Neck pain, history of NF type I. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology. No discrete masses within the spinal canal or neural foramina are appreciated within the limits of noncontrast study. There is developmental narrowing of the cervical spinal canal, particularly from C2-C3 to the C4-C5 levels. There is otherwise no significant spinal canal and neural foraminal stenosis. No significant disc bulge or herniation. There is a mildly T2/STIR hyperintense fusiform lesion in the retropharyngeal space along the ventral aspect of the prevertebral muscles on the right measuring up to 6 x 21 mm in the AP and transverse dimension and 3 cm in the craniocaudal dimension.
1. No discrete masses within the spinal canal or neural foramina are appreciated within the limits of noncontrast imaging.2. Fusiform lesion in the retropharyngeal space on the right at the C2 level is suspected to represent a neurofibroma. Postcontrast imaging can be considered for confirmation.3. Development of narrowing of the cervical spinal canal.