chest x-ray of my husband and here's the result: suspicious densities are seen in the right apex. Apicolordoticd view is suggested. Hypertrophic changes are seen in the thoracic spine (dorsal spondylosis). Chest x-ray is needed before RT procedure as per dr.'s. advise as a result of buccal mass, left la. neck mass biopsy. Pathologic diagnosis: Buccal Mass Punch biopsy - Squamous cell carcinoma, moderately differentiated. Left Lateral Neck mass - fine needle aspiration biopsy - Cytomorphologic findings consistent with metastatic carcinoma. How serious is his case?