Lung adenocarcinoma with metastases to brain, [**Year (4 digits) 494**], pericardium.
 The patient was a smoker.
(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 (VBD was) (NP (DT a) (NN smoker))) (. .)))
( ( ( ( ( Lung adenocarcinoma ) ( with ( metastases ( to brain ) ) ) ) , ) ( -LSB- ( ** ( ( ( ( Year ( -LRB- ( ( 4 digits ) -RRB- ) ) ) ( ( 494 ** ) -RSB- ) ) , ) pericardium ) ) ) ) . )
( ( The patient ) ( ( was ( a smoker ) ) . ) )