Male, 34 years old, with neurofibromatosis type I with paraspinal and chest masses. Chronic findings related to prior surgery for tumor debulking at C2-3 and C6-7 are redemonstrated without significant interval change.Residual bilateral foraminal tumors show no significant interval change from the prior exam. At some levels, for example C1-2 bilaterally and C2-3 on the right, some degree of spinal canal encroachment by these tumors does persist. The degree to which they narrow the spinal canal is unchanged and mild.Areas of ill-defined T2 hyperintensity remain evident within the spinal cord at C2-3 and C3-4. More circumscribed T2 hyperintensity is demonstrated within the cord at the C6 and C7 levels. Findings are unchanged and are favored to reflect areas of cystic degeneration and myelomalacia from prior cord compression or injury.The cervical lordosis is reversed similar to prior. Spinal alignment is otherwise unremarkable. Vertebral body height and marrow signal characteristics are within normal limits.Cervical spondylosis remains evident at lower levels, most notably C5-6 where there is a mild spinal canal stenosis.Numerous subcutaneous and paraspinal masses are also redemonstrated without significant interval change.
1.Redemonstration of prior surgical findings in the cervical spine for tumor debulking.2.The overall size and distribution of residual foraminal neurofibromas is unchanged with stable mild encroachment upon the spinal canal at some levels.