Not good. I think thats trouble on c4 foraminal nerve. I may be wrong. I remember looking it up this spring. I had that for awhile. The MRI revealed several nerves in stenosis and i looked up what those nerves control. Swallowing, one of the C4-7 ones. Physical therapy, wearing a cervical traction collar (the one the surgeon gives patients) 30 minutes a day, and switching to a flat pillow, ensuring my shoulder is not on the pillow and that it supports just my neck and head. I did have a bone marrow derived stem cell transplant but im not sure that helped. The radiology report 6 months later didnt show improvement, i actually think it reads worse. However, i have not had trouble swallowing, speaking, or breathing deeply since. It's likely due to the physical therapy and pillow. I have not had any surgeries or procedures other than the stem cell transplant. I also have an "organic essential tremor" possibly from all the stenosis. That can also cause swallowing difficulties. A really good doctor of physical therapy might help the most. I haven't met in person or read about anyone yet who has found surgery to be helpful. I hope my input gives you insight and ideas how to manage, if not fix, this. I know it's unnerving. Small bites tomorrow, chew chew chew, no alcohol (it causes involuntary spasms that can cause swallowing issues), and lots of water. Happy Thanksgiving if you celebrate that. Yours in better health, P😌🙏🦃