Right neck mass status post biopsy on 5/2015 with pathology as cyst. There is a T2 hyperintense, enhancing, right palatine tonsillar mass measuring 3.9 x 3.4 x 2.7 cm with extension into the soft palate and mild oropharyngeal airway narrowing. There may also be slight extension of tumor across the glossotonsillar sulcus. There is a conglomerate of what appears to be three right level 2 lymph nodes. A cystic lymph node with layering debris or hemorrhage measures 2.2 x 2.6 cm, a lymph node with a small enhancing nodular component and septations measures 2.4 x 1.6 cm, and a more solid lymph node measures 2.0 x 1.2 cm. The salivary glands are unremarkable. There are right temporomandibular joint degenerative changes with an associated small effusion and subluxation. There is mild scattered paranasal sinus mucosal thickening. There is mild scattered periventricular and subcortical white matter T2 hyperintensity compatible with chronic small vessel ischemic disease. There is multilevel degenerative cervical spondylosis. The orbits are unremarkable.
1. A mass in the right palatine tonsil with extension into the soft palate likely represents a squamous cell carcinoma.2. Right suprahyoid lymphadenopathy likely represents metastatic disease.3. Advanced degenerative changes involving the right temporomandibular joint.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.