Having a quick look at your imaging, it looks like you do have an elongated styloid process (although it’s not that clear), but what stands out to me is your hyoid bone processes- even without enlarging the image you can see they look abnormally curved upwards, with little hooks on the end! It could be that the stylo-hyoid ligaments have calcified from the hyoid end, or the processes themselves are elongated. So it could be that you have both ES & HBS. So if you can get access to your other images &/ or new images it’ll be interesting to see the hyoid on those. If Dr Prince is receptive to ES, then it might be worth asking him about the hyoid too.
Also looking at the image, I think your neck has lost it’s natural curve, aka military neck. We see this quite a bit, it can make vascular symptoms worse potentially or it could be that this is your body’s way of trying to make more space for blood vessels. There’s info & exercises which might help in this discussion:
List of my favourite resources on YouTube to learn anatomy - General - Living with Eagle
I hope that he is helpful!
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