What Does This MRI Lumbosacral Spine Indicate And How To Treat It?

Sir, My mother ,a renal failure patient,on HD for last 7 years,aged 69,got fever two weeks back.She recovered from fever in two days but got severe backache . A doctor suggested for PTH and Vitamin D3 test PTH was 343 & 25-Hydroxy Vitamin D was 5.8 ng/ml Doctor suggested for MRI Lumbosacra spine (during this period only ellgesic and Nims alongwith Gabica 50 mg at night was given my mother for the relief of pain) Report of MRI is attached. kindly tell me what does this report suggest and what trreatment should be given. Thanks