Findings .there is straighteningand mild reversal of the lordotic curvature of the cervical spine .cervical vertebral body heights are preserved. Moderate to severe loss of disc height at c5-c6 and c6 -c7 levels with prominent endplate osteophyte.type w endplate degenerative changes at the c5-c6 level and mixed type 1 and type2 endplate degenerative chages at c6-c7 level.minimal anterolisthesis of c4 on c5 with mild loss of disc height secondary to facet degenerative changescervical spinal cord is normal in morphology and signal intensity.craniocervical junction within normal limits. At c2-c3 level canal and left foramen are patent mild rt foraminal narrowing due to facet degenerative changes. At c3-c4 level there is mild bulging of the annulus centrally minimal canal stennosis foraminal is patent at c4-c5 level mild broad based. Disc bulge with moderate to severe leftsided facet degenerative changes central canal and rt foamen remain patent severe left foraminal narrowing.atc5-c6 broad based disc osteophyte complex which contacts the anterior cervical spinal cord. No cord deformity. There is mild hypertrophy of the dorsal ligamentous structures mild to moderate canal stenosis with effacement of the lateral recesses severe bilateral foraminal narrowing. C6-c7 same as c5-c6.impression... Multi level degeneraive changes of the cervical spine most pronounced at the c5-c6 and c6-c7. There are broad based disc osteophyte complexes with hypertrophy of the dorsal ligamentous structes causing mild to moderate canal stenosis effacement of lateral recesses and severe bilateral narrowing severe left foraminal narrowing at c5c6 neural forminalnarrowing atcrct and c6c7 could explain bilateral radiculopathy whats it mean do i need surgery