A 60 years old man with chest pain & breathlessness, abdominal pain since 10 months

C/O:
         Breathlessness
         Chest pain              X  10 months
         abdominal pain

As per the patient : he was completely alright 10 months back. then he's complaint of breathlessness & chest pain.

O/E images:

Doctor's & treatment  notes:

Old tratment & drug history

Discharge card & Investigation images:

Latest HRCT images:

new discharge card summary & CT scan report image: