Conversation: The conversation between human and AI assistant.
[|Human|] Impression:  Multilevel degenerative disc and facet joint changes. Central disc extrusion at T11-T12 causing central canal stenosis with mass effect on the spinal cord at this level.  Left paracentral disc protusion at L1-L2 causing mass effect on the left L2 nerve root.  Central disc protrusion at L5-S1 causing mild central canal stenosis. The disc abuts the descending S1 nerve roots. Diffuse disc bulge and facet arthropathy at L4-L5 causing mild central canal stenosis and mild right and moderate left neural foraminal narrowing.  Right paracentral disc protrusion at T12-L1 without spinal stenosis.
[|AI|]  Hello, Thanks for the query I understand your concern The MRI finding that you have described is suggestive of degenerative lumbar disc problem. Please note that the analysis of MRI data in these patients should always be correlated with the clinical data as MRI may overestimate the clinical findings. If the clinical findings are back pain alone, you just ignore these reports. If you have clinical deficits, documented by a neurologist you may have to review regarding the treatment options Best wishes