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: past medical history: 1. colon cancer diagnosed in with liver mets. the patient underwent chemotherapy with 5-fu, methotrexate, and leucovorin. the patient also had liver resection for metastases. the patient is no longer undergoing any therapy for her cancer. 2. depression. admission medications: 1. effexor 75 mg p.o. b.i.d. 2. amiodarone 400 mg p.o. b.i.d. 3. ursodiol 300 mg p.o. q.i.d. 4. ceftriaxone 1 gram. 5. oxycontin 80 mg p.o. b.i.d. 6. oxycodone 5 mg q. six hours p.r.n. allergies: compazine. social history: the patient is married. she is a restaurant owner. she has two children. she was a former smoker. family history: her mother had a history of coronary artery disease and colon ca. her father had a history of coronary artery disease. physical examination on admission: vital signs: there is no temperature recorded at admission. the patient's current heart rate was 100, blood pressure 150/70, respirations 12, saturating 92% on 2 liters nasal cannula, pulses were noted to be 20 mmhg. general: the patient was a well-developed, well-nourished female lying in bed in mild respiratory distress. heent: the pupils were equal, round, and reactive to light. extraocular motor muscles were intact. the oropharynx was clear. jugular venous distention was not assessed as the patient was supine status post procedure. cardiac: s1, s2, regular rate and rhythm. there were no murmurs, no s3, no s4. abdomen: benign. extremities: there was no clubbing or cyanosis. the patient had 2+ dp pulses bilaterally. neurologic: the patient was grossly intact without focal deficits, moving all extremities, and with normal speech. laboratory/radiologic data: the data upon admission to the outside hospital revealed a chem-7 within normal limits, creatinine 0.7, hematocrit 32.5. ck 22, troponin less than 0.02. cea 133. alt 39, ast 40, albumin 3.6, inr 1.1, tsh 1.4. ekg on admission revealed sinus tachycardia at 95 beats per minute, nonspecific t wave inversions in the lateral leads. there were no pr depressions noted. from the outside hospital, the patient also had one tracing with atrial fibrillation and one with bigeminy. echocardiogram from the outside hospital revealed a left ventricular ejection fraction greater than 55% with 1+ mr, small to moderate pericardial effusion without tamponade. a chest ct performed on from the outside hospital revealed a large pericardial effusion, right pleural effusion, small left-sided pleural effusion, right lower lobe atelectasis, and hepatomegaly with biliary stent. a v/q scan performed at the outside hospital on was read as low probability. on , cardiac catheterization upon admission at revealed the following hemodynamics: right atrium pressures of 28/32 with a mean pressure of 25, right ventricular pressure of 50/28, pa pressure 50/28/36, pulmonary capillary wedge pressure of 30/34 with a mean pressure of 29, cardiac output 4.82, cardiac index 3. assessment: the patient is a 55-year-old female with metastatic colon ca without known coronary artery disease presenting with progressive dyspnea on exertion, shortness of breath, and palpitations secondary to pericardial effusion with organization complicated by tamponade who underwent unsuccessful pericardiocentesis. thus, the patient was admitted to the service for the concern of constrictive pericarditis. hospital course: 1. pericardial effusion/constrictive pericarditis: given the concern of ongoing pericardial effusion and constrictive pericarditis, the ct surgery service was consulted for evaluation of pericardial window or pericardial stripping procedure. for further evaluation and to better define the effusion, the patient underwent a transthoracic echocardiogram which revealed a continuous moderate effusion with right ventricular and right atrial clot. the patient also underwent a cardiac mri which revealed tethering of the pericardium, suggestive of constriction, with small semisolid effusions. on further discussion with cardiac surgery as well as the patient, the patient opted for a minimally invasive procedure and did not want to undergo a full sternotomy for pericardial stripping. on hospital day number five, the patient underwent a pericardial window and drainage of pleural effusions. intraoperative findings reported a very thickened pericardium that appeared inflamed. there was no obvious tumor nodules. there was serous fluid seen within the pericardium, measures at approximately 150 to 200 cc. there were also loculations seen within the pericardium. in the left pleural space, there was a pleural effusion that was noted to be serous. fluid approximated 200-300 cc that was evacuated from the left pleural space. on the right, there were multiple adhesions from the right pleural space. there was unsuccessful drainage of the right-sided pleural effusion. per op report, there was also a 3 by 2 inch window in the anterior pericardium that was made. a chest tube was inserted through the pericardium. there were also chest tubes placed within the pleural spaces. status post procedure, the patient was transferred to the ccu for further monitoring. the drainage was serous both the pleural and pericardial space. the patient was no longer at acute risk of tamponade. however, the patient was still with constrictive pericardial disease. in the ccu, the patient continued to remain hemodynamically stable. chest tubes were removed and the patient was transferred back to the service for followed care. upon transfer, the patient continued to remain hemodynamically stable. the patient is at risk of subacute tamponade given constrictive pericarditis. her blood pressure remained stable without any evidence of compromise. of note, cytology of the pleural fluid was negative and was noted to be blood only. at the time of dictation, pathology of pericardial tissue remains pending. 2. atrial fibrillation: the patient was noted to have atrial fibrillation at the outside hospital and was started on an amiodarone load. the hospital course at the was complicated by recurrent episodes of atrial fibrillation. the patient was initiated on a beta blocker. while continuing on this regimen, the patient continued to experience episodes of atrial tachycardia; however, the patient overall remained well controlled. the patient is to be discharged on beta blocker and on amiodarone 200 mg p.o. t.i.d. for a total of three weeks and should be titrated down to 200 mg p.o. q.d. as of . given the initiation of amiodarone, the patient will be discharged with of heart monitor. 3. congestive heart failure: status post procedure, the patient developed bilateral crackles on examination with peripheral edema secondary to perioperative fluid resuscitation. the patient was subsequently diuresed throughout the remainder of this hospital stay. the patient continues to have chf at the time of discharge. the patient will be discharged on 40 mg p.o. q.d. of lasix and home 02. the patient should be followed closely and should continue with diuresis and oxygen supplementation as needed. home vna should assist in monitoring of daily weights and i&os until the patient is no longer with signs of heart failure. 4. oncology: the patient has a history of metastatic colon cancer. she is not seeking any further therapy at this time. in time, the patient should be transitioned over to hospice care as needed. 5. pain: upon admission, the patient experienced focal left-sided chest pain thought to be secondary to pericardial disease and effusion. the patient was transitioned on a pca dilaudid strip for pain control. the patient was subsequently transitioned to oxycontin and fentanyl. however, the patient displayed decreased mental status on the fentanyl patch and subsequently fentanyl was discontinued. the patient is to be discharged to home on oxycontin 80 mg p.o. b.i.d. and oxycodone as needed. the patient is also to continue on ibuprofen 400 mg p.o. q. six to eight hours given for pericardial disease. condition on discharge: fair. discharge status: to home with services. discharge diagnosis: 1. pericardial effusion. 2. constrictive pericarditis. 3. metastatic colon cancer. 4. chronic pain. 5. atrial fibrillation. discharge medications: 1. oxycodone 80 mg p.o. b.i.d. 2. ibuprofen 400 mg tablets p.o. q. eight hours. 3. metoprolol 50 mg p.o. b.i.d. 4. amiodarone 200 mg t.i.d. until , at that time the patient should be transitioned down to 200 mg p.o. q.d. 5. venlafaxine 75 mg tablets p.o. b.i.d. 6. oxycodone 5 mg tablets 5-10 mg p.o. q. six hours p.r.n. 7. senna/docusate 8.6 to 50 mg tablets, two tablets p.o. b.i.d. 8. ursodiol 300 mg tablets p.o. q.i.d. 9. lasix 40 mg tablets p.o. q.d. discharge instructions: 1. the patient is to be discharged to home with of heart monitor. the patient should record the of heart at times of events and also one time q.a.m. to monitor for qrs list. 2. the patient is to follow-up with pcp or cardiology as discussed. 3. the patient should continue on home 02. , m.d. procedure: insertion of intercostal catheter for drainage coronary arteriography using a single catheter pericardiotomy right heart cardiac catheterization diagnoses: malignant neoplasm of liver, secondary mitral valve disorders unspecified pleural effusion atrial fibrillation personal history of malignant neoplasm of large intestine constrictive pericarditis 

Answer: The patient is high likely exposed to