NF1: hands lock at times and can't grasp things. Cervical Spine: There is apparent mild thickening of multiple cervical nerve roots traversing the neural foramina. There is otherwise not mass effect upon the spinal cord or abnormal spinal cord signal. There are multiple subcentimeter T2 hyperintense nodules in the skin and subcutaneous tissues of the neck. 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. There are partially imaged T2 hyperintense lesion in the cerebellum.Lumbar Spine: There is an unchanged fusiform lesion within the right L3-4 neural foramen with a targetoid appearance that measures up to 10 mm in width. There is also an unchanged fusiform lesion in the T12-L2 neural foramen that measures up to 8 mm in width. In addition, there appears to be enlargement of multiple sacral neural foramina. There are numerous T2 hyperintense nodules in the thoracic and lumbar paraspinous muscles, psoas muscles and subcutaneous fat. 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 mild facet hypertrophy in the lower lumbar spine, but no significant spinal canal stenosis. The spinal cord displays normal signal and morphology.
1. Apparent mild thickening of multiple cervical nerve roots traversing the neural foramina, as well as mild enlargement of multiple sacral nerve roots, are compatible with stigmata of NF1. 2. Unchanged neurofibroma in the right L3-L4 and left T12-L1 neural foramina. 3. Numerous neurofibromas in the cervical and lumbar paraspinous muscles, subcutaneous tissues, and skin. 4. Partially imaged T2 hyperintense lesion in the cerebellum are compatible with stigmata of NF1, but are better depicted on the prior brain MRI. 