History of base of tongue cancer second primary, status post induction chemotherapy, evaluate response. Please see seen enhancing mass centered at the right lateral tongue base has decreased in size with suggestion of development of an ulceration in this region. The lesion measures up to 2 cm in diameter including the central ulcerated portion and 5 mm in thickness if measuring the peripheral enhancing tissue adjacent to the ulceration. Edema and enhancement extending posteriorly along the right lateral pharyngeal wall and glossotonsillar sulcus is similar in extent. No new lesions or new mass is appreciated. There is mild edema involving the supraglottic larynx consistent with post treatment change. Airway is patent. No significant cervical lymphadenopathy is appreciated.There are mild to moderate multilevel degenerative changes in the cervical spine with multiple disc osteophyte complexes without high-grade spinal canal stenosis. The imaged portions of the intracranial structures and orbits are unremarkable. Bone marrow signal is benign.
1. Compared to MRI dated 6/24/2016, there is suggestion of treatment response with mild decrease in size and development of ulceration at the site of the previously seen solid lesion centered at the right lateral tongue base.2. No significant cervical lymphadenopathy.