Left posterior oral tongue cancer T4a treated with CRT and 2nd primary T1 excised in 2014. Now with thickening and pain. There are post-treatment findings in the left oral cavity region. There is decreased conspicuity of a patchy areas of T2 hyperintensity in the left oral tongue. Otherwise, there is no evidence of measurable oropharyngeal mass lesions or cervical lymphadenopathy. There is an unchanged well-defined T2 hyperintense lesion in the left shoulder region, without convincing enhancement. The thyroid gland and remaining salivary glands are unremarkable. There is minimal fluid within the left mastoid air cells. The orbits and imaged intracranial structures are unremarkable.
1. Post-treatment findings in the left oral cavity region with decreased conspicuity of a nonspecific patchy areas of T2 hyperintensity in the left oral tongue. Otherwise, no evidence of measurable oropharyngeal mass lesions or cervical lymphadenopathy. 2. Unchanged well-defined cystic lesion in the left shoulder region. 