<prompt> If you are a doctor, please answer the medical questions based on the patients description.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 10050. I am a 69 year-old male.  <response>: 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, 