### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My question has to do with having dull, achy pain in my chest for the last 2 1/2 years, but has gotten slowly worse over that time. It started very mild and is now everyday, constant, with a little coughing here and there and it also feels like a mild chest cold sometimes. I started coughing up blood 3 months ago. I had a broncoscopy done and all that was found was a mild staph infection in my lungs. I took antibiotics and the coughing up blood is much more mild, every 3 to 5 days but very little blood is in my mucus. My chest still feels the same. it never feels good and my voice gets hoarse every day, which used to only happen 2 or 3 days a week. I had a chest ct scan, nothing was found except a very small 3mm nodule on my left lung, which means nothing I guess. They did find that my spleen has multiple leisons, one is big but I m not sure the size. They have looked at that 4 times and aren t sure about it so I am going to a G.I. specialist. I m guessing that it has nothing to do with my chest but I thought I would throw it in there. I am female, 40, 5 5 , 120 lbs. I have never smoked but grew up with smokers in the home. Diabetes is in my family. I ve always had good health but that last 2 1/2 years have been weird. I have also had a lot of problems with my bladder for the same amount of time but with no bladder infection. It is doing better but still there. I had shingles about a 1 1/2 years ago and a bad hive break out 9 months ago. Thank you

### output:

Cellophane you for asking in ChatDoctorYou explain that for lung problems you have done the lung Ct and the bronchoscopy which were negative for lung disease. This is good news for you. There are others causative agents extra pulmonary that can cause sputum with blood. Some of them might be hematologic pathologies. So the G. I specialist combine with the hematologist maybe, will discuss together for further examination. Thank you Chat Doctor. 