<s>[INST] have back problems got the mri results here looking for treatment for at L4 mild diffuse disc bulging , small annular tear , mild facet hypertrophy , mild deforimity of the thecal sac but canal remains patent l5-s1 mild diffuse disc bulging in addition there is a moderate size paracentral disc extrusion . it impinges on the right s1 nerve root and the adjacent thecal sac . there is a mild facet degeneration at l5-s1 . moderate sized right paracentral disc extrusion, which impinges upon the right S1 nerve root 42 Yr old male WT 236 [/INST] AS you have described a moderate sized right paracentral disc protrusion you should try conservative management  first, however consult a spine specialist. </s>