Christy, It means there is evidence of tumor possibly extending into the maxilla or upper structure of the mouth, together with regional abnormal lymph nodes including nodes on the opposite side.

As to your question about good or not, leave that to the experts that fix this kind of thing. Certainly this is not as good as if the scan was "normal" but then you knew the tumor was there before.

Don't give up yet.

Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.