Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Oral Cavity Anatomy
7 topics, 29 min.
Lesson
Oral Cavity Staging of Squamous Cell Malignancy
18 topics, 1 hr. 26 min.
Principles of T Staging of Oral Cavity Squamous Cell Malignancy
4 m.Principles of N and M Staging of Oral Cavity Squamous Cell Malignancy
6 m.Diagnosis of Oral Tongue Squamous Cell Malignancy
6 m.T Staging of Oral Tongue Squamous Cell Malignancy
6 m.N and M Staging of Oral Tongue Squamous Cell Malignancy
5 m.Diagnosis of Buccal Mucosal Squamous Cell Malignancy
4 m.T Staging of Buccal Mucosal Squamous Cell Malignancy
3 m.N and M Staging of Buccal Mucosal Squamous Cell Malignancy
3 m.Diagnosis of Alveolar Mucosal Squamous Cell Malignancy
7 m.T Staging of Alveolar Mucosal Squamous Cell Malignancy
6 m.Diagnosis of Retromolar Trigone Squamous Cell Malignancy
6 m.T Staging of Retromolar Trigone Squamous Cell Malignancy
5 m.Diagnosis of Hard Palate Squamous Cell Malignancy
4 m.T Staging of Hard Palate Squamous Cell Malignancy
4 m.Diagnosis of Floor of Mouth Squamous Cell Malignancy
9 m.T Staging of Floor of Mouth Squamous Cell Malignancy
6 m.N and M Staging of Floor of Mouth Squamous Cell Malignancy
5 m.Marrow Infiltration and Perineural Infiltration in the Oral Cavity
5 m.Lesson
Lymph Node Levels of the Neck
7 topics, 24 min.
Lesson
Oropharynx
21 topics, 1 hr. 9 min.
Anatomy and Boundaries of the Oropharynx
4 m.Anatomy of the Tongue Base
4 m.Anatomy of the Palatine Tonsil
4 m.Anatomy of the Soft Palate
3 m.Anatomy of the Posterior Oropharyngeal Wall
3 m.Oropharyngeal SCC of the Base of Tongue
4 m.Oropharyngeal Carcinoma: Nodal Drainage and Differential Dx
5 m.Staging Oropharynx Cancer, T-staging
4 m.Staging Oropharynx Cancer, N-Staging
6 m.Oropharynx - Base of Tongue SCC: T-Staging
3 m.Base of Tongue Oropharyngeal Carcinoma, N & M Staging
3 m.Oropharynx - SCC of the Palatine Tonsil
4 m.Oropharynx - Palatine Tonsil SCC: Paths of Spread
5 m.Oropharynx - Lymphadenopathy and HPV-Related SCC
3 m.Oropharynx - Palatine Tonsil SCC - T Staging
4 m.Oropharynx - Palatine Tonsil SCC - N/M Staging
4 m.Oropharynx - SCC of the Soft Palate
3 m.Oropharynx - SCC: Paths of Spread and Differential Dx
4 m.Oropharynx - Soft Palate SCC: Nodal Drainage
2 m.Oropharynx - Soft Palate SCC - TNM Staging
3 m.Oropharynx - Base of Tongue Mucoepidermoid Carcinoma
5 m.Lesson
Hypopharynx
18 topics, 56 min.
Hypopharynx anatomy
4 m.Hypopharynx - The Piriform Sinus Anatomy
5 m.Hypopharynx - The Postcricoid Space Anatomy
4 m.Hypopharynx - The Posterior Hypopharyngeal Wall Anatomy
5 m.Hypopharynx - Piriform Sinus SCC
5 m.Hypopharynx - Piriform Sinus Carcinoma - Local Spread
4 m.Hypopharyngeal SCC - Nodal Drainage
3 m.Hypopharyngeal SCC - Differential Dx
2 m.Hypopharyngeal Carcinoma - T Staging
3 m.Hypopharyngeal SCC - N Staging
3 m.Hypopharynx - Piriform Sinus SCC - T Staging
5 m.Hypopharynx - Piriform Sinus SCC - N/M Staging
4 m.Hypopharynx - Postcricoid Space SCC
4 m.Hypopharynx - Postcricoid Space SCC - Local Spread
4 m.Hypopharynx - Postcricoid SCC - Differential Diagnoses
2 m.Hypopharynx - Postcricoid Space SCC: T Staging
3 m.Hypopharynx - Postcricoid Space SCC - N/M Staging
3 m.Hypopharynx - Changes in AJCC Staging Guidelines
4 m.Lesson
Larynx
18 topics, 1 hr. 3 min.
Larynx Anatomy
5 m.Larynx Anatomy: Supraglottic, Glottic, and Subglottic Sites
9 m.The Supraglottic Larynx
4 m.The Glottic Larynx.
3 m.The Subglottic Larynx
3 m.Laryngeal SCC - T Staging
7 m.Laryngeal SCC - Cartilage Invasion
4 m.Laryngeal SCC: Local and Nodal Extension
4 m.Supraglottic SCC- Differential Diagnoses
3 m.Laryngeal SCC: Glottic Origin
5 m.Larynx - Glottic SCC: Patterns of Local Spread
4 m.Laryngeal SCC of the Subglottis
3 m.Larynx - Subglottic Carcinomas: Patterns of Spread & Differential Dx
3 m.Laryngeal SCC: T Staging
4 m.Larynx - Glottic SCC: T Staging
3 m.Laryngeal SCC: N Staging
2 m.Glottic SCC: T Staging
4 m.Laryngeal SCC: N and M Staging
3 m.Lesson
Sinonasal
5 topics, 14 min.
Lesson
Perineural Tumor Spread
3 topics, 16 min.
0:01
Hello, everyone.
0:02
Dr. Sidney Levy here, continuing our
0:04
discussion of the diagnosis and staging
0:06
of oropharyngeal squamous cell malignancy.
0:10
This is our sample right palatine tonsillar
0:12
malignancy, which we've been looking at.
0:15
And I would like to discuss how these
0:17
tumors drain to regional lymph nodes.
0:20
Palatine tonsillar tumors have a
0:22
tendency to drain to the ipsilateral or
0:25
sometimes bilateral level 2 lymph nodes.
0:29
As these tumors may be human papillomavirus
0:33
positive or negative, the morphology
0:35
of lymph nodes can change as well.
0:38
If the tumor is a human papillomavirus positive
0:41
tumor, the morphology tends to be more cystic,
0:44
whereas if it's negative,
0:46
then it tends to be more solid and heterogeneous.
0:50
If there is a cystic lymph node in this region of the
0:52
neck, it's very important, uh, not to mistake it for
0:56
a benign second branchial cleft cyst in the adult.
1:01
And sometimes, quite often, it is necessary to sample
1:05
the lymph node to confirm whether it is indeed a
1:09
necrotic cystic lymph node or a benign branchial
1:13
cleft cyst, as the two can look quite similar.
1:17
In human papillomavirus positive disease, sometimes
1:20
the lymph node will be the first indication
1:23
that there is in fact a palatine tonsillar tumor,
1:24
as the primary tumour may be too small
1:29
to appreciate either clinically or on imaging.
1:33
So it's very important that if there is an isolated
1:36
lymph node within the neck, particularly in the
1:39
region of level 2, that it be fully investigated
1:43
to exclude a nodal metastasis and not dismissed
1:46
as a benign second branchial cleft cyst.
1:50
It is worth noting that the patient demographic
1:53
for human papillomavirus positive disease is
1:58
younger and often not associated with traditional
2:02
risk factors such as smoking or alcohol.
2:05
So you may have patients in their thirties who
2:07
present with an isolated level 2 lymph node.
2:11
which is cystic or necrotic.
2:13
And this needs to be fully investigated, not dismissed
2:18
as a brachial cleft cyst, and a thorough search
2:21
needs to be made for a primary tumor in the tonsillar
2:26
region, which may be subcentimeter or even smaller.
Oropharynx - Lymphadenopathy and HPV-Related SCC
HIDEInteractive Transcript
0:01
Hello, everyone.
0:02
Dr. Sidney Levy here, continuing our
0:04
discussion of the diagnosis and staging
0:06
of oropharyngeal squamous cell malignancy.
0:10
This is our sample right palatine tonsillar
0:12
malignancy, which we've been looking at.
0:15
And I would like to discuss how these
0:17
tumors drain to regional lymph nodes.
0:20
Palatine tonsillar tumors have a
0:22
tendency to drain to the ipsilateral or
0:25
sometimes bilateral level 2 lymph nodes.
0:29
As these tumors may be human papillomavirus
0:33
positive or negative, the morphology
0:35
of lymph nodes can change as well.
0:38
If the tumor is a human papillomavirus positive
0:41
tumor, the morphology tends to be more cystic,
0:44
whereas if it's negative,
0:46
then it tends to be more solid and heterogeneous.
0:50
If there is a cystic lymph node in this region of the
0:52
neck, it's very important, uh, not to mistake it for
0:56
a benign second branchial cleft cyst in the adult.
1:01
And sometimes, quite often, it is necessary to sample
1:05
the lymph node to confirm whether it is indeed a
1:09
necrotic cystic lymph node or a benign branchial
1:13
cleft cyst, as the two can look quite similar.
1:17
In human papillomavirus positive disease, sometimes
1:20
the lymph node will be the first indication
1:23
that there is in fact a palatine tonsillar tumor,
1:24
as the primary tumour may be too small
1:29
to appreciate either clinically or on imaging.
1:33
So it's very important that if there is an isolated
1:36
lymph node within the neck, particularly in the
1:39
region of level 2, that it be fully investigated
1:43
to exclude a nodal metastasis and not dismissed
1:46
as a benign second branchial cleft cyst.
1:50
It is worth noting that the patient demographic
1:53
for human papillomavirus positive disease is
1:58
younger and often not associated with traditional
2:02
risk factors such as smoking or alcohol.
2:05
So you may have patients in their thirties who
2:07
present with an isolated level 2 lymph node.
2:11
which is cystic or necrotic.
2:13
And this needs to be fully investigated, not dismissed
2:18
as a brachial cleft cyst, and a thorough search
2:21
needs to be made for a primary tumor in the tonsillar
2:26
region, which may be subcentimeter or even smaller.
Report
Description
Faculty
Sidney Levy, PhD, MBBS
Radiologist and Nuclear Medicine Specialist
I-MED
Tags
Oral Cavity/Oropharynx
Neuroradiology
Neuro
Neoplastic
MRI
Head and Neck
© 2026 Medality. All Rights Reserved.
