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: cardiac tamponade s/p pericardiocentesis with drain placement major surgical or invasive procedure: pericardial tap and drain placement history of present illness: the patient is a 65 y/o female with pmhx lung cancer (unknown type) stage iiib, prior pe, bilateral dvt with ivc filter who presents to the ccu s/p pericardiocentesis with pericardial drain placement. the patient was in her usual state of health until , when she woke up feeling "lousy." she felt fatigued, had several episodes of nb/nb vomiting with crampy abdominal pain with some diarrhea. she also noted dyspnea on exertion. this progressed to dyspnea even at rest. on the morning of , she went to her pcp's office who then sent her to the ed. at , she had a ct a/p with contrast. the read there was suggestive of saddle pulmonary embolus and she was sent to for further management. . on review of systems, she denies any prior history of stroke, tia, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, palpitations, syncope or presyncope. . in the ed, initial vitals were temp:98.7 hr:124 bp:124/68 resp:20 o(2)sat:98. the patient's ct scan was reviewed by radiologists who did not agree with the diagnosis of pe as they felt that the pulmonary arteries were very poorly opacified. they also noted a large pericardial effusion. interventional cardiology performed a bedside echo which seemed to raise the possibility of tamponade. the patient then started to become hypotensive, with pressures dropping to the 80s and 90s. ic decided to take the patient to the cath lab for a percutaneous pericardiocentesis. the patient received one unit of ffp in the ed prior to procedure. . in the cath lab, the patient had ~600cc of fluid drained with a pericardial drain placed. she was transferred to the ccu in stable condition. currently, she complains of pleuritic chest pain that worsens with deep breaths and movement. it is improved with leaning forward. she received morphine 2mg iv which lowered the pain to a . past medical history: stage iiib lung adenoca s/p chemo/radiation finished . supposedly stable disease per patient. bilateral dvts (failed coumadin, lovenox) prior pe (dvts progressed to pe, b/l subsegmental) ivc filter moderate copd (fev1 70%) radiation pneumonitis social history: -tobacco history: ppd for 35years, quit 14 years ago -etoh: occasional beer on weekends -illicit drugs: denies family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. father with htn. physical exam: on admission: general: wdwn female in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 4 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: cta bilaterally abdomen: soft, obese. ntnd. no hsm or tenderness. +bowel sounds extremities: trace edema bilateral lower extremities to feet. 2+ dp/pt pulses pertinent results: 08:00pm other body fluid tot prot-5.5 glucose-18 ld(ldh)-588 amylase-47 albumin-3.6 08:00pm other body fluid wbc-1100* rbc-* polys-1* lymphs-11* monos-10* other-78* 04:50pm glucose-118* urea n-21* creat-0.7 sodium-133 potassium-4.0 chloride-98 total co2-22 anion gap-17 04:50pm estgfr-using this 04:50pm alt(sgpt)-37 ast(sgot)-40 alk phos-72 tot bili-0.4 04:50pm lipase-44 04:50pm ctropnt-<0.01 04:50pm tot prot-error -error 04:50pm wbc-7.0 rbc-3.55* hgb-10.6* hct-31.5* mcv-89 mch-29.8 mchc-33.6 rdw-14.9 04:50pm neuts-82.7* lymphs-9.6* monos-5.5 eos-1.7 basos-0.4 04:50pm plt count-256 04:50pm pt-42.8* ptt-35.4* inr(pt)-4.5* brief hospital course: 65 y/o female with pmhx lung cancer stage iiib, bilateral dvts with pe while therapeutic on coumadin, ivc filter who presents to the ccu s/p pericardiocentesis and placement of pericardial drain. currently hemodynamically stable. # tamponade - patient underwent pericardiocentesis with pericardial drain placement after which she was hemodynamically stable, although complaining of some positional chest pain which was treated with morphine and indomethacin. drain was pulled on . pericardial fluid showed metastatic adenocarcinoma; we contact outpatient oncologist and they plan to f/u as an outpatient and discuss treatment options at that time. of note, pericardial fluid cx from showed gpc in clusters, but pt was afebrile with nl wbc; likely due to contamination. echo on demonstrated: "small amount of pericardial fluid adjacent to the right atrium. there is still some residual echogenic material near the apex of the right ventricle. the inter-ventricular septum has a "bounce". this is often seen immediately after pericardiocentesis and usually resolves." reaccumulation of fluid was not enough to justify window and the decision was made to have a repeat echo 1 week after discharge. pt was started on metoprolol 12.5 mg prior to discharge. she remained hemodynamically stable with minimal chest pain controlled with indomethacin, with plan to follow up as outpatient with pcp and oncology. . # coagulopathy - elevated inr on admission. was on 5mg coumadin 5 days a week, 2.5 2 days a week. likely this was too high and cause her inr to increase. received 1 unit ffp in ed. per records from : pt had progression of thrombus on therapeutic coumadin and lovenox so ivc filter was placed; ct showed numerous pe on therapeutic inr so their new target was inr . coumadin was restarted on with goal inr 3. medications on admission: coumadin 5mg mtwfsa coumadin 2.5mg th, sun paxil 10mg discharge medications: 1. paroxetine hcl 10 mg tablet sig: one (1) tablet po once a day. 2. indomethacin 25 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for chest pain. disp:*45 capsule(s)* refills:*0* 3. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 4. warfarin 5 mg tablet sig: one (1) tablet po once a day for 2 days. 5. warfarin 2.5 mg tablet sig: one (1) tablet po once a day for 2 days: take on and , please check inr on . . 6. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheezing. disp:*1 inhaler* refills:*2* 7. outpatient lab work please check inr on monday and call results to dr. at discharge disposition: home discharge diagnosis: pericardial effusion chronic obstructive pulmonary disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a collection of fluid around your heart that was causing your shortness of breath and fatigue. we drained 600 cc of fluid and put a drain in temporarily. we tested the fluid and found that it had cancer cells in it. your oncologist knows this and you will see him next thursday to discuss the next steps. you had some fluid reaccumulation on your echocardiogram today but not enough to justify placing a window to drain the fluid. we would like you to have an echocardiogram in 1 week to see if the fluid is increasing. if you have symptoms of increasing shortness of breath, chest pressure or fatgue, please call dr. . . medicaiton changes: 1. please start indomethicin to use for chest discomfort as needed. 2. start albuterol inhaler to treat your wheezes and help you breathe better 3. start metoprolol succinate to slow your heart rate down. 4. continue coumadin but take 5 mg thursday and friday, change to 2.5 mg on saturday and sunday, then check your inr on monday . followup instructions: name: , md specialty: hematology oncology when: thursday, at 11:45am location: hematology oncology address:1 , , phone: faxed to: . name: , np specialty: primary care when: :40pm location: medical center address: , , phone: md, procedure: pericardiocentesis transfusion of other serum diagnoses: anemia, unspecified chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of bronchus and lung unspecified disease of pericardium long-term (current) use of anticoagulants personal history of venous thrombosis and embolism other and unspecified coagulation defects cardiac tamponade 

Answer: The patient is high likely exposed to