The patient has a right tongue carcinoma after external sampling. Histologically G3. There is an exophytic superficial mass on the tip of the tongue/edge of the tongue on the right. The ultrasound examination showed a cN0 neck status with a lymph node level Ib on the right that was worth checking. The tumor could not be visualized in the CT scan due to its superficiality and dental artifacts. No lymph node metastases. An unclear multiple sclerosis in the processus spinosus of BWK 1 is described, here DD osteoma, DD osteoplastic metastasis and scintigraphic correlate recommended. Based on the medical history and clinical findings, indication for the above-mentioned procedure. No toxins.