T4N2c floor of mouth and tongue cancer Examination is limited by artifact. Enhancing anterior oral tongue mass, which crosses the midline and extends to the floor of mouth and tongue base posteriorly has not significantly changed in size measuring up to 35 mm (series 16, image 34), previously 35 mm, although there appears to be slight decrease in fullness. Slight interval decrease in reference cervical lymphadenopathy. Reference level left 1B lymph node measures 21 x 11 mm (series 11, image 108), previously 21 x 16 mm. Reference level right 2B lymph node measures 13 x 10 mm (series 16, image 41), previously 16 x 13 mm. Reference right level 3 measures 15 x 7 mm (series 16, image 47), previously 25 x 16 mm. Additionally a right level 1A lymph node measures 10 x 7 mm (series 16, image 44), previously 12 x 8 mm. There are additional subcentimeter lymph nodes, for example in left level 3 and right level 1B, which are nonspecific but were not definitively seen on the prior exam. The major salivary and thyroid glands are unremarkable. A right internal jugular catheter is noted. Disc osteophyte complex at C5-6 impinges upon the cord, unchanged. No suspicious focal osseous lesions.
1. No significant change in size or extent of tongue mass.2. Mild overall decrease in cervical lymphadenopathy. Please see details above.