- Posterior right exophytic oropharyngeal mass (27 x 13 x 23 mm) demonstrates homogenous enhancement.
- Abnormal enhancing tissue extends into the epiglottis, across the midline and into a T2 hyperintense region, which lies in the left epiglottis fold and valleculae.
- No pre-epiglottic space involvement. No bony invasion.
- The uvula is prominent ? tumor or venous congestion.
- Left internal carotid flow void is lost consistent with occlusion.
- Lymphadenopathy
- Right neck enhancing necrotic nodal mass present (56 x 28 x 64mm). Probable extracapsular spread. It contacts the left jugular vein and compresses/invades it but flow is seen distally and convincing evidence of thrombosis present.
- Right level Ib
- Other tiny bilaterally scattered lymph nodes not suspicious on size criteria.