History of T4N0 adenoid cystic carcinoma of the tongue. There has been interval evolution of post-treatment findings in the oral cavity, with decrease in size of a defect in the dorsum of the oral tongue. There is decreased swelling and diffuse high T2 signal and enhancement in the portions of the oral tongue and tongue surrounding the defect, without a discernible discrete tumor. There is no evidence of significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The imaged osseous structures, orbits, and intracranial structures are unremarkable. There are subcentimeter right lung nodules.
1. Interval evolution of post-treatment findings in the oral tongue with what may represent associated surrounding inflammation and perhaps denervation changes, but no measurable residual tumor.2. No significant cervical lymphadenopathy.3. Subcentimeter right lung metastases. Please refer to the separate chest CT report for additional details.