Good job on converting your scans to 3D, greensco! I agree w/ what Jules said, your styloids are thick & your left one looks to be angling in toward your cervical vertebrae. It’s hard to tell for sure though. We have noted that it’s not always the length of the styloids but also how thick, angled, twisted or pointed they are that can play into whether or not a more normal length styloid might cause ES type symptoms. I also agree that the greater horns of your hyoid bone look long. Hyoid bone syndrome has very similar symptoms to ES. It would be good to look into both possibilities when pursuing a diagnosis.
There are a number of doctors on our list from your state. You can search our members’ comments about particular doctors by clicking on the magnifying glass icon above right & typing a doctor’s name into the search box then hit return. Links to any posts containing that doctor’s name will come up.
https://forum.livingwitheagle.org/t/us-doctors-familiar-with-es-current-list/4752/6