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Lumbar MRI Help

I need some help getting information on if everything can, and should be fixed at once. Will conservative treatments help or should I just go back to surgery? I had surgery on L5/S1 in 2014.

FINDINGS: Alignment: Unremarkable.
Conus: Conus terminates at the level of T12-L1. Distal thoracic cord is of normal caliber and signal.
Marrow: Mildly heterogeneous. Scattered vertebral hemangiomas most commonly seen within L1 and L4.
Vertebral body numbering will use the same tumor all eg as depicted on the prior MRI of 04/24/2017.
T11-12: Mild facet hypertrophy.
T12-L1: Unremarkable.
L1-2: Unremarkable.
L2-3: Unremarkable.
L3-4: Mild ligamentum flavum redundancy and right greater than left facet hypertrophy. No stenosis.
L4-5: Disc degeneration. Broad-based disc bulge with left foraminal hyperintense zone which is new when
compared with the prior exam. No significant stenosis.
L5-S1: Disc degeneration with moderate loss disc space height. Broad-based disc bulge with superimposed
left paracentral protrusion which is new when compared with the prior exam. There is narrowing of the left
subarticular zone. Disc material contacts the exiting the traversing left S1 nerve. Patient is status post left
hemilaminectomy. There is no central canal stenosis or foraminal stenosis.
Retroperitoneum: There are small retroperitoneal lymph nodes. The visualized portions of the liver,
bilateral adrenal glands, spleen and kidneys are unremarkable. Paraspinal musculature is relatively
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