Recurrent tongue cancer. Multiple excisions and chemoradiation. Completed treatment in July 2011. Assess for recurrence. No suspicious masses are appreciated within the oral cavity, pharyngeal, or parapharyngeal soft tissues. There is mild ill-defined T2 hypointensity in the left lateral aspect of the oral tongue which likely reflects scarring from previous resection and is not associated with suspicious pattern of contrast enhancement. The remainder of the tongue is fairly symmetric. There are tiny cervical lymph nodes (measure less than 5 mm even in their longest axis) which are unchanged. The thyroid gland is small. The left submandibular gland is atrophic which is likely related to prior treatment.Cervical spine is notable for multilevel spondylosis with low T1 signal, edema, and enhancement involving the C6 and upper aspect of the C7 vertebral bodies. Finding has progressed since prior studies from 2013. No destructive osseous lesions are appreciated.
1.There is no convincing evidence of tumor recurrence or cervical lymphadenopathy.2.Significant interval increase in edema and enhancement involving the C6 and C7 vertebral bodies. Finding is most likely on a degenerative basis; however, consider correlation with recent PET if one is available to exclude the remote possibility of neoplastic involvement.