The most significant degenerative changes are present at the left L5/S1 facet,with large osteophytes, moderately narrowing the left neural for amen at this level Moderate degenerative disc changes are also present at the three lower, most lumbar levels, with the combination for disc bulging and osteophytes, compressing the ventral surfaces of the thecal sac mildly. That was the impression bye the doctor don t know what that all means? The rest was the L3/4 there is disc inter space narrowing, with vacuum phenomenon and moderate marginal osteophytes and disc bulging. This end plate disease mildly compresses the ventral surface of the thecal sac. Mild bilateral facet hypertrophy is present At L4/5 there is disc bulging, resulting in mild compression upon the thecal sac. The endplate osteophytes mildly extend into the neural foreamen bilaterally . At L5/s1 there is mild broad- based annular disc bulging present at this level. There is mild right and severe left sided degenerative bony facet hypertrophy . On the left side, there is sclerosis, vacuum phenomenon and osteophytes . This facet disease on the left side mildly compresses the left lateral recess , with moderate narrowing of the left neural foramen . Again don t understand all of it and what it all means