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

### input:
i am a 21 year old female, weigh about 135 pounds, i have always had a protrusion in my upper chest, noticeable enugh sometimes that i have been asked if i have ever had open heart surgery. it never really bothered me that much but now i am noticing i have pain between my rbeasts on the right side of my chest and it also protrudes there, hurts when i lay on my stomach, sometimes to the touch, and especially when i work out. i am also having very bad upper back pain that also makes it hard for me to breath when i move my upper body. especially in the mornings, when it hurts the worst, getting out of bed i have to take a deep breath before trying to get out of bed because that movement cuts all breathing from me. and throughout the day when its hurting certain movements make it hard to breath, and deep breaths hurt my chest, coughing hurts my back.

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from-Workup Right Pectoral Strain with Pigeon Chest. Dear this occurs from childhood It D-and Calcium deficiency, or could be from accompanied chest emphysema problem since childhood. It does not develop in a day. The sternum is protruding bone in this case and the anteroposterior diameter is increased, with imbalance in respiratory rib and bone movements, causing stress and strains due to stressful body workup-as in your case. Chest X-ray to diagnose Pigeon chest and restricted Gym -for 2 weeks would fix the cause of the painful protrusion in the chest. Second opinion with Sport and orthopedic doctor would resolve the issues you have. Hope this would help you to plan further care 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-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. S. Genl-CVTS