Conversation: The conversation between human and AI assistant.
[|Human|] I have mild to moderate pain in the upper right quadrant of my chest that goes through to my back when I lie down. It usually lasts several minutes and goes away if I shift positions. When I return to lying on my back, sometimes the pain returns and sometimes it does not. I was at the drs. about a month ago for a persistent cough and blood work was for the most part good. A chest x-ray was done and the result overall lungs appeared fairly clear, but report reads in part, There appears to be an area of scarring. A subtle density projects along the anterior margin of the first right rib.
[|AI|]  Hello, Mostly the pain in the supine position is due to: 1. Gastritis.2. Pancreatitis.3. Pleural effusion (which is ruled out by X-ray chest)4. Any fluid collection in peritoneum.5. Rarely its cardiac pain. Some investigations to rule out the possibilities 1. Ultrasound of abdomen2. Cardiac markers and 2D echo.3. CT scan of chest & abdomen is the last option for the same. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.