31/m c/o bilateral sharp cp x 6 mos., no known cause. recent cta, ekgs, holter, echo, mri chest, ct head are all negative. no prior history of any kind.?

Noncardiacchest pain: Since cardiac origins have been ruled out, most likely musculoskeletal. Can u reproduce the pain by pressing on the sore spots? Is pain along edges of sternum or at junction of rib bone with cartilage? May be costochondritis (inflammation of the above sites). Moist heat to areas as well as nsaids as directed should help. If bodybuilding, go easier on chest routines.

Chest wall pain: A healthy 31 Y.O. Male with above testing all negative rules out most serious causes. What could be left includes a chronic pleurisy (perhaps part of a connective tissue disease), costochondritis (inflammation of the conncection between the bony and cartilage parts of the rib cage). Consider a routine dose of an anti-inflammatory medication with your md's advice.