Plain films confirm an acute right anterior superior iliac spine avulsion fracture injury. This is consistent with a sartorius and/ or tensor fascia lata avulsion injury. There is skeletal maturity.
There is incidental asphericity of the femoral head with a cam morphological appearance of the femoral head-neck junction likely related to high-impact sporting activity and overuse during adolescence.
There is a suspected lumbar-sacral transitional vertebra (LSTV), with a right-sided giant transverse process and pseudoarthrosis (Castellvi 2a).