180417-N-VK873-0031 PUERTO BARRIOS, Guatemala (April 17, 2018) Lt. Cmdr. Leah Spring removes a cyst from a Guatemalan patient's head in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and 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 2nd Class Kayla Cosby/Released)