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

### input:
I am a 38 yo female having symptoms of left chest pain that extends into my collar bone and neck. I am a smoker and lately I have noticed a little bit of tightness in the chest with a small rattle in my lungs that when I cough up mucous the rasp usually disappears. I am 52 and I weigh 130 lbs and otherwise healthy except for low thyroid.

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-CAD(Coronary Artery Disease) with Smokers Cough with Bronchitis. Low thyroid could be causing high lipids with accompanied Coronary predisposition to Chest Pain. The left chest pain radiating to collar bone, is a bad indication of- accompanied Coronary blockage with impending Heart attack causing Myocardial infarct. To avoid this-You need to Consult Cardiologist- and get investigated for lipid profile and stress test/ Thallium Nuclear Scan may be needed in your case. X-ray Chest would fix the Bronchitis with smokers lungs. Rule out other causes of bronchitis with AFB and IRA Blood test for to rule out-hidden TB lungs. This briefing reply is on facts submitted, which need to be verified from your attending doctors, with whom you can check before starting further changes in the treatment of your dad. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!  Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS