Male, 39 years old, with neurofibromatosis type I and subcutaneous tumors. Please evaluate the subcutaneous tumor at the base of the skull below occiput. No large mass is evident in the suboccipital soft tissues of the upper neck. There are, however, several small nodules within the suboccipital subcutaneous tissues, including one just to the left midline which measures 10 x 5 mm. Mild artifact is seen in the soft tissues in this general area likely represented prior surgery.Thickening and nodularity along the left hard palate is redemonstrated without significant interval change. Numerous scattered small cutaneous nodules are seen in the neck and upper chest without significant change. A cluster of nodules in the left supraclavicular region is also redemonstrated without significant change.Mucosal thickening in the right maxillary sinus is redemonstrated. The aerodigestive mucosa is otherwise unremarkable. No concerning lesions of the major salivary glands or thyroid are seen.
1.No large lesions are seen in the suboccipital soft tissues of the upper neck. A few scattered small subcutaneous nodules potentially representing neurofibromas are demonstrated including one just to the left of midline which measures no more than 1 cm.2.A left hard palate soft tissue nodule is unchanged. Scattered numerous small cutaneous nodules are also redemonstrated through the neck and upper chest without significant change.