Do you have a family doctor?
I wouldn't say you need x rays at this point, but perhaps a urine test might be a good idea. If you've wacked your back pretty good, you wanna make sure you haven't caused some internal damage - say to your liver or kidneys (bleeding). Basically, if you go see a Dr., they can physically assess you to see if something more diagnostic is needed.
From the picture all I can gather is that you have old bruising to soft tissue/muscle that is fading. There was trauma to that area or that underlying. You prolly hit yourself there and didn't realize it.
Just go see a family Dr. You wont necessarily need a lot of tests.
Next time wear a spine protector. They're 100 bucks.
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