Right pyriform sinus mass (27 x 28 x 19 mm).
Inferior extension into the right true vocal cords with subglottic spread.
Tumour also extends into the right superior aspect of the cricoid cartilage.
The right vocal cord is midline and correlates to it being fixed on examination.
Anteriorly extension into the right paraglottic fat only.
Laterally it invades into the thyroid cartilage with abnormal enhancement present in the right strap muscles. Posterior to the thyroid cartilage enhancing tissue is seen to extend into the right nodal mass.
Medially it extends into the right aryepiglottic fold.
The mass causes marked mass effect with severe narrowing of the vestibule.
Lymphadenopathy:
- Right neck nodal mass present 30 x 31 mm. Enhancement extends outside the lymph node capsule consistent with extracapsular spread. The right internal jugular vein is compressed by the mass.
- Right level III nodes
- Right supraclavicular lymph node
- Right level I lymph nodes
- Left level II node
