Female, 55 years old, with right hand pain. Evaluate for neurofibromas. The cervical lordosis is slightly reversed which may be positional. Sagittal alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or abnormal marrow enhancement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No pathologic cord enhancement is detected. However, thickening and enhancement of the extraforaminal nerve roots is seen at multiple levels, most conspicuously from C5-6 through T1-T2 bilaterally. Innumerable cutaneous and subcutaneous nodules are also seen. Small enhancing nodules are evident within the paraspinal fat just above the lung apices.C2-3: Minimal posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. C3-4: Posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. C4-5: Posterior disc-osteophyte complex formation. No spinal canal or foraminal stenosis. C5-6: Posterior disc-osteophyte complex formation. No spinal canal stenosis. Mild right foraminal narrowing. C6-7: Posterior disc-osteophyte complex formation with a small right paracentral protrusion. No spinal canal stenosis. Mild left foraminal narrowing. C7-T1: Left uncovertebral hypertrophy. No spinal canal stenosis. Mild left foraminal narrowing.
1.Extraforaminal nerve root thickening and enhancement is seen bilaterally at lower cervical and upper thoracic levels suggestive of multiple neurofibromas.2.Numerous additional cutaneous, subcutaneous and deep space nodules are seen compatible with neurofibromas.3.No high-grade spinal canal or neuroforaminal compromise.