Invasive right tongue squamous cell carcinoma pT2N0 status post glossectomy with margin positive at deep lateral edge, repeat excision margin negative. There are postoperative findings related to right glossectomy with flap reconstruction and neck dissection. There is nodular enhancement and along the dorsal margin of the surgical flap in the right oral tongue. There is also a 7 mm diameter enhancing nodule in the left sublingual space. There are enhancing nodules in the right parotid gland that measure up to 14 mm. Mildly prominent left level 1B and 2A lymph nodes appear to have intact fatty hila. There is mild mucosal thickening in the maxillary sinuses. The osseous structures appear to be grossly intact. The thyroid gland, orbits, and imaged intracranial structures are unremarkable.
1. Post-treatment findings in the neck with a nodular lesion in the right tongue surgical bed that measures up to approximately 12 mm likely represent tumor recurrence. 2. A subcentimeter nodule in the left sublingual space and right parotid nodules are indeterminate in nature. 