Female, 25 years old, with history of prior oral surgery for recurrent tongue cancer status post neck dissection, with tongue soreness. Evaluate for tumor and neck adenopathy. Evidence of right hemiglossectomy and flap reconstruction is again seen. T2 hyperintense signal seen within the operative bed on the prior MRI has resolved, and the overall appearance of the tongue and postoperative changes is similar to that seen on more recent CT exams. No masslike lesion or definite pathologic enhancement is seen.Evidence of bilateral neck dissection is noted. No pathologic adenopathy is identified. Supraglottic mucosal edema is unchanged. Small nodules in the parotid glands are less conspicuous than on the prior MRI. The remaining salivary glands and thyroid are unremarkable. Bone marrow signal of the upper cervical spine reflects prior radiotherapy. Otherwise, marrow signal is within normal limits.
1.Findings are redemonstrated compatible with right hemiglossectomy and flap reconstruction with bilateral neck dissection.2.No definite evidence of any recurrent primary tumor or pathologic adenopathy is seen.