Lymphangioma status post treatment. Sepsis concern for meningitis. Neck: 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 appear to be grossly unremarkable, aside from mild prominence of the anterior cerebral subarachnoid spaces bilaterally.Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact.
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.3. No evidence of intracranial abscess.