History of neurofibromatosis type I with plexiform neurofibromas at L2-L3, evaluate thoracic spine. There is a small (approximately 1 cm) T2 hyperintense enhancing nodule between the anterior and middle scalene muscles at C7-T1 likely arising from a component of the brachial plexus and compatible with a neurofibroma. There is questionable thickening of the bilateral foraminal nerve roots at C7-T1 and T1-T2 which could represent additional neurofibromas or simply prominent vascularity. Additional small scattered nodules in the lower neck could represent lymph nodes or small neurofibromas.The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology.
1.Findings compatible with a small neurofibroma in the right cervical paraspinal musculature. 2.Additional possible small neurofibromas versus lymph nodes in the low neck.3.Questionable neurofibromas arising from the foraminal nerve roots at C7-T1 and T1-T2.4.No other obvious abnormalities.