I underwent a back x-ray due to back pain. it showed generalized diminished bone density and mild scoliotic change in the lumbar vertebrae, while the intervertebral space is unchanged. i'll undergo an mri, should i be worried?

No: Unfortunately some of the back changes we get are genetic and some are from overuse. Once the results of your MRI are known, your doctor will have some solutions of how to treat your problems. All the best.

No: The findings you described are not a cause of worry in the short term. However you will need to address osteopenia that could predispose you to fractures in later life. Please follow your doctor's advise on taking calcium and vitamin D.

Nothing to be: terribly scared about right now as this is just an imaging study. I would be somewhat concerned about "generalized" demineralization at your age but this is a bit subjective on the radiologist's report and should be characterized better. Everything else you reported is nothing significant.

BACK PAIN: Thus far there is nothing you've mentioned on the X-ray that is a source of acute back pain so no reason to worry based on x-ray; having said that it was a waste to get the x-ray unless it was post trauma.MRI is the standard radiographic eval for back pain. Is this from an MVA? If so, it is likely a muscle strain.