External ears normal, no lesions or deformities; external nose normal, no lesions or deformities; canals clear bilaterally, tympanic membranes intact with good movement, no fluid; hearing grossly intact bilaterally; nasal mucosa, septum, and turbinates normal; poor dentition and missing a few teeth on both sides of top and bottom but does not wear dentures, tongue normal, posterior pharynx without erythema or exudates. Neck is supple, no masses, trachea midline; no thyroid nodules, masses, tenderness, or enlargement