what I meant by "front to back"
Often MRIs are done of the Cspine looking especially at the vertebral bodies (bones) and discs. When done on cancer patients they are be done with attention (highest resolution to be sure not to miss areas of interest) from the front of the neck--thyroid and lymph nodes, through the middle of the neck-- trachea and esophagus, with areas through which the recurrent laryngeal nerve passes, as well as the "back" vertebral bodies, discs, spinal cord and ligament.
Other things can make one "hoarse" including reflux into the esophagus, the famous "GERD', nodules on the vocal cord, etc. So having the ENT exam is the right way to go--not everything in a cancer patient is cancer (or cancer-related due to problems resulting from treatment). An ENT should be the best person to sort things out.
I hope Strategic planning speeds things up!
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