Altered mental status, agitation and psychosis. Evaluate for meningitis or other process. The cutaneous/subcutaneous extensive nodularity, compatible with neurofibromatosis type I, has not significantly changed (or minimally increased) since April 2014.There is no significant brain abnormality. There is no abnormal brain diffusion restriction, susceptibility effect or contrast enhancement. There is also no abnormal leptomeningeal contrast enhancement. The major intracranial vessels are patent.The orbits are normal. There is no gross mass along the optic pathway but this is not optimal for orbit/optic pathway lesions. The mastoid air cells and paranasal sinuses are clear.
1.There is no brain abnormality.2.There is extensive subcutaneous and subcutaneous nodularity, compatible with neurofibromatosis type I.