The MRI report informs that there is intervertibral disc prolapse
at L4/5 area with cord compression. There is also disc degeneration of L5 SI. You probably would be having low back pain
and pain and discomfort of the lower limbs. If you are markedly symptomatic, then minimal access surgery
is indicated to remove the involved disc and relieve cord compression and symptoms. You can consult a Neurosurgeon
or Orthopedic surgeon
for the same. If you do not have any marked symptoms, doctor would probably advise physiotherapy
and wait to see if it relieves your discomfort and then advise accordingly.