Magnetic resonance imaging (MRI) of an NF2 patient with numerous
intracranial and peripheral schwannomas. Coronal post-contrast T1-weighted
sequences show bilateral vestibular (CNVIII) schwannomas (arrowheads) confirming
the diagnosis of NF2, as well as bilateral trigeminal (CNV) nerve masses (large
arrows), bilateral cervical nerve root masses (small arrows), and a
post-auricular mass (asterisk) consistent with schwannomas (a). This patient
also developed oculomotor (CNIII) schwannomas (b, arrowhead), and a small left
trochlear nerve (CNIV) schwannoma (c, arrowhead). Whole body inversion recovery
(IR) sequences showed large plexiform masses in the bilateral brachial plexus
(d, arrowheads), and right sacral plexus (e, arrowhead). Axial slices of the
latter mass demonstrate the multi-nodular plexiform architecture of the lesion
(f, arrowhead). Schwannomas may also arise in unusual locations, as illustrated
by a cutaneous lesion in the scalp (g, arrowhead), intramuscular lesion in the
right iliopsoas muscle (h), and a diffusely infiltrative lesion in the right
Achilles tendon (i, arrowhead) in this patient.