Will any of these findings on my MRI require surgery, also with every thing going on with my lumbar spine can one complicate the other or my pain worse with multiple issues ?Today's numbering scheme assumes 5 non-rib bearing lumbar type vertebral bodies. Alignment of the lumbar spine is normal. With the exception of type 1 the edematous modic endplate changes, the lumbar vertebrae display normal marrow signal. Vertebral bodies maintain normal height without compression deformity. Lower cord and conus have normal size and position.

Examination of disc levels on sagittal images demonstrates mild degenerative disc disease at L2-3 and moderate degenerative disc disease at L5-S1. Desiccation and disc space narrowing is seen at these levels. In addition, the spinal canal appears modest on a developmental basis due to congenitally short pedicles.

Axial images demonstrates:

L2-3: Shallow central to right paracentral disc extrusion is seen without nerve root impingement. No spinal canal or foraminal stenosis. Normal facet joints.

L3-4: Normal posterior disc configuration without spinal canal stenosis. Shallow left foraminal disc protrusion is seen without nerve root impingement. No significant foraminal stenosis. Normal facets.

L4-5: Normal posterior disc configuration without spinal canal stenosis. Again there is an asymmetric left foraminal disc protrusion seen without impingement exiting left L4 nerve root. No significant foraminal stenosis. Mild bilateral facet hypertrophy.

L5-S1: Shallow midline disc extrusion contributes to moderate bilateral lateral recess stenosis. Possible effect on both traversing S1 nerve roots demonstrated on axial T2 image 16. The mild bilateral facet hypertrophy contributes to lateral recess encroachment as well. No significant spinal canal stenosis. There is mild right foraminal stenosis secondary loss of disc space height, bulging disc and facet disease. Left foramen is patent.