Hello dear and welcome to the medhelp forum. Your MRI lumbar spine indicates abutment of L4 nerve root, which means presence of factors, which irritate or impinge on the L4 nerve root, which is the reason for the leg pain. The triggers for nerve abutment could be intervertebral disc degeneration, disc herniation, bony spurs or neuroforaminal stenosis. Consult a neurosurgeon for evaluation. You will require painkillers, physiotherapy, epidural steroid injections or decompressive surgery according to the compromise. Wishing you all the best.
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