Dr DePena read an MRI in 2014 of my back taken at a local hospital. He noted some issues with it but nothing related to fractures. I had more issues with my back in April 2016. When the radiologists took an MRI at that time they found 4 fractures. They compared the new MRI to the one that Dr DePena read in 2014 and found that 3 of them were old and clearly visible on the 2014 MRI.