Question: I had an mri done last wek due to back pain and buttock pain and tightening down the front of my right leg.. It says I have 1mm anterior listhesis of L4 upon L5 with mild circumferential disc bulging. and mulitlevel thoracolumbar degenerative disc disease most pronounced at L2--L# and L4-L5 Of incidental note L2 and L3 have vertebral body hemangiomata.. Hypertrohic degenerative changes are noted, exxagerated through the mid/lower lumbar spine facet joints with mld/moderate lumbar facet join arthropathy. hypertrophy of the ligamenta flava throughout the mid/lower spine is observed as well.Osteophytic spurring involves are lumbar vertebral bdoies to varying degrees, the T11-T 12 disc space demonstrates developing disc desiccation/dgeneration with moderate circumferential disc bulging, without signficant central canalicular stenosis and /or foraminal stenosis.L2-L3 shows disc dessication /degeneration with moderates space narrowing with circumferential disc protusion .When considered with the degenerative changes mild/moderate right sided foraminal stenosis is observed with mild left sided stenosis with moderate central caniclular stenosis. The l4-L5 demonstrates disc desiccation/degeneration with mild circumferential disc bulging. Mild central analicular stenosis is observed without significant foraminal stenosis. L4-L5 intervertebral disc space demsonstrates disc desiccation degeneration with 1 mm anterior listthesis of L4 upon L5 with mild circumfernetial disc bulging. Hupertophic degenerative changes (exaggerated thorught mid/lower lumbar spine facet jponts with multilevel thoracolumbar degenerative disc disease most pronounced at L2- L3 and L4-L5 .. This all sounds scary to me and what is the prognosis outcome .Will surgery become necessary or can it be treated otherwise?