Once again, Bhanks why are you on trt, only 45 and been on it how long?
I like to give credit where credit is due, you are lean, you have size but not looking as good as old pics. Things are lopsided, there is a clear, obvious size difference in arms when both held up in db poses, there's no escaping it. The right pec is obviously torn and smaller, so symmetry is gone. You boast about your neck but it gets narrower at the bottom, that's not a powerful neck.
Also, why do you think you're in such great shape with so many ailments and things going wrong? I'd be seriously worried if i was experiencing all the issues you have. My Achilles tendon issue is enough for me to think I'm not in great shape right now.