A70yrs old male came with c/o sob pedal edema decreased urine output since 6months

A 70yrs old male came with c/o sob pedal edema decreased urine output since 6months 

Pt patient was apparently asymptomatic six months back then he developed the Pedal edema  gradually progressive pitting type associated with sob  and decreased urine output 

K/c/o DM SINCE 10yrs 

Not a k/c/o HTN , EPILEPSY , ASTHMA 

NO Significant family history 

Physical examination 

No signs of pallor ictreus cyanosis clubbing of fingerrs ,lymphadenopathy,