T3N0 HPV/p16 positive SCCA of the left BOT on OPTIMA clinical trial, finished TFHX on 7/3/15, panendo/bx 9/18/15, re-evaluate compare to previous scans. Again seen are post-treatment findings in the neck with mild persistent supraglottic edema. The base of tongue and lingual tonsils appear unchanged with continued asymmetric prominence and T2 hyperintensity on the right, which may represent lingual tonsillar tissue. No new or enlarging mass is appreciated. There is no significant cervical lymphadenopathy. Small scattered cervical lymph nodes are similar to prior. There are no suspicious osseous lesions. There is mild degenerative spondylosis of the cervical spine including a disc osteophyte complex at the C3-C4 level with effacement of the ventral thecal sac. Orbits and visualized brain parenchyma are grossly unremarkable. Mucous retention cysts in the left greater than right maxillary sinuses are again seen.
1. Post-treatment findings in the neck without evidence of locoregional tumor recurrence. 2. No evidence of significant cervical lymphadenopathy based on size criteria.