You have plenty of potential pain generators including the fact that without a CT scan, your fusion status is in question. You have degenerative facets at C2-3 and C7-T1 where you don’t have a fusion. Both these levels can cause pain. You have left foraminal stenosis at C5-T1 which could cause nerve compression and L shoulder/arm pain. I would think a CT scan would be helpful.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.