Hello, Below is my MRI of lumber spines Please advise is my report normal or require any special attention like surgery or only medication is ok Observations: • Lumbar lordosis is well maintained. • Vertebral bodies are normal in height and signal intensity. Their posterior elements are normal. • L4-5 disc shows disc desiccation with posterior disc bulge with large postero-central disc protrusion effacing anterior thecal sac and compressing traversing thecal nerve roots. Mild facetal arthropahy is also noted at this level. • Rest of the lumbar intervertebral disc spaces appear normal. • No ligamenta flavum hypertrophy is noted. Rest of the facets appear normal. • Pre & Paravertebral soft tissues appear normal. Psoas muscles are normal. Screening of sacroiliac joints reveal no significant abnormal signal intensity or effusion or sclerosis or erosion is seen. Screening cervico-dorsal spine reveals no significant abnormality. Focal haemangioma is noted in D10 and D12 vertebrae.