HI doctor, I just want to know whether the given MRI report of my husband need to do surgery. He is having too much pain on the ankle and difficulty in walking. His MRI impression is as follows. L4/L5 diffuse disc bulge with posterior annular fissure and broad based right paracentral disc extrusion indenting on ventral thecal sac causing obliteration of bilateral lateral recess(R L) with compression of bilateal traversing roots. Narrowing of bilateral neural foramen with co mpression of right existing nerve root. L5/S1 diffuse disc bulge indenting on ventral thecal sac and bilateral traversing roots. Narrowing of bilateral neural foramen with compression of existing nerve root. T6/7, T8/9, T9/10, C6/7- Mild diffuse disc bulge indenting on anterior subarachnoid space . C5/6- Diffuse disc bulge causing obliteration of anterior subarachnoid space indenting on spinal cord.