A 37-year-old female presents to clinic with complaints of epigastric pain that has been going on for about a week. She describes the pain as a burning, gnawing that seems to get worse with food. Further questioning reveals that she recently emigrated from South America with her family. Vitals signs are stable. Physical examination reveals tenderness to palpation of the epigastrium. Osteopathic structural examination will likely reveal viscerosomatic changes at which of the following vertebral levels?