It doesn't look bad, but in my car, right side, near oil fill hole looked 4 times better than left side near oil return hole,which was all sludged up. So consider worst case scenario, I would use couple short runs on dino with quart of MMO(like 1000 miles), then 2 short runs on Kreen, and piston soak if possible, change pcv valve, clean plugs(during piston soak), and than continue using of MMO for future full time ocis, and forget about it. MMO is like 3$-$4 at walmart, so not a big deal to add it every OCI, and to gas tank.
As I know in Europe, engine flush is done before every oil change,by lots of people, by flush oil(thin oil) or chemicals. Maybe that's why there is more 20,30 year old cars on the roads?