History of the present illness

This is a 58-year-old male who was completely unaware of a large swelling in the posterior tongue (Figure 1). The swelling was of unknown duration. It was soft in consistency and was well demarcated per radiographic imaging (Figure 2). The patient's dentist noticed the swelling and recommended that it be evaluated.

Figure 1 This is a clinical photograph as the patient first presented to the Swedish Hospital. Note the large, smooth surfaced and deep swelling in the posterior tongue.

Figure 2 This is a CT scan in soft tissue window image demonstrating a well circumscribed soft tissue lesion in the posterior tongue.