I Bone Marrow: There is Modic type I/II degenerative endplate changes at multiple levels, most pronounced at L5- S1. The marrow T1 signal is diffusely low, probably related to hematopoietic marrow which may be related to anemia, obesity or smoking. Conus Medullaris: Unremarkable. Disc Spaces: See below. L1-L2 level: There is no evidence of disc herniation and no spinal canal stenosis . No significant neural foraminal stenosis. L2-L3 level: There is no evidence of disc herniation and no spinal canal stenosis. No significant neural foraminal stenosis. L3-L4 level: There is loss of disc height. There is mild disc bulge. There is bilateral facet arthrosis. No significant canal stenosis. There is mild bilateral neural foraminal narrowing. L4-L5 level: There is diffuse disc bulge. There is facet arthrosis. There is a long annular fissure in the left subarticular and extraarticular regions. There is mild ligamentum flavum hypertrophy . There is mild canal narrowing. There is moderate left-sided and mild right-sided neural foraminal stenosis. L5-S1 level: There is loss of disc height. There is vacuum disc. There is disc protrusion or extrusion in the central, paracentral and lateral recess regions. It appears that the bilateral descending S1 nerve roots were impinged by the disc, especially on the right side. There is mild left-sided and moderate right-sided neural foraminal stenosis. 1. There is multilevel discogenic disease and degenerative change with multilevel canal and neural foraminal stenosis, most pronounced at L5-S1 level as detailed. Specifically, at L5-S1, there is disc protrusion/extrusion with probable impingement of the bilateral descending S1 nerve roots (especially the right one) as detailed above. Could this account for the patient’s symptoms? 2. Please see above for detail at each individual disc level. 3. The marrow T1 signal is diffusely low, probably related to red marrow conversion which may be secondary to anemia, obesity or smoking. Please correlate clinically. What does all this mean in simple words, and is it serious. I do experience and have experienced a buring sensation mostly on my left side back of my thighs and at times gets hot to the touch like when someone twists your skin burning feeling( we use to call the skin twist and indian sunburn) for approxmiately 14 years. It seems to come and go. More sevier around my menstral cycle. For mostly a year now I have muscle soreness in my lower back and after the burning episodes I my muscles in that area feel bruised. Any suggestions. When I take antiflamatives most of my pain subsides but I am concerned with long term effects of those.