Status post plexiform neurofibroma decompression: 3 month postoperative evaluation. There are postoperative findings related to thoracotomy with excision of the left chest wall plexiform neurofibroma and lower cervical spinal canal plexiform neurofibroma debulking and laminoplasty. There is new kyphotic deformity of the cervicothoracic junction with associated spinal canal narrowing and slight indentation upon the spinal cord, which otherwise appears to maintain normal signal characteristics. Otherwise, there is no significant interval change in size of the residual transpatial tumor in the left neck and upper chest, with extension of tumor in to the left neural foramina from C5 to T5, as well as extension into the left spinal canal at C7-T1, resulting in mild spinal canal stenosis. There is an unchanged lesion in the right T6-7 neural foramen without extension into the spinal canal. There are several lesions in the posterior intercostal spaces at multiple levels, which may represent additional nerve sheath tumors.
1. Postoperative findings related to thoracotomy with excision of the left chest wall plexiform neurofibroma and lower cervical spinal canal plexiform neurofibroma debulking and laminoplasty, with new kyphotic deformity of the cervicothoracic junction with associated spinal canal narrowing and slight indentation upon the spinal cord, which is suggestive of instability.2. No significant interval change in size of the residual transpatial tumor in the left neck and upper chest, with extension of tumor in to the left neural foramina from C5 to T5, as well as extension into the left spinal canal at C7-T1, resulting in mild spinal canal stenosis. There is an unchanged lesion in the right T6-7 neural foramen without extension into the spinal canal. Please refer to the separate chest MRI report for additional details.3. Several lesions in the posterior intercostal spaces at multiple levels, which may represent additional nerve sheath tumors.Discussed with Dr. Frim at 12:55 PM on 9/16/15.