Neurofibromatosis type I. Neck pain. CERVICAL SPINE: There is sagittal straightening of the cervical spine and disc desiccation. There is mild disc height loss at C5-C6. The vertebral bodies are preserved in height and there is no suspicious marrow focal lesion. The spinal canal is preserved other than small indentations by degenerative changes at C5-C6 and C6-C7 as described below. The cervical and upper thoracic spinal cord is unremarkable.C2-C3, C3-C4 and C4-C5: There is no spinal canal or significant foraminal stenosis. There is mild right C4-C5 uncovertebral arthropathy.C5-C6: There is small disc-osteophyte complex but no significant spinal canal stenosis. Uncovertebral and, to a lesser extent, facet arthropathy results in mild-to-moderate left worse than right neural foraminal stenosis.C6-C7: There is minimal central disc protrusion and mild ligamenta flava thickening but no significant spinal canal stenosis. Also, there is no neural foraminal stenosis.C7-T1: There is no spinal canal or foraminal stenosis.NECK:In addition to small lymph nodes on both sides of the neck, which are not enlarged by size criteria, there are small T2-hyperintense nodules in the dorsal subcutaneous tissues which may represent small neurofibromas. There is no definite enlargement of the cervical nerve roots. The thyroid gland and the major salivary glands are unremarkable. The airway is preserved. There is trace anterior ethmoid mucosal thickening. The mastoid air cells are clear. The orbits are unremarkable. The included part of brain is unremarkable as well.
1.Mild degenerative disease of cervical spine but no significant spinal canal and only mild-to-moderate, left more than right, C5-C6 neural foraminal stenoses. 2.Multiple small T2-hyperintense nodules in the dorsal subcutaneous tissues are nonspecific but may represent small neurofibromas. There is no definite plexiform neurofibroma.