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There is an abnormal enhancing mass centred upon the right larynx/hypopharynx.
Superior extent of the lesion extends from the right aryepiglottic fold, involving the paraglottic right space (without crossing the midline) and extending into the supraglottic larynx.
Inferior extent extends to right true cord with likely subglottic spread.
Maximal transverse diameter is 2.5 x 2.1 cm. There is abnormal soft tissue extending between the right arytenoid cartilage and thyroid cartilage.
There is abnormal bony sclerosis of the right thyroid, arytenoid and superior cricoid cartilage suggesting tumour involvement.This is better assessed on the MRI. The mass is difficult to separate from the longus coli muscle at the level of the hypopharynx.
- Necrotic node associated with the deep cervical chain 2.6 x 3.0 cm.
- Further abnormal node demonstrated within level five 1 cm. There is probable extra capsular spread of disease.
- There is a 2.5 x 2 .3 cm lymph node in the right supraclavicular region.
- There are multiple small contralateral left sided lymph nodes.