70 M Born in 1954 in tamil nadu moved to Andhra pradesh (suryapet ) at the age if 14 yrs (1968) and started doing biscuit business since then. Non alcoholic,Chronic smoker- stopped 20 yrs ago as he developed wheeze ,dyspnea on exertion exposure to dust ,cold weather and uses some unknown tablet for it once daily at night time .wheeze and sob subsided 2 years ago Patient has no other comorbidities In August 2022 He developed sudden onset retention of urine with associated symptoms of abdominal distension,chest pain , profuse sweating Taken to general physician - diagnosed with diabetes mellitus and hypertension - Started on medication since then Later on after 10 days patient advocate noticed involuntary movements of right upper limb at rest Since then started Tab syndopa plus Foleys catheterization was done for urinary retention and used to change foleys once in 15 days Patient was referred to urologist where CT scan was done -and noticed ...