ANAMNESIS / SYMPTOMS:
A patient underwent radiochemotherapy because of a carcinoma of the right side of the tongue 6 months ago. Now he suffers from a persisting pain in the former resection area.


FINDINGS:
On the sonogramm an assymetry between left and right half of the tongue is clearly visible. In the area of the right half of the tongue hyperechoic reflections following on hypoechoic alterations are visualized. The muscles of the oral diaphragm are discernible.


DIAGNOSIS:
The patient is suspected of suffering from a radiation-induced ulcer after resection and radiochemotherapy of a carcinoma of the tongue.


DIFFERENTIAL DIAGNOSIS:
Relapse of the tumour