Description of lumbar MRI examination: "L3L4 vertebral body moved forward slightly." This is only the slight forward movement of lumbar vertebrae 3 and 4 caused by the relaxation of lumbar ligaments in the elderly. The MRI diagnosis did not mention lumbar spondylolisthesis, but the clinical diagnosis mentioned lumbar spondylolisthesis is inaccurate, which is generally called lumbar instability. MRI diagnosis report is more reliable.

Description of lumbar MRI: "L3/4, L/5, L5/S 1 disc herniation, corresponding horizontal dural sac compression." That is to say, the nerve roots of the lumbar spine are not obviously compressed, and the degree of disc herniation is light, only reaching the outer membrane of the spinal canal.

Your father is 74 years old, and the MRI results of the lumbar spine are so good that it can be said that the lumbar structure is not bad. If you don't feel well, you can go to the clinic for physical therapy or rest. There's no need for surgery.