Congenital lymphangioma status post sclerotherapy. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. 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. The skull and scalp soft tissues are grossly unremarkable.Face: There is a large multicystic trans-spatial right face mass with a hemorrhage level in a right parapharyngeal cystic compartment that measures up to 17 mm, increase in size of a dominant right oral cavity cystic component that measures up to 35 mm, but decrease in size of the nasopharyngeal cystic components, measuring up to 25 mm. The submental region cystic component are similar in size and there is an unchanged heterogeneously fatty component in the left nasal and oral cavity that measures up to approximately 25 mm. There is associated deformity of the mandible and a cleft palate. There is persistent effacement of the upper pharyngeal airway, which is otherwise intubated.Neck: There is no significant cervical lymphadenopathy. The salivary glands are unchanged. The thyroid gland is unremarkable. The cervical spine appears to be intact.
1. Multicystic trans-spatial right face lymphatic malformation with recent hemorrhage in a right parapharyngeal cystic compartment, increase in size of a dominant right oral cavity cystic component, but decrease in size of the nasopharyngeal cystic components.2. Cleft palate, which is better depicted on the prior CT.3. No evidence of acute intracranial hemorrhage, mass, or acute infarct.