 Enhancing nodules with adjacent cystic components are again seen from C7 to T2 as described on MRI cervical spine study from 6/1/2016 and are not appreciably changed since prior study from 5/31/2015.There is an additional 2 x 3 mm nodule involving the left ventral aspect of the cord at the T5 level which is not appreciably changed. T2 signal abnormality at the left ventral T5 level appears stable to minimally more prominent. 2 mm nodule involving the ventral T6-T7 level is also unchanged. A larger lesion more inferiorly at the right T11-T12 level is slightly larger measuring 8 x 10 mm previously 7 x 7 mm. There is an additional enhancing nodule at the left dorsal T12-L1 level measuring up to 5 mm in the craniocaudal dimensions and unchanged. Extent of T2 signal abnormality and syrinx in the lower thoracic cord is not significantly changed and extends from the T10 to the upper L1 levels. Evidence of prior resection of lower thoracic lesions again seen.Vertebral body heights and alignment in the thoracic spine are maintained. No spinal canal or neural foraminal stenosis is evident. LUMBAR SPINE
Multiple hemangioblastomas consistent with known diagnosis of VHL. Multiple lesions involving the cervicothoracic junction, at the T5 level, at the T6-T7 level, and left dorsal T12-L1 level are not appreciably changed since 5/31/2015. A lesion involving the right T11-T12 level is larger measuring 8 x 10 mm, previously 7 x 7 mm.