ca, no cad/dm physical exam: vitals- t 98.1, hr 140, bp 141/88, rr 37, o2sat 96% 4l nc general- chronically-ill-appearing woman, tachypneic but appears comfortable heent- sclerae anicteric, dry mucus membranes neck- jvp flat lungs- decreased breath sounds throughout l lung, decreased breath sounds at r base, dullness to percussion throughout l lung heart- tachycardic at 140, no rub, murmur, gallop abd- soft, nt, nd, nabs, no organomegaly ext- 2+ pitting edema 2/3 up calf b/l, 2+ cp/pt pulses b/l neuro- a&ox3, cns grossly intact, strength grossly intact and symmetric pertinent results: 07:15pm wbc-18.8* rbc-3.56* hgb-9.1* hct-28.1* mcv-79* mch-25.7* mchc-32.5 rdw-19.2* 07:15pm neuts-93.0* lymphs-2.9* monos-3.4 eos-0.5 basos-0.2 07:15pm plt count-707* 07:15pm pt-39.0* ptt-31.2 inr(pt)-4.4* 07:15pm glucose-116* urea n-14 creat-0.5 sodium-143 potassium-3.5 chloride-104 total co2-28 anion gap-15 07:15pm alt(sgpt)-30 ast(sgot)-38 ck(cpk)-15* alk phos-344* amylase-52 tot bili-0.3 07:15pm albumin-2.8* calcium-8.5 phosphate-2.6* magnesium-1.5* . ekg: sinus tach at 139bpm, normal axis and intervals, <1mm ste in ii/iii, <1mm st depression in v1 . cxr: interval re-aeration of a significant portion of the left mid and lower lung zones; no other interval change, compared to study on . . cta chest: 1. no pe. 2. new moderate-amount pericardial effusion, measuring up to 20hu. fluid along the descending and ascending aorta, of unknown etiology. clinical correlation and further work-up is recommended. 3. decreased left locurated pleural fluid. 4. coronary artery calcification. 5. persistent collapse of the left upper lobe with narowwed airway . tte: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. right ventricular chamber size and free wall motion are normal. there is a moderate sized pericardial effusion. there are no echocardiographic signs of tamponade. . tte (): 1. the left atrium is dilated. 2. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. left ventricular systolic function is hyperdynamic (ef>75%). 3. a huge pleural effusion is present. 4. there is a small, loculated (mostly anterior and medial) pericardial effusion. the effusion is echo dense, consistent with blood, inflammation or other cellular elements. brief hospital course: . # dyspnea: her chronic dyspnea is felt primarily secondary non-small cell lung cancer with left malignant pleural effusion. she had a minimal amount of pleural fluid drained by ip via pleurx catheter already in place two times during the admission. she had stable o2 requirement. she underwent pericardiocentesis for possible symtpomatic improvent, and she experienced minor improvement in her shortness of breath afterwards. she had some reaccumulation of her pericardial effusion after the procedure, but it was stable on repeat tte, so it was felt to be an unlikely contributor to her symptoms. . # pericardial effusion: on admission, she had mild tamponade on exam. she likely had a constrictive component as well with a kussmaul's sign, and evidence of pericarditis on ekg. she underwent pericardiocentesis on , with drainage of ~450cc of bloody fluid. her pericardial drain was pulled after 2 days without significant drainage. tte after the procedure shows reaccumulation of an organizing effusion, with no tamponade. her effusion was stable on a repeat tte. pericardial window was therefore felt to be not indicated. . # pe: her pe was diagnosed in and she has been on coumadin as an outpatient. her inr was supratherapeutic on admission. she received 4u ffp before pericardiocentesis. her coumadin was held for several days because her inr remained therapeutic, likely secondary to poor nutritional status and antibiotics. after it began to drift down, she was restarted on coumadin at a lower dose. as regular lab draws are not consistent with her wishes regarding goals of care, coumadin was discontinued upon discharge. . # leukocytosis: she had a persistent leukocytosis between 16 to 25 throughout her stay. she was treated empirically for post-obstructive pneumonia with a 7-day course of levofloxacin and flagyl. she was afebrile throughout her stay. her ua was clear. . # anemia: her baseline hematocrit is between 28-31. she received 1u prbc in an attempt to improve her symptoms, but experienced no change. . # fen: she appeared total volume overloaded but intravascularly dry, likely due to her low oncotic pressure from hypoalbuminemia. she had very poor po intake throughout her stay due to lack of appetite. she also had hypernatremia thought secondary to intravascular depletion that improved with free water repletion. . # social: oncology and palliative care followed her throughout her stay. she had lengthy discussions with them and the primary team regarding her goals of care. she decided she would like to be dnr/dni with home hospice, and would not want further hospitalizations. she indicated that she wanted all home services decisions made by her son, as she did not feel she could make those decisions. family support at home was being coordinated. however, her respiratory status worsened while still at the hospital. she expired on . . medications on admission: asa 325mg qd hctz coumadin folic acid mvi vitamin b6 discharge medications: patient expired discharge disposition: home with service discharge diagnosis: pericardial effusion left pleural effusion discharge condition: patient expired discharge instructions: patient expired followup instructions: patient expired procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage fiber-optic bronchoscopy fiber-optic bronchoscopy thoracentesis thoracentesis thoracentesis thoracentesis other incision of pleura injection into thoracic cavity transfusion of packed cells transfusion of other serum diagnoses: pure hypercholesterolemia unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified secondary malignant neoplasm of pleura pulmonary collapse other specified cardiac dysrhythmias malignant neoplasm of upper lobe, bronchus or lung hypoxemia other pulmonary embolism and infarction other specified diseases of pericardium secondary hypercoagulable state 

Answer: The patient is high likely exposed to