Presentation
Back pain.
Patient Data
Diffuse spondylodegenerative changes.
L4-5 facet joint arthropathy with mild degenerative spondylolisthesis of L4 over L5.
Decreased height of L5-S1 disc space with vacuum phenomena.
Mild retrolisthesis of L1 over L2 and L2 over L3.
Rounded homogeneous well-defined opacity over the pelvis, seen on frontal view.
Diffuse spondylodegenerative changes.
Mild spondylolisthesis of L4 over L5 vertebra.
Double-level mild retrolithesis at L1-2 and L2-3 levels.
L1-2 through L5-S1 mild diffuse posterior disc bulges, effacing ventral thecal aspect and mildly encroaching upon the inferior aspect of exit foramina bilaterally.
Lumbar apophyseal arthropathy is noted, notably on L4-5 and L5-S1 levels.
Infraumbilical hernia transmitting omentum is noted. A small supraumbilical hernia is also noted.
The rounded opacity was also seen over the pelvis, on frontal view.
Same lumbar spine degenerative changes were noted.
Case Discussion
Abdominal wall hernias can appear as a rounded opacity on plain x-ray. The homogeneous appearance is due to the only omentum content and large size caused it to appear over the pelvic region.
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