Past history of T1N2aM0 right piriform sinus status post treatment, with more recent left tongue base mass, also status post treatment. There are post-treatment findings in the left tongue base with diffuse mucosal enhancement, including within the left tongue base treatment bed. There is also enhancement of the left hyoid bone, which may be treatment-related. There is also diffuse mucosal enhancement in the hypopharynx, without gross measurable tumor otherwise. There is no evidence of significant lymphadenopathy in the neck. There are postoperative findings in the right neck related to neck dissection. The remaining salivary glands and thyroid are unchanged. There are retention cysts in the right maxillary and sphenoid sinuses. There is a disc-osteophyte complex at C3-4, which compresses the spinal cord. There is fluid within the left mastoid air cells. There is a right maxillary sinus retention cyst.
1. Post-treatment findings in the left tongue base region, without evidence of tumor progression, accounting for differences in technique.2. No evidence of gross measurable tumor in the hypopharynx. 3. No evidence of significant lymphadenopathy in the neck.4. A disc-osteophyte complex at C3-4 compresses the spinal cord. 