Neck pain. Osteoarthritis? There are tiny posterior vertebral body osteophytes noted at multiple levels, but the intervertebral disc spaces are appear normal for age. Alignment is within normal limits. Vertebral body heights are preserved. There is perhaps mild narrowing of the neural foramina bilaterally, but this would be better assessed with MRI if clinically warranted.
Minimal degenerative arthritic changes as described above, essentially within normal limits considering the patient's age.