Question: A 4 year old girl develops a painful, violaceous lesion of her right check. Imaging reveals a cystic lesion within the parotid and neighboring lymph nodes with cystic degeneration. Her parents note that she is frequently outside playing in a sandbox unsupervised. What is the most likely diagnosis?

a) Sarcoidosis

b) Lyme disease

c) Cat-scratch disease

d) Nontuberculous mycobacterial infection

[Answer will be posted with next week's new question]

Answer to last week's question, “Ready to Pop” (April 11, 2022)

D - Enlarged ventricles.