Plexiform neurofibromatosis

Case contributed by Ashesh Ishwarlal Ranchod
Diagnosis almost certain

Presentation

Multiple, painless, lower limb, soft tissue masses.

Patient Data

Age: 30 years
Gender: Female
mri
This study is a stack
Sagittal
PD
This study is a stack
Sagittal
PD fat sat
This study is a stack
Coronal PD
fat sat
This study is a stack
Coronal
STIR
This study is a stack
Axial
T2
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Info

There are multiple, bilateral, lower limb, subcutaneous, and infiltrative lesions with a typical T2 high signal intensity and target sign.

Case Discussion

A new presentation of bilateral, generalized, lower limb painless soft tissue masses. There is no background history of known neurofibromatosis type I (NF1). The appearance of the limited imaging is pathognomonic of plexiform neurofibromata and NF1 and further imaging and clinical workup were recommended to the patient.

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