180406-N-UP035-0141 PUERTO BARRIOS, Guatemala (April 6, 2018) A Guatemalan patient shows Lt. Cmdr. Jason Souza a photo of his injury at Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)