The pain below the right scapula can be caused by the following reasons: First, liver and gallbladder diseases: such as cholecystitis, gallbladder stones or stones in the bile ducts of the liver can cause pain below the right scapula radiologically, which should be examined by CT and ultrasound of the liver and gallbladder for diagnosis and early treatment. Secondly, intercostal neuralgia: it can lead to radioactive pain or hidden pain of intercostal nerve below the scapula. Third, herpes zoster: Patients can have pain below the scapula on one side in the early stage, which can be accompanied by hidden pain, and herpes can appear after the incubation period.