Left lateral tongue cancer, evaluate for extent and neck metastasis. There is an infiltrative and enhancing mass that involves the left oral tongue and floor of mouth, which measures up to 55 mm. The tumor does not extend across the midline and the mandible appears to be intact. There is an enlarged left level 2A lymph node which measures 16 x 20 mm in axial section. The other cervical lymph nodes are not enlarged by size criteria, although left level 1, 3, and 4 are relatively larger on the left side than on the right side. There is a probable suprahyoid thyroglossal duct cyst that measures up to 15 mm. The thyroid salivary glands are intact. The osseous structures, orbits, and imaged intracranial structures are unremarkable. There is a small left maxillary sinus retention cyst.
1. An infiltrative and enhancing mass that involves the left oral tongue and floor of mouth, which measures up to 55 mm, is compatible with squamous cell carcinoma.2. An enlarged left level 2A lymph node may represent metastatic or reactive lymphadenopathy. The other cervical lymph nodes are not enlarged by size criteria, although left level 1, 3, and 4 are relatively larger on the left side than on the right side, which are also nonspecific. 