Female, 37 years old, history of neurofibromatosis type I with back pain. Thoracic:An area of plaque-like enhancement spanning the right lateral aspect of the vertebral bodies and T10 and T11 is seen. This enhancing tissue enters the right T10-11 neural foramen but does not frankly invade the spinal canal.A small STIR hyperintense nodule along the left anterior paraspinal tissues at T1 is of uncertain significance. Likewise, a tiny STIR hyperintense nodule posterior to the left kidney at the T12 level is of uncertain significance.No other large or significant paraspinal, foraminal or intracanalicular masses are identified in the thoracic region. The visualized spinal cord is unremarkable.Spinal alignment is anatomic. Vertebral body morphology is within normal limits. No worrisome marrow signal replacement or enhancement is detected.Minimal degenerative disc disease is seen at T10-11. No significant spinal canal or neuroforaminal stenosis is identified.Lumbar:No convincing evidence of any paraspinal, foraminal or intracanalicular mass is seen. The visualized conus and cauda equina are unremarkable.Spinal alignment is anatomic. Vertebral body morphology is within normal limits. No worrisome marrow signal replacement or enhancement is detected.Mild facet arthropathy is evident most notably affecting L3-4 and L4-5. Mild degenerative disc disease is seen with loss of disc T2 signal at lower lumbar levels. No significant spinal canal or neuroforaminal stenosis is detected.
1.Plaque-like soft tissue thickening along the right aspect of the T10 and T11 vertebral bodies, with involvement of the intervening neural foramen, is suspicious for the presence of a neurofibroma.2.Small paraspinal nodules in the thoracic region as above are of uncertain significance and could represent lymph nodes or neurofibromas.3.No definite evidence of any neurofibroma is seen in the lumbar region.4.No areas of significant spinal canal or neuroforaminal stenosis are detected.