Possible oropharyngeal cancer and lung nodules. There is a somewhat ill-defined right oropharyngeal mass that appears to arise from the superior pole of the right palatine tonsil. The mass measures up to approximately 20 mm and there is no invasion of the parapharyngeal or masticator spaces. There are mildly and asymmetrically prominent right level 1B and 2A lymph nodes, which are otherwise not significantly enlarged by size criteria. There is a cystic left thyroid nodules that measures up to 17 mm. The salivary glands are unremarkable. There is mild multilevel degenerative cervical spondylosis. The orbits and imaged intracranial structures are unremarkable.
A right oropharyngeal mass that measures up to approximately 20 mm may indeed represent a tonsillar squamous cell carcinoma. Mildly and asymmetrically prominent right level 1B and 2A lymph nodes, which are otherwise not significantly enlarged by size criteria are nonspecific. 