In 1967, Watson described 3 families with an autosomal dominant condit
ion characterized by pulmonary valvular stenosis, cafe-au-lait spots,
and short stature. Presumed hamartomatous lesions have been observed i
n neurofibromatosis type I, but they were not reported to date in Wats
on syndrome. We report another family with Watson syndrome, in which 1
patient manifested increased intensity T-2-weighted lesions on magnet
ic resonance imaging similar to those occurring in neurofibromatosis t
ype I and possibly hamartomas. This finding demonstrates the overlap b
etween neurofibromatosis type I and Watson syndrome and supports the h
ypothesis that those conditions are allelic or, less likely, that the
gene that determines the Watson phenotype is very closely linked to th
e neurofibromatosis type I locus.