Conversation: The conversation between human and AI assistant.
[|Human|] hello I was wondering if you could help me understand my m r I. I have a left foraminal annular bulge at l3-l4 with impingement upon the left l3 nerve root. Left foraminal and posterior left paracentral annular bulge which may impinge upon left l5 nerve root as it passes this level. and evidence of impingement of left l4 nerve root exiting at this level.
[|AI|]  I read your question and I understand your concern. The MRI indicates disc disease at several levels which can compress the nerve roots coming out of your lumbar column. The management depends on your symptoms as they don't necessarily cause nerve compression symptoms. If you have symptoms which don't respond to treatment with anti-inflammatory Chat Doctor.  At which of those levels to intervene depends on the localization of your symptoms, if in doubt an EMG could be of help. I hope to have been of help.