Conversation: The conversation between human and AI assistant.
[|Human|] hi this is my mri report please tell me what can i do i am 62 years old Evidence of previous operation (laminectomy) is noted. Right posterolateral disc protrusion is noted at L3-4 with pressure on the coresponding nerve root. Degenerative spinal canal is noted also at L4-5 Normal lower dorsal spinal cord. No SOL seen. Normal vertebral alignment and signal intensity.
[|AI|]  Hi, As you are having right anterolateral disc protrusion with evidence of old laminectomy in your MRI, I would examine you for deficits and SLR and correlate with symptoms. If you are not having any symptoms, then back exercises are advised. If you are having symptoms and SLR is positive with deficits present, then medical management with steroids is started. If no relief then back exercises with epidural steroids. Surgery will be the last option. Thanks