Review Question - QID 218610

A 12-year old male is brought to your clinic by his mother for a 9-month history of right hip pain. His mother brings with her lab results, which were ordered at the urging of the family's naturopathic care manager. She is concerned because the patient has had elevated leptin for two years now, and she is convinced that it may have caused his current symptoms. Assuming that the patient has no history of trauma, which of the following radiographic findings has been found to be associated with elevated leptin levels?