Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. Good afternoon,I am a survivor of Squmousa cell carcinoma of the tongue two years back.  Recently there are two neck lumps visible and MRI scans confirms the enlargements.  Is it a sign of metastates??? What should I do further to confirm it?
[|AI|]  Welcome to Chat Doctor .1. Possibilities of metastases can not be ruled out (in your case) without an FNAC - fine needle aspiration cytology of an enlarged lymph nodes.2. Generally lymph nodal enlargement is seen after local or systemic, infection or inflammatory cause. And ease off after treatment.3. You have done MRI - it would have given you the status of the old treated tongue malignancy. A computer tomography with contrast will help to see the status of previous malignancy.4. Get an ultrasound abdomen done - to see the status of liver and abdominal lymph nodal enlargement.5. Get an FNAC of lymph node for confirmation and treatment to commence. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.