Mass in left side of hard palate. History of neurofibromatosis type 1. There is a nodular, enhancing, exophytic lesion in the left hard palate region that measures up to 23 mm in width and 8 mm in thickness. There are numerous, generally subcentimeter skin lesions, which likely represent neurofibromas. A cluster of T2 hyperintense enhancing nodules in the left supraclavicular region also likely represent neurofibromas. There are partially-imaged postoperative findings in the upper back dermal tissues. There is no significant cervical lymphadenopathy. The major salivary glands are unremarkable. There is a subcentimeter left thyroid cyst. There is mild multilevel degenerative cervical spondylosis. There appear to be multiple dental caries and periodontal inflammation. The imaged portions of the orbits and intracranial structures are unremarkable.
A left hard palate region mass may represent a peripheral nerve sheath tumor in the setting of neurofibromatosis type 1. Alternative potential differential considerations include a pyogenic granuloma and minor salivary gland neoplasm.