Parotid mass, which FNA revealed to be poorly differentiated carcinoma. There is a heterogeneous mass that measures up to 37 mm in the superficial left parotid gland, with what appears to be central necrosis and extension into the overlying subcutaneous tissues. There is also an enhancing mass that measures up to 23 mm centered in the body of C2, with cortical dehiscence and prevertebral extension, but no gross epidural spine extension. The right parotid gland and bilateral submandibular glands are unremarkable. There is herniation of the bilateral sublingual glands via mylohyoid dehiscences. There is no significant level 2 or 3 lymphadenopathy. There is mild prominence of the tongue base lymphoid tissues. The orbits and imaged intracranial structures are grossly unremarkable.
1. A heterogeneous mass that measures up to 37 mm in the superficial left parotid gland, with what appears to be central necrosis and with dermal invasion is compatible with the reported poorly differentiated carcinoma.2. A mass that measures up to 23 mm centered in the body of C2, with cortical dehiscence and prevertebral extension, but no gross epidural spine extension, likely represents metastatic disease. General staging imaging is recommended.