### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i am suffering from ulcerations on tounguei have done MRI,the report states :Subcentimeter cervical lymphnodes noted at level IB and II  Impression:Subtle superficial abnormal signal in tensity along left lateral border of the tongue in postrerior aspect with subtle hyperintensity in the maxillary posterior alveolar and retromoloar region on left side needs Clinico histopathological Can you please let us know exactly what dose it mean,awaiting foir the reply at the earliest.

### output:

Hello, Basically, there is tissue present that is not giving a normal reaction to the MRI. The words subtle and superficial indicate less of a change or less invasion rather than a dense mass or extensive area showing change. You indicate ulcerated tissue present which is inflamed or abnormal tissue. There are lymph nodes, less than one centimeter in size, that are showing a change. The location is identified around and behind the submandibular glands in the neck with level IB and II noted. Identification of lymphatic Chat Doctor.  The study indicates the location to be on side of your tongue. More information concerning the tissue requires a pathological study such as a biopsy. Tumors when removed are further evaluated with pathological studies. This will identify malignant and non-malignant tumors of the oral cavity. MRI study for the evaluation of squamous cell carcinoma is the primary concern. Other lesions to include in a possible diagnosis include lymphoma, adenoid, sarcoma, salivary gland tumor, abnormal adenoidal tissue or floor of the mouth tissue. Thank you for your inquiry. Your doctor will review your MRI study and clinical evaluation to advise you on your treatment.