case_images: PMC8679042_01
case_images: Axial cut CT of right oropharyngeal neoplasm with right submandibular neck metastatic
  lymphadenopathy.
case_images: 10.1177_2050313X211065884-fig1.jpg
case_images: PMC8679042_01_10.1177_2050313X211065884-fig1.jpg
case_images: fig1-2050313X211065884
case_images: A computed tomography (CT) neck was performed that demonstrated a heterogeneous mass in the right submandibular space, consistent with a level 1B necrotic nodal mass and asymmetric enlargement in the right tonsil (Figure 1).
case_images: Recurrent exophytic nodule on dorsal tongue.
case_images: 10.1177_2050313X211065884-fig2.jpg
case_images: PMC8679042_01_10.1177_2050313X211065884-fig2.jpg
case_images: fig2-2050313X211065884
case_images: The patient returned approximately 6 weeks later with the similar exophytic nodule in the dorsal tongue, approximately 1 cm anteriorly to the previously noticed nodule (Figure 2).
case_images: Acute inflammation and benign vascular proliferation, representing granulation tissue
  (100x magnification), recurrent dorsal tongue nodule.
case_images: 10.1177_2050313X211065884-fig3.jpg
case_images: PMC8679042_01_10.1177_2050313X211065884-fig3.jpg
case_images: fig3-2050313X211065884
case_images: He was taken back to the operating room for excisional biopsy, which was consistent this time with granulation tissue without evidence of malignancy (Figure 3).