<s>[INST] Hello I have a shallow disc bulge l3 - 4 which does extend into the left exit foramen where it does contact the exiting root. What is this. Is it serious. Is there any possible operations for this? I also have early reduction in disc hydration signal. Also, at l4-5 there is a further small disc protrusion which again extends to the exit foramen to the contacting root. small disc bulges with lateral extension and possoble nerve root contact. Please contact me back on  YYYY@YYYY  Thanks. [/INST] Hello, Thanks for the Quertle me tell you that the MRI findings should be correlated with clinical data and MRI may overestimate these types of problems. I suggest you to get a detailed neurological evaluation which will determine the type of management required in your case. Generally medical management is advised and if there are neurological deficit, you may go for surgical treatment Best wishes </s>