Tongue squamous cell carcinoma with neck lymphadenopathy. There is an enhancing mass in the left oral tongue, which measures up to approximately 40 mm. The tumor extends into the left sublingual space, but does not appear to involve the root of the tongue or the mandible. There are multiple abnormal left level 1, 2, and 3 lymph nodes. In particular, there is a cystic or necrotic left level 2B lymph node with ill-defined margins that measures 30 x 35 mm in axial cross-section. The lymph node tumor appears to slight infiltrate into the adjacent left parotid gland. A left level 1B lymph node also displays ill-defined margins and measures 12 x 16 mm in axial cross-section. The lymph node tumor appears to slight infiltrate into the adjacent left submandibular gland. The left lateral retropharyngeal lymph node is asymmetrically prominent and measures 5 x 7 mm in axial cross-section. There is a right level 2A lymph node with a rounded morphology, which measures 7 x 10 mm in axial cross-section, which is not enlarged by size criteria. The other right neck lymph nodes are unremarkable. There is a cystic right thyroid nodule that measures up to 9 mm. There are small maxillary sinus retention cysts. There are also secretions in the left sphenoid sinus. The orbits and imaged intracranial structures are unremarkable. There is a small posterior disc-osteophyte complex at C5-C6 that mildly indents the spinal cord.
Left oral tongue mass compatible with squamous cell carcinoma with associated extensive left cervical lymphadenopathy, with signs of extracapsular extension.