Right neck mass status post biopsy on 5/2015 with pathology as cyst. There is a T2 hyperintense, enhancing, right palatine tonsillar mass measuring 3.9 x 3.4 x 2.7 cm with extension into the soft palate and mild oropharyngeal airway narrowing. There may also be slight extension of tumor across the glossotonsillar sulcus. There is right level 2 lymphadenopathy, including a diffusely enhancing lymph node that measures 2.0 x 1.2 cm. In addition, there is an adjacent cystic lesion with layering debris or hemorrhage measures 2.2 x 2.6 cm. The salivary glands are unremarkable. There are right temporomandibular joint degenerative changes with an associated small effusion and subluxation. There is mild scattered paranasal sinus mucosal thickening. There is mild scattered periventricular and subcortical white matter T2 hyperintensity compatible with chronic small vessel ischemic disease. There is multilevel degenerative cervical spondylosis. The orbits are unremarkable.
1. A mass in the right palatine tonsil with extension into the soft palate likely represents a squamous cell carcinoma or minor salivary gland neoplasm.2. Right suprahyoid lymphadenopathy likely represents metastatic disease, juxtaposed to what may represent a branchial cleft cyst with prior hemorrhage and possible tumor encroachment.3. Advanced degenerative changes involving the right temporomandibular joint.