Female, 39 years old, with neurofibromatosis type II, brainstem tumor, vestibular schwannoma, presenting with pain. Evaluate for schwannomas or other tumors. Cervical:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow edema or enhancement is seen. The spinal cord shows normal signal intensity and is free of pathologic enhancement. Furthermore, no intraspinal or paraspinal enhancing lesions are seen. No foraminal remodeling is detected to suggest the presence of tumor. Minimal degenerative disc disease is seen without significant compromise of the spinal canal or foraminal. Scattered small lymph nodes are evident on both sides of the neck. The patient's known left vestibular schwannoma is partially visualized.Thoracic:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow edema or enhancement is seen. The spinal cord shows normal signal intensity and is free of pathologic enhancement. No intraspinal or paraspinal enhancing lesions are seen. No foraminal remodeling is seen. The intervertebral discs are preserved with no evidence of spinal canal or foraminal compromise.Lumbar:Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of pathologic marrow edema or enhancement is seen. The spinal cord, conus and nerve roots of the cauda equina show normal signal intensity and are free of pathologic enhancement. No intraspinal or paraspinal enhancing lesions are seen. Tarlov cysts are present in the sacral region which do cause widening of the foramina. The intervertebral discs are preserved. No significant spinal canal or foraminal stenosis is suspected. Mild facet arthropathy is seen at lower lumbar levels.
No evidence of any intraspinal, foraminal or paraspinal tumors.