Lung adenocarcinoma with metastases to brain, [**Year (4 digits) 494**], pericardium.
 The patient has stage IV lung cancer.
(ROOT (NP (NP (NP (NN Lung) (NN adenocarcinoma)) (PP (IN with) (NP (NP (NNS metastases)) (PP (TO to) (NP (NN brain)))))) (, ,) (FRAG (-LRB- -LSB-) (QP (SINV (SYM **) (NP (NP (NP (NN Year) (PRN (-LRB- -LRB-) (NP (CD 4) (NNS digits)) (-RRB- -RRB-))) (PRN (CD 494) (X (SYM **)) (-RRB- -RSB-))) (, ,) (NP (NN pericardium)))))) (. .)))
(ROOT (S (NP (DT The) (NN patient)) (VP (VBZ has) (NP (NN stage) (CD IV) (NN lung) (NN cancer))) (. .)))
( ( ( ( ( Lung adenocarcinoma ) ( with ( metastases ( to brain ) ) ) ) , ) ( -LSB- ( ** ( ( ( ( Year ( -LRB- ( ( 4 digits ) -RRB- ) ) ) ( ( 494 ** ) -RSB- ) ) , ) pericardium ) ) ) ) . )
( ( The patient ) ( ( has ( stage ( IV ( lung cancer ) ) ) ) . ) )