Patient with one and known tumor and neck with extension towards shoulders and into the skull. Please evaluate extent of plexiform neurofibromas and neck down to level of brachial plexus. There is normal signal intensity and caliber of cervical cord. Kyphotic deformity of cervical spine with congenital dysplastic appearance of the upper cervical vertebral bodies again seen. Postoperative changes are again noted extending from C2 to C5 levels. There is revisualization of mild central spinal stenosis at these levels similar to prior exam.Compared to 8/25/2014 and 3/3/2014, again seen are multiple bilateral neurofibromas within the neural foramina of the upper cervical spine with resultant enlargement of the foraminal appear identical to prior study. There is no detectable mass effect on the cord or compromise of the spinal canal. Multiple (right larger than left) neurofibromas within the soft tissues of neck including bilateral retropharyngeal spaces and along the right brachial plexus demonstrates similar signal intensity, overall morphology and size since prior studies as well. The largest lesion in the right measuring 18 x 24-mm appears identical to prior exam. The largest right-sided retropharyngeal space lesion measuring 10 x 32 mm also demonstrate no significant change since prior exam.Similar appearance of dural ectasia/multiple meningoceles in the upper thoracic spine. Unchanged flattening of the thoracic cord and rightward displacement. Similar appearance of lesions in the right supraclavicular fossa and right upper chest wall. Similar appearance of lesions in the intercostal spaces.
1.Compared to MRI studies from 8/25/2014 and 3/3/2014, there is no appreciable change in findings of neurofibromatosis including multiple neurofibromas involving the bilateral retropharyngeal space, bilateral upper cervical neural foramina, and along the brachial plexus, larger on the right than the left. Also unchanged kyphotic deformity and mild central spinal stenosis of upper cervical spine. Normal signal intensity and caliber of the cervical cord.2.Similar appearance of dural ectasia/multiple meningoceles in the upper thoracic spine. No appreciable change in appearance of lesions in the right supraclavicular fossa and right upper chest wall. No appreciable change in lesions in the intercostal spaces. Neurofibromas involving the posterior scalp, right larger than left, and right temple are partially imaged.