Conversation: The conversation between human and AI assistant.
[|Human|] i have a l4-l5 broad-based disc bulging asymmetric to the left with some thickening of the flavum  with moderate left and mild right foraminl narrowing, l5 -s1 broad-base disc bulging with intraforaminal extension bilaterally. no mass effect upon the thecal sac where upon the descending s1 nerve roots is identified. but there is mild right greater than left foraminal narrowing without exiting neve root compression. it has become very hard to work and other things in my life and im only 37 what can i do to change this problem?
[|AI|]  Hello and welcome to Chat Doctor, Broad based discs at the level of L4-L5-S1 along with narrowing of the foramina suggests a aura based lesion, most commonly meningioma. Pressure on the exiting nerve due to this broad based bulging mass can lead to symptoms in the region where the nerve supplies. If the lumbar nerves are involved, symptoms are felt in the lower limb. You need to consult your doctor with the report. The nature of the broad based mass needs to be determined. Meninigioma is just one of the possibility. In case it is meningioma, it has to be excised. Thanks and take care Chat Doctor.