cT4N1Mx left tongue squamous cell carcinoma. There is a heterogenously enhancing infiltrative mass centered in the left tongue extends across the midline, into the tongue base, left tonsillar fossa, and soft palate that measures up to approximately 5.5 cm x 4.0 cm x 4.0 cm. There also appears to be slight invasion of the left pterygoid musculature. There is an enlarged left level 2A lymph node that measures 13 x 17 mm. The thyroid and major salivary glands are unremarkable. The osseous structures and paranasal sinuses are unremarkable. The imaged intracranial structures are unremarkable.
1. An infiltrative mass centered in the left tongue measures up to 5.5. cm and extends across the midline, into the tongue base and tonsillar fossa, as well as into the soft palate is compatible with squamous cell carcinoma.2. Left suprahyoid lymphadenopathy likely represents metastatic disease. 