Hello
You are having
severe pain in the left
rib cage and this pain is radiating in the back and left shoulder joint . Pain aggravate when deep breath .
According to your height you are over weight but your B P and pulse if fine . Mass is no more .
This may be due to these reasons , these include.
1
Pleural effusion , diagnosis can be confirmed by X ray chest . This is the msot common cause of pain in this area , particularly pain intensify due to deep breath .
2 Thickened pleura may be the next reason of such pain and this is also radiating to the back , so this is a characteristic feature of such disease . Diagnosis can be confirmed by M R I of lungs and in this area .
3 Tumor in the lungs may be the another reason of such pain and M RI will find out the exact position .
Pain in the shoulder joint is a
radiating pain due to irritation of diaphragm ( a membrane between abdomen and thorax ) because
phrenic nerve supply both to diaphragm and shoulder joint .
In thickened pleaura or in
pleurisy or any tumor in lungs in this area presses diaphragm hence pain in shoulder joint and also on the back side.
In my opinion
consult a PULMONOLOGIST and get his opinion.
Hope this help you.