Neurofibromatosis type 1 presenting with back pain. Evaluate for tumor. The lack of intravenous contrast limits evaluation of small lesions.Cervical spine:The vertebral body and intervertebral disc heights are maintained. There is straightening of the cervical lordosis which is likely positional. Mild scalloping of the posterior cervical vertebrae secondary to dural ectasia. No bone marrow signal abnormalities.The spinal cord is normal in morphology and signal throughout. No masses are identified. No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.Thoracic spine:The vertebral body and intravertebral disc heights are maintained. The alignment is anatomic. No bone marrow signal abnormalities.The spinal cord is normal in morphology and signal throughout. No masses are identified. No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.Lumbar Spine:The vertebral body and intravertebral disc heights are maintained. The alignment is anatomic. No bone marrow signal abnormalities. No fracture is evident.The spinal cord is normal in morphology and signal throughout. The conus medullaris terminates at the mid L2 level. No masses are identified. No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.
Essentially normal MR spine. No neurofibromas or plexiform tumors are identified. No findings to account for the patient's lumbar back pain.