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CT axial image shows (A) left tonsillar fossa SCC (yellow arrow) and (B) metastatic left level II node showing capsular irregularity and surrounding fat stranding (yellow arrow), representing extranodal extension. (C) CT axial image shows an ill-defined mass involving the aryepiglottic fold (yellow elbow arrow). Metastatic left level II node with gross muscle invasion represents extranodal extension (yellow arrow).
