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: abd pain major surgical or invasive procedure: cardiac cath with pericardial drain placement history of present illness: mr. is a 51 y/o man with a history of metastatic cancer, thought lung primary, who presents with 3-4 days of abdominal pain. the patient was diagnosed with non-small cell metastatic cancer to the brain, felt primary lung in the beginning of the month. the patient reports one week of cough productive of green-yellow sputum. he has had 3 days of "sharp" up to adbominal pain in a band-like distribution over his lower abdomen, which he initially attributed to his coughing. the patient also noted increased abdominal distension. patient denies n/v/f/c/cp/sob. 6 loose non-bloody stools today. the patient presented to , where a abdominal ct demonstrated right-sided diverticultitis and a large pericardial effusion. the patient was treated with ciprofloxacin and metronidazole and transferred here appointment for xrt. pt initially admitted to but found to have large pericardial effusion c/b rv collapse on . transferred to for cardiac cath and drain placement and further monitoring in the ccu. . cardiac cath on revealed: s/p pericardiocentesis - 1050cc bloody fluid removed, equalization of ra and pp at 15mmhg. tte s/p procedure with no residual effusion. pt transferred back to floor on and remained hemodynamically stable without pulsus throughout remainder of hospitalization. repeat tte on without evidence of fluid reaccumulation. tolerating po, denies cp, sob at discharge past medical history: htn s/p appy cervical disc disease social history: does carpentry work, single, 4 kids, +tob 1ppdx 20 yrs, 2 drinks/week, no drug, denies ivda. + multiple tattoos. family history: mom - lung cancer but never smoked, alive. kids healthy. no strokes or seizures in the family. physical exam: pe: vs: 97.1 88 135/71 20 96%ra pulsus gen: wdwn, diaphoretic, obese, sleeps easily heent: atnc, perrl, proptosis; eomi, anicteric, mmm, op with thrush chest: diffuse exp wheezes cor: distant heart sounds, rr, unable to assess jvp abd: obese, distended, soft, nt, +bs ext: wwp no c/c/e skin: diffuse tattoos; erythema of face/scalp/upper chest radiation pertinent results: 03:51pm glucose-88 urea n-21* creat-1.0 sodium-134 potassium-4.3 chloride-101 total co2-20* anion gap-17 03:51pm ck(cpk)-69 03:51pm ck-mb-notdone ctropnt-<0.01 03:51pm calcium-8.4 phosphate-5.6*# magnesium-1.9 03:51pm wbc-10.9 rbc-4.37* hgb-13.5* hct-38.9* mcv-89 mch-30.9 mchc-34.7 rdw-12.9 03:51pm plt count-232 03:51pm pt-12.5 ptt-22.2 inr(pt)-1.0 11:45am other body fluid tot prot-5.1 glucose-8 ld(ldh)-303 amylase-13 albumin-3.3 11:45am other body fluid wbc-* hct-16.0* polys-44* bands-6* lymphs-8* monos-15* mesotheli-16* macrophag-11* 11:35am type-art po2-100 pco2-50* ph-7.31* total co2-26 base xs--1 intubated-not intuba 11:35am hgb-13.5* calchct-41 o2 sat-96 10:00am pt-13.2 ptt-22.2 inr(pt)-1.2 08:50am glucose-132* urea n-23* creat-1.7* sodium-132* potassium-4.9 chloride-94* total co2-25 anion gap-18 08:50am alt(sgpt)-131* ast(sgot)-25 alk phos-125* tot bili-0.5 08:50am calcium-9.3 phosphate-7.7*# magnesium-2.1 08:50am wbc-12.1* rbc-4.38* hgb-13.3*# hct-40.2 mcv-92 mch-30.4 mchc-33.1 rdw-13.3 08:50am plt count-294 ..... labs: osh: 128 92 13 128 4.1 24 0.8 ca 8.8 alb 3.2 tp 6.4 ast 33 alt 163* bili <0.5 alk phos 147* amylase/lipase:wnl wbc 15.7 hct 43 plt 284 n52/b13*/l15/e12* . ekg: (osh) sinsus tach r 125 right axis normal interals, tw flat v1 . cxr: b/l pulm nodules, lungs clear . ct abd (osh): 1. large pericardial effusion; 2. pulmonary metastatic disease; 3. smal bilat pleural effusion; 4. unilateral enlargement of left adrenal gland; 5. diverticulosiss and equivocal but suspcious findings for diverticulitis; 6. trace ascites . echo : conclusions: the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. lvef>55%. the rv cavity is unusually small. there is a moderate to large sized pericardial effusion. there is right ventricular diastolic collapse, consistent with impaired fillling/tamponade physiology. there is signficant mitral inflow respirophasic variation. there is a echodense structure along the apex which may represent a mass vs. fat. . . cardiac cath on revealed: s/p pericardiocentesis - 1050cc bloody fluid removed, equalization of ra and pp at 15mmhg. tte s/p procedure with no residual effusion, but marked septal deformation toward lv hd: ra: 16, rv: 50/24 (40/20), pa: 42/33(42/26), wedge: 31(16) co:3.9-->7.1 ci:1.6-3.0 brief hospital course: a/p: 51 y/o man with recently diagnosed lung cancer with mets to the brain who presents with abdominal pain and cough found to have large pericardial effusion with rv collapse tx from for cath and pericardial drain placement . ## pericardial effusion: patient with large pericardial effusion; likely malignant effusion but ddx includes viral (given recent cold), bacterial, radiation induced, vs uremic. s/p cardiac cath with drain placmement. 1l bloody fluid removed which revealed a malignant effusion; repeat tte on without evidence of fluid reaccumulation. following discharge, he will have a repeat tte in about 2 weeks; sooner if he should develop recurrent symptoms. . ##arf: creatinine 1.7 pre-cath this morning with baseline 0.8. ? contrast ct at vs prerenal. creatinine normalized on repeat labs without treatment. .. ##diverticulitis: patient appears well with benign abdominal exam; afebrile and hemodynamically stable. no evidence of abscess or perforation on abdominal ct reviewed with radiologists. his diet was advanced through the course of his hospitalization and he tolerated po well; discharged to home with ciprofloxacin and metronidazole to complete a 10 day course of antibiotics. . ##cough/wheeze: cxr without evidnece of pna. patient without history of reactive airway disease. no evidence of failure. discharged to home with albuterol and atrovent mdi . ##oncology: patient with non-small cell lung cancer metastatic to the brain and ?adrenal met. continued anti-epileptics, steroids during hospitalization. will continue to receive xrt as outpatient and will return in ~ 2weeks for evaluation for chemotherapy course for his nsclc with dr. . . ##full code throughout admission medications on admission: medications: 1. ramipril 10 mg qd 2. docusate sodium 100 mg 3. pantoprazole sodium 40 mg qd 4. nicotine 14 mg/24 hr qd 5. phenytoin sodium extended 200 mg 6. dexamethasone 6 mg q6h 7. oxycodone hcl 5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. discharge medications: 1. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*2 mdi* refills:*2* 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*2 mdi* refills:*2* 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po twice a day for 5 days. disp:*10 tablet(s)* refills:*0* 4. metronidazole 500 mg tablet sig: one (1) tablet po three times a day for 5 days. disp:*15 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: pericardial effusion discharge condition: to home, feeling well, on ra discharge instructions: 1. please go to your xrt appointment on monday . 2. please follow-up with dr. or dr. in clinic (they will call you with an appointment time) . 3. please obtain your repeat echocardiogram when you return in ~ 2 weeks for your oncology appointment . 4. please continue taking the ciprofloxacin and metronidazole for 5 more days (as directed) for treatmet of your diverticulitis. . 5. use your albuterol and atrovent inhalers as directed followup instructions: 1. please go to your xrt appointment on monday . 2. please follow-up with dr. or dr. in clinic (they will call you with an appointment time) . 3. please obtain your repeat echocardiogram when you return in ~ 2 weeks for your oncology appointment (please call ; ) procedure: pericardiocentesis right heart cardiac catheterization diagnoses: tobacco use disorder unspecified essential hypertension acute kidney failure, unspecified candidiasis of mouth secondary malignant neoplasm of brain and spinal cord malignant neoplasm of other parts of bronchus or lung diverticulitis of colon (without mention of hemorrhage) acute pericarditis, unspecified other and unspecified disc disorder, cervical region secondary malignant neoplasm of adrenal gland cough 

Answer: The patient is high likely exposed to