21-year-old female with C2 -- C3 neurofibroma. Preplanning for surgical resection. Images through the skull base including cavernous sinuses are unremarkable. Calcific and atrophic right globe is noted. Paranasal sinuses and mastoid air cells are unremarkable.Images through the soft tissues of the neck demonstrate a very large non-enhancing mass on the right side of the neck measuring approximately 37 mm in transverse axials and 26-mm in AP axis (axial image 49). This mass extends into the right C3 -- C4 neural foramina with significant expansion and remodeling of the bone. There is also extension of mass into the vertebral body of C4 as well as C4 -- C5 neural foramina which also demonstrates significant expansion. There is suggestion of significant extension of mass into the spinal canal at C3 -- C4 and C4 there C5 the findings are consistent the patient's known neurofibroma. Multiple additional small nonenhancing masses consistent with patient's known neurofibromatosis is also noted. None of these lesions demonstrate any significant enhancement.These findings are better visualized on MRI examination of soft tissues of the neck.
Findings consistent with neurofibromatosis as detailed above.