Most of what is on this report is not consequential. The guys that read these things are obligated to comment on EVERYTHING regardless of significance. It is all about covering the asses in case of a law suit if they miss something. So even the most common thing like a palatine torus which half the American population has, and is nothing but a boney growth that you may have had all your life, is mentioned. That you have a thickening of the tissues of your sinus and simultaneously some enlarged nodes in your neck are tied together. That doesn't mean cancer for sure, it could be any infectious process impacting your sinus and draining to the nodes which is the way it is supposed to work. Degenerative spinal issues, again common as people age. Mine is trashed from a life of playing hard and working hard and I always have the same findings.

I wouldn't trust a GP to take this any further, and the one you have telling you this is not good, isn't helpful, nor possibly even accurate. So when you pick your ENT be sure to get one that does head and neck surgery. There are 4 year ENT's who see mostly kids with strep throat and ear aches, and you have 6 year ENT's that go on with a couple years more of education, and a couple of internship to become head and neck surgeons. The second is they type you need to see, they see lots of oropharyngeal cancers. A phone call to the office should establish which you have. You need to have him do a simple fine needle biopsy of the enlarged nodes. This is to determine what is in them that is making them swell, it could be nothing more than the detritus of an infection or something worse like a metastasis of a cancer starting on the base of your tongue. From this scan it is impossible to know. But it is a simple process. If you can feel those enlarged nodes in your neck yourself, determine if they are tender (sensitive or painful) to the touch. That will tell you a lot. A surgical ENT can also take a small biopsy of the tissue on the base of your tongue and get a pathologist to look at it. This is to eliminate or confirm a cancer forming there. Again this is a simple procedure and you will get back a gold standard, black and white answer as to what this is.

The only thing in the whole deal that I would want to know more about is the thickening on the base of your tongue and the thickening, probably real near it in your oropharynx, likely right next to that. Have you had any difficulty swallowing, or the sensation that things are sticking in your throat when you swallow? Is swallowing painful at all, have you have any chronic sore throat, or hoarseness? Have you had an ear ache on that same side for a while? These are all symptoms that you should comment on to your new doctor.

Also you don't comment on how long you have had these symptoms, and what took you to the doctor in the first place. What brought this to your attention enough to go have things checked out? Good luck on the 16th, hope this give you some things to think about and ask the doc about.