Left oropharyngeal, status post treatment. Persistent left facial and ear pain. There are treatment effects in the left upper neck. The left oropharyngeal mass is no longer discretely measurable. There is persistent fatty atrophy of the adjacent left tongue and there are stigmata of left vocal cord paralysis. There is also atrophy of the left facial expression muscles. There no significant cervical lymphadenopathy. The skull base and temporomandibular joints appear to be intact. The thyroid and salivary glands are unremarkable. The orbits are unremarkable, but there is a small right lateral periorbital skin nodule. There is an aberrant right subclavian artery. There is bilateral mastoid fluid.
1. Post-treatment findings in the neck and denervation changes involving multiple left cranial nerves, but no evidence of gross measurable tumor, including perineural tumor.2. Fluid in the bilateral mastoid air cells may represent mastoiditis.