"1. BROAD-BASED CIRCUMFERENTIAL BULGING ANNULUS L4-5 WITH ASSOCIATED FACET JOINT HYPERTROPHY RESULTING IN NARROWING OF THE NEURAL FORAMINA BILATERALLY "
This would appear to be a possible problem causing your pain. This could result in some nerve compression that may or may not appear on the MRI pics.
It's also important to remember that the reading of your MRI is just that, a reading, an opinion by a radiologist that interprets what he sees.
It is quite possible and quite common that if your pics where reviewed by another radiologist, that the reading would or could be different.
It's also not uncommon for a spine surgeon to look at the pics and see something different or more than the radiologist sees, as well.
MRI is just one of many tools that a good spine surgeon will use to aid in diagnosis, but it should never be the only tool used.
Examination is important and attempt to match the symptoms of the patient with what is seen on the MRI pics.
If that can't be done, then the spine surgeon should do further testing to help to determine the cause of the patient's pain.
Good luck
Fran