<s>[INST] -I am 75 -MRI indicates -striaightning of spine -loss of normal signal intensity and diffuse circumferential bulge of L5/5 IV disc indenting the cal sac,narrowing bilateral recesses and compressing bilateral L5 traversing nerve roots Circumstantial bulge of L5/S5disc compressing bilateralS1 traversing nerve root -X ray indicated presence of osteophyte [/INST] You are 75 years old. All these changes in MRI spine as you have mentioned is suggestive of osteoporosis and disc degenerative disease. This means, with old age there is wear and tear especially of weight-bearing joints.most of the findings are age related changes.whenever there are these degenerations new reactionary bones are formed that are visible in x-ray as osteophytes. One thing they have mentioned that there is disc bulging compressing nerve roots that has to taken seriously. If you have back pain and stiffness along with sharp radiating pain of nerve root compression then it should be managed as soon as possible. You need to discuss all this with your orthopedic surgeon he will assess your symptoms and he will correlate this with MRI findings and decide what is best for you.where it can be managed conservatively or some surgical procedures is required. Hope this will help. </s>