History of neurofibromatosis with known paraesophageal neurofibroma, evaluate for any change in size. There is no significant interval change in size of the well-defined and mildly lobulated, heterogeneously enhancing mass in the left tracheoesophageal groove region, measuring 24 x 34 mm in axial section, previously 24 x 34 mm as well. There is associated compression of the left internal jugular vein. There is a nodular enhancing lesion posterior to this mass, which measurers 7 x 12 mm in axial section. There is an enhancing right upper thoracic paraspinal and intercostal mass that measures 24 x 28 mm in axial section. There is an enhancing nodular lesion in the left lower face subcutaneous tissues, which measures 11 x 16 mm in axial section. There is a partly imaged enhancing nodular in the left occipital scalp and multiple smaller nodules elsewhere in the scalp, face, and neck subcutaneous tissues. There are partly imaged postoperative findings in the thoracic spine. There is no significant lymphadenopathy in the neck. The thyroid and salivary glands are unremarkable. There is diffuse enlargement of the optic nerves, each measuring up to 9 mm in width. The cerebellar tonsils are mildly low lying. There is a peripherally enhancing periapical cystic lesion in the right maxillary molar region that measures up to 18 mm. There is mild mucosal thickening in the right maxillary sinus.
1. No significant interval change in size of the neurofibroma in the left tracheoesophageal groove region. Multiple other neurofibromas are also present elsewhere in the head, neck, and imaged upper chest regions.2. Bilateral optic gliomas.3. A peripherally enhancing periapical cystic lesion in the right maxillary molar region may represent a dental abscess or inflamed odontogenic cyst.