 There is interval decrease in size of the infiltrative mass centered in the right oral tongue. The mass now measures up to approximately 40 mm. There is a persistently partially cystic right level 2A lymph node that measures 11 x 17 mm in axial cross-section. There is also a heterogeneous appearing smaller right level 2 lymph node. There is no evidence of significant left cervical lymphadenopathy. There is a heterogeneous left thyroid nodule that measures up to 45 mm. The salivary glands are unremarkable. There is a fluid level in the right maxillary sinus. There is multilevel degenerative spondylosis. The orbits are unremarkable.
1. Interval decrease in size of the right tongue squamous cell carcinoma, but persistent right level 2 lymphadenopathy. Assessment is limited by the lack of contrast, however.2. Nonspecific heterogeneous left thyroid nodule that measures up to 45 mm. Thyroid ultrasound may be useful for further evaluation.