Male, 47 years old, history of tonsil cancer, now with small palpable firmness on the left lateral tongue. No evidence of any masslike lesion is seen at the left lateral tongue or elsewhere along the aerodigestive mucosa. Findings related to left neck dissection are seen. No pathologic adenopathy is detected on either side of the neck by size criteria. The salivary glands and the thyroid are within normal limits. Patchy mucosal thickening is seen in the ethmoid air and the left mastoid air cells.A slight dextrocurvature of the visualized cervical spine is noted when viewed in the coronal plane. In addition, there is a rotational subluxation of C2 relative to C1. Mild marrow edema is seen within the left lateral aspect of the C3 and C4 vertebral bodies. The left C3-4 facet joint is degenerated and inflamed with evidence of facet effusion. The surrounding left paraspinal soft tissues are also mildly edematous. Of note, similar abnormalities were identified at this location on prior exams from 2012 resulting in paraspinal excision with benign results.
1.No evidence of any masslike or suspicious lesion is seen along the left lateral tongue to correlate with physical exam findings. No pathologic adenopathy is detected in the neck.2.Multiple chronic cervical spine findings are seen including a rotational subluxation of C1 relative to C2 and advanced left facet degeneration at C3-4.