Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have  been suffering from a pain in the center of my chest at about the level of my sholder blade since about 3:00 AM this morning. It is most intense when I breathe in. I have no history of heart problems but I have been diagnosed with COPD. I take Advair Discus 100/50. I am a 69 year-old male.
[|AI|]  Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that if the pain is modulated by the respiratory movements (as you refer), it is probably a musculoskeletal pain. From the other hand your past medical history for COPD is concerning about other causes that may mimic this clinical scenario (a pulmonary embolism, pneumothorax, an aorta dissection, etc.). I recommend consulting with your attending physician for a careful physical examination, a routine blood test and a chest x-ray. A chest CT scan may be needed to exclude other causes than the musculoskeletal pain. Hope to have been of help! Best regards,