A 48-year-old man presents with a history of lower back pain for 3 months. When evaluating the severity of chronic low back pain, which of the following is INCORRECT about the presence or absence of radiographic abnormalities?

Abnormal findings on X-rays, MRIs and other diagnostic tests are so common that they are considered normal by age 40.

Specific imaging for the diagnosis or prognosis of chronic low back pain is not available.

Diagnostic testing is not indicated for the vast majority of low back pain presentations.

Radiographic evidence of degenerative spine changes are highly correlated with severity of pain and degree of functional impairment.