Please click to enlarge.
Note what signs you see.
I (W. Wertelecki, M.D.) see multiple cutaneous small lightly pigmented and occasionally dark melanic nevi smaller than café-au-lait spots. On the upper end of the illustration is a tumor, apparently subcutaneous with no evidence of overlaying skin changes, which probably is a neurofibroma.
PERSPECTIVE: Neurofibromatosis (NF1) is a very protean (multi-faceted) highly variable disorder. More concerning NF1 is given in various pages and galleries presented by CEO.