Low back pain, new. For this study I will designate five lumbar vertebrae with small hypoplastic ribs at L1. Vertebral body heights and intervertebral disc spaces appear normal. Facet joints appear normal. Alignment is within normal limits. There are tiny osteophytes projecting from the anterior aspects of L3. Sclerosis within the iliac wings along the sacroiliac joints likely represents chronic bone infarction, as suggested on an MRI exam of the hip from 2010. Surgical clips are noted in the right upper quadrant.
Sclerosis along the sacroiliac joints may represent osteonecrosis, but I otherwise see no specific findings to account for the patient's back pain.