•A 64 year old man presented to hospital with pain radiating from lumbar region to the right thigh.

•He had a history of lumbar spine surgery having undergone a previous laminectomy L4/5 five years previously

•An XRay of his pelvis was requested- see following image

Describe the findings of the X-ray pelvis.

How would you manage this? Could it be responsible for the patient’s symptoms?