<s>[INST] Hi doctor, I suffer from back pain. Please give me a second opinion. I am attaching my reports. Please help. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Few small multilevel osteophytes are seen. The L3-4 and L4-5 discs are desiccated. A mild posterior-central disc bulge is noted at L3-4 level indenting the posterior thecal sac without causing any nerve root compression. A mild posterior and right paracentral disc bulge is noted at L4-5 level indenting the posterior thecal sac, narrowing the right neural foramina touching the right exiting nerve roots. The facet joints are healthy. Please say about the nature of the pain you have. Say whether it is a radiating pain or tingling sensation. If you have the pain, then it could be due to disc bulge. </s>