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Published on: 5/21/2025

What Might Cause Chest Pain on the Right Side Above the Breast?

Chest pain above the right breast can be caused by issues involving the chest wall or breast tissue, such as costochondritis, scapulothoracic bursitis, pleurisy, or even mastitis.

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Explanation

There are several reasons you might feel pain above your right breast. One possible cause is costochondritis, an inflammation where your ribs join the breastbone, which can lead to sharp chest pain that worsens with movement or deep breathing. Pleurisy, which is inflammation of the thin tissue lining your lungs, can also cause pain that is worsened by breathing. Other, more serious conditions, such a blood clot in the lungs can also cause right sided chest pain. Additionally, in some cases, acute mastitis—infection or inflammation of the breast tissue—can produce localized chest pain, particularly in women who are breastfeeding. It is important to pay attention to any other symptoms you may have, such as fever, increased pain when taking a deep breath, or worsening symptoms over time. If you experience these signs, you should speak with a healthcare provider so they can evaluate your condition and recommend the proper treatment.

(References)

  • Boneti C, Arentz C, Klimberg VS. Scapulothoracic bursitis as a significant cause of breast and chest wall pain: underrecognized and undertreated. Ann Surg Oncol. 2010 Oct;17 Suppl 3:321-4. doi: 10.1245/s10434-010-1232-8. Epub 2010 Sep 19. PMID: 20853053.

  • Schumann JA, Sood T, Parente JJ. Costochondritis. 2024 Apr 20. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 30422526.

  • Hunter MP, Goldin J, Regunath H. Pleurisy. 2024 Nov 14. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32644384.

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