Can you explain my MRI Finding please so I can understand them

[Kathy_0001]

I had a Cervical Fusion C4-5 and C6-7 done a year ago. 20 years ago I had C5-6 done. Right now I am having neck pain, with pain radiating in my shoulder blades and shoulders radiating down into my hands with my right hand been really painful especially in the thumb, index finger and middle finger. Shooting pains all the time. I wake up in the night with the pain and when I lie down I get numbness in both hands. Any advice........ Here is what my MRI showed now: At C5-6 There is susceptibility artifact from the indwelling hardware. At C5-6 the neural foramen are obscured with no obvious significant stenosis. Then at C6-7, it reads there is some posterior disc osteophyte complex formation bilaterally, improved from previous. There maybe some mild residual foraminal narrowing. No definite nerve root impingement and no spinal canal stenosis.