I have a pain in the front of my chest on the right side and the exact same pain in the same spot on my back what could this b?

Nerve discomfort: Sometimes, shingles (a reactivation of chicken pox) can cause nerve pain which can radiate around from the back to the front of the chest. Other causes can be muscle tightness from exercise, or an issue inside, either with the lining of the lung (called pleurisy) or the lung itself. If your symptoms continue, see your physician.