@byebyetwenties - Welcome to our forum. I’m sorry you’ve been suffering from your symptoms for so long! Everything you’ve listed has been seen w/ ES though not necessarily all at once & not by every ES patient so I do think this is something that warrants you continuing to follow-up on. I can see your left styloid & possibly the right one in your imaging.
From the symptoms you’ve mentioned, it sounds like you may have vascular ES i.e. compression of your internal jugular vein. Here is a link to an extensive post written by our other moderator, @Jules, which will be helpful for you to read:
There is also a lot of information in our Newbies Guide which is under the Welcome category on our home page (click on the butterfly icon in the upper left of this page to get there).
Often the lymph glands are irritated/compressed by the styloids so the facial swelling could be either from distressed lymph nodes or IJV compression or both.
This is GREAT NEWS!!
Heart palpitations could indicate vagus nerve irritation & choking when swallowing could be from glossopharyngeal nerve irritation. I had both of those symptoms.
Copy the list you’ve posted here & keep it to take with you to your appointments. Add to it as additional symptoms come to mind.
We’re here for you - for the difficult times & the victories & everything in between! I’m glad you’ve shared your whole story & hope we can help you find solutions & resolution.