<s>[INST] I am experiencing pain on my right side back area on the side of my body. I have trouble breathing deeply, coughing, sneezing, bending, laying down. A month ago I had the same problem and went to emerg they found nothing wrong. The Xray taken on my left side also revealed nothing. They gave me Naproxen. I went to the clinic a few days after and they gave me a puffer. I also hear rattling in my side when I am breathing as if I have a chest cold but its not in my chest its actually in my side. The day I went to emerg I had sharp pains in my chest but on the right side only. My right side ribs feel as though I have been coughing for a week or have been punched repeatedly, its that sore. Where do I go from here. [/INST] Hello ! Sorry to hear about your pain , and can understand how disturbing it could be . Basically , if investigations pertaining to chest and heart and blood  have come out normal  , it could be possible that the pain is originating from a muscle. Is it exactly in the upper middle back  , close to you shoulder blade?  a deep rooted trigger point , when activated can cause agony . I strongly suggest you seek opinion from a physiotherapist to check out stiff muscles / trigger points , joint dysfunction.  Your physio if required may also refer you back to the orthopaedic for investigations or medications. </s>