MRI - Neck
Axial T2 fat sat
Coronal T2 fat sat
Axial T1
Axial T1 C+ fat sat
Coronal T1 C+ fat sat
Sagittal T1 C+ fat sat
A fairly well defined enhancing soft tissue mass is seen arising from the right tonsil, measuring 38 x 28 x 29 mm. The mass reaches the anterior and the posterior tonsillar pillars. The mass demonstrates a low signal on T1WI and a slightly high signal on T2WI's with mild homogeneous enhancement.
There is a right level II node that measures 42 mm in its greatest dimension, with cystic changes and heterogeneous enhancement.
Several other right cervical chain nodes (level III and level IV) are low volume but appear conspicuous compared to the left side, possibly indicating disease involvement.