Left parotid fullness, hx of tongue cancer. PER EPIC note: revision left partial glossectomy on 1/28/2016 for microinvasive SCC/severe dysplasia with positive margins from surgery on 12/22/2015 in an outside hospital. Wife notes left parotid fullness today, states that the fullness was present prior to surgery. The left parotid tail is longer than on the right side, but there is no discernible tumor or associated inflammatory changes. The masticator spaces are unremarkable. The submandibular glands are also unremarkable. There are postoperative findings related to left partial glossectomy, but there is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid is unremarkable. There is multilevel degenerative cervical spondylosis. The airways are patent. The imaged intracranial structures are unremarkable.
1. The left parotid tail is longer than on the right side, but there is no discernible tumor or associated inflammatory changes. This may represent an anatomic variant versus much less likely neoplasm. 2. No evidence of measurable oral tongue tumor.