Left tongue cancer: left otalgia and left tongue pain. There is an infiltrative left lateral oral tongue and floor of mouth tumor that measures up to approximately 40 mm, with mass effect or possible invasion of the left sublingual gland. There is no gross mandibular or geniohyoid muscle involvement and the tumor does not cross the midline. There is a heterogeneous left level 2A lymph node that measures 10 x 12 mm in axial section and a left level 3 lymph node that measures 10 x 15 mm in axial section. There is no significant right cervical lymphadenopathy. The thyroid, parotid, and submandibular glands are unremarkable. The orbits and imaged intracranial structures also appear unremarkable.
1. An infiltrative left lateral oral tongue and floor of mouth tumor that measures up to approximately 40 mm is compatible with squamous cell carcinoma.2. Left level 2 and 3 lymphadenopathy likely represent metastatic disease.