Chest pain & between shldr blades. worse lying down. better standing. history sle. cta norm except lung scarring. rheum says not heart. pulm says not lung.health profess. 9 hr days. pain very real. advice?

Worse breathing?: Pattern: worse lying down and better sitting up (especially leaning forward)-very suggestive of pericarditis which would not show up on a ct angio. Pain worse with deep breath? (usually would be). Sle is a common cause. Echo is indicated to r/o effusion. Sed rate is commonly up. Colcrys (as you list) is good - taking 0.6 mg bid? Nsaid or steroid pulse may be necessary. Pain won't respond to butran.