Male, 22 years old, with tongue cancer, evaluate for metastatic spread. A mass is evident centered on the right lateral oral tongue which measures up to 29 mm in maximal length. A small defect within this lesional tissue may represent a site of prior biopsy. The tumor invades the right sublingual space where it approaches the sublingual gland.The remainder of the aerodigestive mucosa is unremarkable. No pathologic adenopathy is detected in the neck. The remaining salivary glands and the thyroid are free of suspicious lesions. The paraspinal soft tissues are unremarkable. The bone marrow signal is within normal limits. No spinal cord abnormalities are seen.The partially visualized brain parenchyma is notable for diffuse volume loss and periventricular white matter signal abnormality which has progressed compared to prior brain MRI.
1.A tumor is evident within the right lateral tongue with extension inferiorly into the submental space.2.No additional mucosal lesions are seen and no pathologic adenopathy is identified.3.Progressive brain volume loss and white matter signal abnormality are partially visualized.