A Late Preterm Infant With Head and Neck Masses Noted At Delivery

### Prenatal and Birth Histories ### Presentation On delivery, a significant amount of exposed tissue is noted on the parietal-occipital scalp of the neonate (Fig 1). A significant amount of blood emerges from the tissue, which soaks the blankets in the delivery room. The neonate’s Apgar scores are 4, 5, and 7 at 1, 5, and 10 minutes, respectively. The lesion is covered with saline-soaked gauze and wrapped in a bandage roll. The infant is then transported to the referring hospital’s neonatal intensive care unit (NICU) for further management. Figure 1. Initial presentation of bleeding head mass. Figure 2. Initial presentation of small mass on the side of the neck. During the flight transport, the patient …