18-FDG PET-CT was performed for pancreatic lesion staging. There is asymmetric, moderate to intense, FDG uptake present in the left base of the tongue region, associated with mild partial effacement of the left epiglottic vallecula on the low-dose CT. There is also mildly asymmetric moderate uptake in the left palatine tonsil. Clinical correlation and direct visualisation with a possible biopsy are recommended. Left tonsil SUVmax 7.6.