The mass has been present for about 3 months and has progressively enlarged and become tender.
Physical examination reveals no abnormalities of the oral cavity or oropharynx.
An FNAB was performed at his initial clinic visit. Following the immediate interpretation, a MRI of the head and neck was performed and showed no abnormalities of the brain, paranasal sinuses, or orbits. The radiologic interpretation of the neck mass was necrotic neck lymph nodes.