Thanks for your question on Health Care Magic. I can understand your husband s situation and problem. Pleurisy is inflammation of pleura. And common causes for pleurisy are pneumonia, pleural effusion, tuberculosis, Pulmonary contusions etc. And all these diseases have characteristic x ray and ultrasound appearance. So if his all scans are normal, possibility of all these diseases can be ruled out. And hence chances of pleurisy are also less. Possibility of musculoskeletal pain is more in your husband s case. So ask him to avoid heavyweight lifting. Avoid strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Painkiller and muscle relaxant drugs are also helpful. Warm water pad application on affected area is also beneficial. Hope I have solved your query. Wishing good health to your husband. Thanks.