Radiology ReviewOctober, 2009
The radiograph demonstrates no obvious fracture or dislocation. There is significant degenerative disk disease of the lower lumbar spine with some associated scoliosis. There are also metallic fragments over the left pelvis, presumably related to a previous gunshot wound.
Of note, the patient has findings consistent with an extremely large rectal fecal impaction. If not treated, this problem could progress to something more serious, such as an ileus or obstruction.