Xray showing elongated styloid process?

@Invadergrim - Welcome to our forum! That does look like your styloid, & it looks longer than normal. With your symptoms, it’s possible the styloid is squashing your IJV against your C1 vertebra which is the most common scenario causing IJV compression & the symptoms you have.

@JugularEagle made a good suggestion. Many of our members have posted their images. Here’s a picture of one of JugularEagle’s where you can see how tiny the IJV is between the styloid & C1:

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