I have severe pain that started in the middle of my back on both sides and has spread to the upper front left side of my stomach?

LUQ anatomy: Anatomically, the left upper quadrant (luq) of abdomen includes: spleen, pancreatic tail, stomach, descending duodenum, splenic flexure of the colon, associated vessels. Don't forget the diaphragm, heart, and lower chest are pretty close by. The abdominal musculature, ribs, and skin can all contribute as well to localizing luq pain. An exam is appropriate for clarity of diagnosis and treatment.