History of spinous process fractures of T10, T11, T12 and pelvic bones with worsening mid-lower back pain. Three views of the thoracic spine are provided. The bones appear perhaps slightly demineralized. Mild degenerative disc disease affects T12-L1. The previously described suspected T11-T12 spinous process fractures are not clearly evident on this study.Three views of the lumbar spine demonstrate mild degenerative disc disease at L5-S1. The L1 spinous process fracture described on prior MRI is not clearly evident on this study. Alignment is within normal limits. Vertebral body heights are preserved.A single AP view of the pelvis demonstrates mild deformity of the right superior pubic ramus and bilateral inferior pubic rami which may reflect the healing fractures seen on prior MRI. We see no acute fractures. Evaluation of the lower sacrum is limited by overlying bowel gas. The sacral and iliac fractures seen on prior MRI are not clearly visualized.Three views of the sacroiliac joints demonstrate minimal osteoarthritis of the bilateral sacroiliac joints.
Bilateral obturator ring deformities likely representing old healed fractures. We see no acute fractures. Mild degenerative disc disease of the lower thoracic and lumbar spine.