History of adenoid cystic carcinoma of the tongue: pain along tongue. The images are degraded by patient motion. There are post-treatment findings in the oral cavity, with a defect in the dorsum of the oral tongue. There is also diffuse ill-defined heterogeneous high T2 signal and enhancement in the portions of the oral tongue and tongue surrounding the defect, with areas of apparent elevated perfusion. There is no evidence of significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The imaged osseous structures and intracranial structures are unremarkable. There are subcentimeter right lung nodules.
1. Findings suggestive of residual right oral tongue tumor along the margins of a large defect with what appears to be associated surrounding inflammation and perhaps denervation changes.2. Subcentimeter right lung metastases. Please refer to the separate chest CT report for additional details.