Primary right palatine tonsil tumour, approximately 30 mm in size.
Predominantly necrotic right 2A node (43 mm long axis). Further asymmetric right 1B node (adjacent to the herniated sublingual gland) appears to have lost normal hilar architecture and is slightly rounded - possibly also pathological.
No contralateral nodal disease.
Signal abnormalities in the facial tissues along the jawline and nasolabial folds bilaterally - best seen as high T2w signal - compatible with cosmetic filler.