functional without caries. The hypopharynx and larynx were examined via indirect mirrorlaryngoscopy. There were no masses or lesions noted. The true vocal folds were fully mobilebilaterally. Palpation of the neck revealed a 5 cm supraclavicuiar mass. She has a healedright neck incision, with right marginal mandibular weakness. Trachea is midiine. Carotid pulsesare symmetric. Cranial nerve examination (li-Xil) was intact. Facial. sternocleidomastoid, andtrapezius muscle strength was intact. Palpation of the salivary glands reveals no parotid orsubmandibular gland masses. There were no abnormal skin lesions throughout the head andneck.