T4aN2cM0 oral tongue cancer infiltrating the floor of mouth treated with CRT completed 10/2014. There are post-treatment findings in the upper aerodigestive tract, including marginal right mandibulectomy. There is unchanged small area of enhancement in the right mandible body adjacent to the mandibulectomy site. There is no evidence of measurable tumor in the oral cavity. There is no significant cervical lymphadenopathy by size criteria. The airways are patent. The thyroid and salivary glands are unchanged. There is degenerative cervical spondylosis without high-grade spinal canal stenosis. There is staphylomatous deformity of the left globe. There is mild mucosal thickening in the left maxillary sinus.
Post-treatment findings without evidence of measurable tumor recurrence in the oral cavity or significant cervical lymphadenopathy. An unchanged small area of enhancement in the right mandible body adjacent to the mandibulectomy site may represent radiation or surgical effects, perhaps with osteonecrosis or inflammation.