12-year-old female with neurofibromatosis type I, evaluate for change in tumor. Left humerus:Again noted is large plexiform neurofibroma coursing inferiorly, predominantly in the posterior aspect of the arm, overall appearing similar to prior exam from 1/29/2014 in length and transverse diameter relative to the growth in humerus size. Scattered plexiform neurofibromas in the soft tissues of the left neck and the left upper arm are unchanged.Left forearm:Again noted is large plexiform neurofibroma coursing along the posterior ulnar aspect of the forearm, appearing similar in length and transverse diameter and compared to prior exam given the change in bone size. Scattered plexiform neurofibromas in the soft tissues are unchanged.
1.Redemonstration of large proximal plexiform neurofibroma involving the left posterior arm and ulnar aspect of the forearm, with no significant changes as compared to prior exam.2.Multiple small plexiform neurofibromas in the soft tissues of the left neck, upper arm and forearm are not significantly changed.