### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, i wana know the report analysis of MRI Lumbar spine with screening of whole spine in non-doctor terms. If u can just help me out with diagnosis in simple terms and tel me how serious the situation is, and what is the next step to solving the problem. Severe degenerative spondylotic changes are noted. Bones are osteoporotic. Focal haemangioma is seen in the D12 vertebral body. Bilateral faceto ligamental hypertrophy at all levels. Multi level Schmorl s end plate impressions are noted. L1-2 level shows disc generation with reduced vertical height. Posterior central disc extrusion with inferior migration causing moderate impression on thecal sac . L2-3 level shows disc degeneration with reduced vertical height. Diffuse annular disc bulge causing mild impression on thecal sac. L3-4, L4-5 and L5-S1 levels show disc degeneration with reduced vertical height. Posterior central and bilateral paracentral disc extrusion along with bilateral faceto ligamental hypertrophy causing significant impression on thecal sac and bilateral lateral recess nerve roots and compromising bilateral neural foramen. Screening of Cervical & Dorsal Spine: C5-6, C6-7 levels show diffuse annular bulges causing mild impression on thecal sac. D5-6, D6-7,D8-9 levels show diffuse annular disc bulges causing mild impression on thecal sac. D7-8, D9-10, D10-11, D11-12 & D12-L! levels show posterior disc extrusions causing moderate indentation and thecal sac and mildly compromising bilateral neural foramen. IMPRESSION: Posterior central and bilateral paracentral disc extrusion along with bilateral faceto ligamental hypertrophy at L3-4, L4-5 and L5-S1 levels causing significant impression on thecal sac and bilateral lateral recess nerve roots and compromising bilateral neural foramen. Diffuse annular disc bulge at L2-3 level causing mild impression on thecal sac. Severe degenerative spondylotic chnages.

### output:

Backbone as you know is called as spine which is decided from head to pelvis as cervical(neck), thoracic(chest), lumbar(abdomen), sacral (at the level of hips) In laymen language the backbones is getting degenerated and due to that the spaces between these bones are getting narrower thereby may be compressing the nerves which are passing through these spaces. Also, spinal cord is about to be compressed or about to be damaged due to protrusion of cartilages which are part of the backbone. Spinal cord is extension of brain into backbone and if it gets damaged(not at present) this may lead to paralysis in future