Pleirisy/effusions 6 mo ago with pericarditis. sle. still mod chest pain rad to sldrs/back. more severe if don't sleep sitting up. pulm said not lung?

Rib pain/pericarditi: Sharp chat pain which increases on laying down and improves when sitting up/ leaning forward is typical for pericarditis. Other possible causes include a rib that is not moving properly when you breath, referred pain from your back. Both of these are easily treated. The first step is to see your rheumatologist and get a definite diagnosis.

Pericarditis: You may still have ongoing pericarditis that may need more sle treatment. Follow-up with an echocardiogram is a good idea.