55yrs old man with fever with abdominal distension since 3day

1. 55yrs old man with fever with abdominal distension since 3day...
2. Fever with chill since 3day....Weakness 
3. Headache since 3day...frontal head pain..
4. Abdominal distension...and pain in abdomen during breathing... ..motion pass much straining...
5. ⬇ed appetite....
6. Frequency of micturation and burning 

Previous / history ___before 2 1/2yrs...

Past /history__

Clinical /image__

Investigation__