07/01/2026
UPDATE .... and then an explanation haha.
MR ORBIT FACE NECK W WO CONTRAST
INDICATION: tongue VM, also eval neck, has chronic cough
TECHNIQUE: Multiplanar multisequence MR imaging was performed through the face before and after the intravenous administration of contrast.
COMPARISON: 05/20/2019
FINDINGS:
The lobulated, cystic-appearing mass spanning the superior aspect of the posterior tongue is overall mildly decreased in size since 2019, predominantly owing to decreased size of the posterior central microcystic components. At the moment there is no visible fluid fluid level. Several small phlebolith are present. With contrast, there is diffuse enhancement that appears increased from prior. The lesion measures 2.1 x 3.7 x 2.4 cm, previously 2.6 x 3.7 x 1.8 mm (AP x TR x CC). Increased craniocaudal dimension is favored to reflect upward deflection of the central tongue, resulting in elevation of the central component and craniocaudal elongation of the lesion. No new component is identified.
There is similar nonspecific T2 hyperintense signal within the mid cerebellar hemispheres.
There are few small, scattered, benign appearing neck lymph nodes. The thyroid gland and major salivary glands are normal in appearance.
The major neck vessels and airway appear unremarkable. The visualized major intracranial vessels appear patent.
No definite abnormality is seen in the visualized portions of the orbits.
The visualized portions of the middle ear cavities, mastoid air cells, and paranasal sinuses are clear.
There is no definite abnormality in the visualized lung apices.
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Impression
IMPRESSION:
Overall slightly smaller lobulated, cystic-appearing mass within the superior aspect of the posterior tongue, predominantly reflecting decreased size of the posterior midline microcystic component. Enhancement is increased.
Electronic Signature by: Christina White; Authenticated signature date and time: 6/28/2026 3:50 PM; Reviewed and Interpreted by Attending Radiologist:
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