Newly diagnosed oral tongue squamous cell carcinoma: right middle tongue tumor, leukoplakia on right buccal mucosa, odynophagia, otalgia, unintentional weight loss. There is an infiltrative mass in the right oral tongue with extension into the root of the tongue, into the base of tongue, and across the midline. The mass measures up to approximately 5.5 cm. There is a partially cystic right level 2A lymph node that measures 10 x 13mm in axial cross-section. Other lymph nodes in the neck are not particularly enlarged, although a few left suprahyoid lymph nodes appear to be slightly heterogeneous. The salivary glands are unremarkable. There is a fluid level in the right maxillary sinus. There is multilevel degenerative spondylosis. The orbits are unremarkable.
1. Findings compatible with invasive squamous cell carcinoma the right oral tongue with extension into the root of the tongue, into the base of tongue, and across the midline. 2. A partially cystic right level 2A lymph node likely represents metastatic disease. Other lymph nodes in the neck are not particularly enlarged, although a few left suprahyoid lymph nodes appear to be slightly heterogeneous, which is nonspecific. 3. Findings suggestive of acute sinusitis. 