Can someone help me understand my CT CERVICAL SPINE WITHOUT CONTRAST I' am having exhaustion walking, weakness in my shoulders, arms, and pain. Should I have surgery?

TECHNIQUE:
Multidetector CT imaging of the cervical spine was performed without
intravenous contrast. Multiplanar CT image reconstructions were also
generated.

COMPARISON: None.

FINDINGS:
Alignment: Straightening and slight reversal of the upper cervical
lordosis centered at the C4 level. No evidence of traumatic
listhesis. No abnormally widened, perched or jumped facets. Normal
alignment of the craniocervical and atlantoaxial articulations.

Skull base and vertebrae: No visible skull base fracture. No
vertebral body fracture or height loss is seen. Some mild arthrosis
at the atlantodental interval. Additional multilevel spondylitic
changes detailed below.

Soft tissues and spinal canal: No pre or paravertebral fluid or
swelling. No visible canal hematoma.

Disc levels: Multilevel intervertebral disc height loss with
spondylitic endplate changes. Features are most pronounced C4-C6
with maximal disc height loss and small disc osteophyte complex
formations but without significant resulting canal stenosis.
Uncinate spurring and facet hypertrophic changes throughout the
cervical spine are also maximal at these levels with at most mild
resulting bilateral foraminal narrowing C4-C7.

Upper chest: No acute abnormality in the upper chest or imaged lung
apices.

surgery?? What options have you looked into? My first thought before jumping to surgery is to at least get a consultation from a PRP/Stem Cell doctor. In my life and MANY surgery should be last last resort. Surgeries can lead to more advanced issues.

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You don't have much going on, really, in this CT scan--most of the findings here are mild and likely don't correlate well with your symptoms. Mostly, the report points to loss of disc height, a very common finding with age, as are the bone spurs (uncinate hypertrophy) and calcification of some disc regions (osteophytes). However, there seems to be no evidence of frank spinal cord compression or of pressure on the nerve roots that join the cord (the foramen are the "holes" through which those roots pass, and there is some narrowing, but no direct evidence of root compression).

This is not a report that would be out of place for anyone middle aged or beyond (though you don't tell us how old you are )

I would think, though, that an MRI might give a better imaging of the soft tissues and whether there is some compression that the CT scan might not be specific enough to pick up.

Any past whiplash or neck , arm. shoulder injuries?
Neck and arm symptoms could be work or upper body posture related.
Desk work or repetitive activities over time can be a factor.

Quality skilled PT or chiro might be worth consideration..

Can you describe the exhaustion walking issue more?
Breathlessness or leg fatigue or something else?

Welcome lauraplaca.