Hi,
Noted detailed history about a 60 year old male apparently healty before the cascade of symptoms and diseases crept up starting with pain in left upper quadrant of abdomen and lower chest, diagnosed as
pneumonia and got treated with K-pack, pain to nearby areas, then shingles, now the pain as you have well explained.
There looks to be different problems started together or one by one to culminate into the present position.
I would advise you the following in such a situation with reasoning:
CT scan of the chest with contrast to know the status of Pneumonia, whether pleurisy is present, inflammation of the ribs and muscles and so on. This also shows upper abdomen thus helps in visualization of liver,
gallbladder, pancreas and so on.
Clinical examination by a Doctor can help a lot in correlating the clinical picture with the investigations and thus pinpointing the cause and have proper management.
Costochondritis is another possibility.
Also get checked to rule out
hypertension,
diabetes, thyroid related problems, renal and liver functions.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon