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.