T4aN2b BOT SCC, p16+ on OPTIMA IC with carbo/Abraxane. There has been marked interval decrease in size of a right tongue base tumor, without measurable residual tumor. There is no evidence of residual significant lymphadenopathy in the neck. For example, a necrotic right level 2B lymph node measures 6 mm in short axis and an ill-defined right level 2A lymph node measures 5 mm in short axis. The thyroid salivary glands are unremarkable. The larynx appears to be intact. There is multilevel degenerative cervical spondylosis with mild spinal canal narrowing at C3-4 and C4-5. The orbits and imaged intracranial structures are unremarkable.
No evidence of residual measurable tumor in the right tongue base and no evidence of residual significant lymphadenopathy in the neck.