In the patient, a squamous cell carcinoma in the area of the left soft palate on the anterior surface was confirmed externally by histology. Sonography shows a roundish nodus on the left in level II, but only 5 mm, therefore cN1 neck status is possible in principle. The primary tumor cannot be delineated on computed tomography; there are unspecific, most likely reactive, enlarged lymph nodes on both sides, no evidence of lung metastases. There is therefore now an indication for the above-mentioned operation.