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A bulky, lobulated mass at the base of the tongue near the lingual tonsil with extension into the valleculae bilaterally (41 x 21mm).
A separate right faucial tonsil mass is present (16 x 12 mm) and involves the left faucial tonsil in direct continuation.
- large bilateral lymphadenopathy (jugular chains levels 2- 4). Right sided lymphadenopathy appears partially necrotic.
- probable right supraclavicular lymphadenopathy (partially imaged).