Reason: any paraspinal neurofibromas/ History: man with NF1 who is dropping things and having some change in gait CERVICAL SPINE:Minimal leftward curvature, otherwise alignment is anatomic. Mildly heterogeneous marrow signal, overall not worrisome. Multilevel disc desiccation without significant disc space loss. No abnormal signal within the cord.C2-C3: No spinal or neuroforaminal stenosis.C3-C4: No spinal or neuroforaminal stenosis.C4-C5: Small disc osteophyte complex without spinal or neuroforaminal stenosis.C5-C6: Small disc osteophyte complex without spinal or neuroforaminal stenosis.C7-T1: No spinal or neuroforaminal stenosis.Multiple cutaneous nodules likely represent neurofibromas given history. There is symmetric bilateral multilevel prominent cervical nerve roots within the neural foraminal or just beyond which may be within normal limits. No definite neurofibromas within the cervical spine or deep tissues of the neck.LUMBAR SPINE:There is severe levoscoliosis between L1 and L3 with mild dextroscoliosis of the lower thoracic and upper lumbar spine. There is approximately 1.2 cm of leftward subluxation of L3 relative to L2. No abnormal marrow signal. Multilevel disc desiccation with severe disc space loss at L1-L2 and L2-L3. There is anterior wedging of the L2 vertebral body. No abnormal signal within the cord or conus which ends at approximately L1-L2.T12-L1: Bilateral facet arthropathy. No spinal canal stenosis. No neural foraminal stenosis.L1-L2: Bilateral facet arthropathy. No spinal canal stenosis. No neuroforaminal stenosis.L2-L3: Bilateral facet arthropathy. No spinal canal stenosis. Mild right neuroforaminal stenosis.L3-L4: Bilateral facet arthropathy. No spinal canal stenosis.T2 bright lesion in the left neuroforaminal is suspicious for a neurofibroma. Moderate right neural foraminal stenosis.L4-L5:Bilateral facet arthropathy. No spinal canal stenosis. Mild-to-moderate right neural foraminal stenosis. T2 bright lesion in the right neuroforaminal is suspicious for a neurofibroma. Moderate left neuroforaminal stenosis.L5-S1: Bilateral facet arthropathy. No spinal canal stenosis. Left extraforaminal T2 bright lesion is suspicious for a neurofibroma. Right extraforaminal T2 bright lesion is suspicious for a neurofibroma. Moderate left and mild right neuroforaminal stenosis.Multiple cutaneous nodules are evident and likely represent neurofibromas. Multiple sacral nerve roots are thickened with intermediate T2 signal, likely representing neurofibromas.
1.Multiple lesions involving the lower lumbar spine and sacral nerve roots are suspicious for neurofibromas.2.Prominent nerve roots in the cervical spine may be within normal limits for age. No definite cervical neurofibromas.3.Severe scoliosis of the lower lumbar spine with multilevel spondylosis.4.Numerous cutaneous neurofibromas.