Difficulty in speaking at normal tone/pitch

Patient

Q: I have difficulty in speaking for the past 3 years and it is becoming intense with the time. i feel trouble while speaking at a normal tone. I have a sensation of unsymmetrical voice box anatomy. Kindly let me know what is wrong with my voice? An x ray link of my c-spine is attached if it is helpful. Thank you

Symptoms:  Difficulty in speaking
Images: 
Difficulty in speaking at n...-1 Difficulty in speaking at n...-2
Doctor

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