Lymphangioma status post treatment. There are multiple cystic lesions in the right face, the parapharyngeal, carotid, masticator, parotid, buccal, submandibular, and submental spaces, as well as the floor of mouth and pterygopalatine fossa. There has been interval resection of the previously demonstrated nasopharyngeal components that protruded into the nasopharynx and oropharynx. Otherwise, some of the components have increased in size, such as the dominant component in the right cheek, which measures up to 43 mm, previously 35 mm. A fluid level in another component has resolved. Otherwise, some of the lesions contains septations and display peripheral enhancement. There is mild narrowing of the pharyngeal airway and mass effect upon the right submandibular and parotid glands. There is a cleft palate. The orbits and imaged intracranial structures appear to be grossly unremarkable, aside from mild prominence of the anterior cerebral subarachnoid spaces bilaterally.
1. Interval resection of the components of lymphatic malformation protruding into the nasopharynx and oropharynx, but increase in size of some of the components of in the right side of the face.2. Cleft palate.