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Abnormal enhancing mucosal thickening centred on the left piriform sinus extends along the aryepiglottic fold as well as the posterior wall of the hypopharynx. This extends anteriorly in the paraglottic space along the inner surface of the left thyroid cartilage but no convincing thyroid cartilage infiltration is identified.
Cervical nodes are <10 mm in short axis but are asymmetrically enlarged on the left, with a left level III showing central non-enhancement.