Question: i am a 46 year old female. below I have posted a copy of my MRI report. I am scheduled to see a neurosurgeon next week. what should I expect? are there any good alternatives to surgery? in your opinion how serious is this?

MRI C-SPINE W/O CONT NECK PAIN HISTORY: 46-year-old female complaining of chronic neck pain, bilateral shoulder pain, and left upper extremity pain. COMPARISON: None. TECHNIQUE: Multiplanar MRI of the cervical spine was performed without contrast using various pulse sequences. FINDINGS: The cervical vertebral bodies are normal in height and marrow signal is homogeneous and normal. There is a broad-based posterior disc protrusion at C4-5 which deforms the ventral cervical dural sac and causes mild cord compression. There is nonfocal disc bulging at C3-4, C4-5, and C6-7, mildly deforming the ventral cervical dural sac but not causing canal stenosis or cord compression. There is a central disc bulge at T1-T2 deforming the ventral dural sac but not causing canal stenosis or cord compression. There is no intradural or extradural soft tissue mass. The spinal cord is otherwise normal in caliber and signal intensity. The cerebellar tonsils are in a normal position. The prevertebral and surrounding paravertebral and visualized neck soft tissues are normal. IMPRESSION: 1. Spinal stenosis and mild cord compression at C4-5 secondary to a broad-based posterior disc protrusion. 2. Posterior disc bulging without canal stenosis or cord compression at the C3-4, C5-6, C6-C7 and T1-2 levels. ** Electronically Signed on 10/26/2015 M.D. CC: Lis Dictated Date/Time: 10/26/2015 (0959) Technologist: XXXXXXX Kensinger,RT(R)(CT)(MRI) Transcribed Date/Time: 10/26/2015 (0959) Transcriptionist: RAD.VR Printed Date/Time: 10/26/2015 (1018) BATCH NO: N/A PAGE 1 Signed Report