Many methods exist to detect RNA modifications by short-read sequencing, relying on either antibody enrichment of transcripts bearing modified bases or mutational profiling approaches which require conversion to cDNA. Endogenous modifications are present on several major classes of RNA including tRNA, rRNA and mRNA and can modulate diverse biological processes such as genetic recoding, mRNA export and RNA folding. In addition, exogenous modifications can be introduced to RNA molecules to reveal RNA structure and dynamics. Limitations on read length and library size inherent in short-read-based methods dissociate modifications from their native context, preventing single molecule analysis and modification phasing. Here we demonstrate direct RNA nanopore sequencing to detect endogenous and exogenous RNA modifications over long sequence distance at the single molecule level. We demonstrate comprehensive detection of endogenous modifications in E. coli and S. cerevisiae ribosomal RNA (rRNA) using current signal deviations. Notably 2'-O-methyl (Nm) modifications generated a discernible shift in current signal and event level dwell times. We show that dwell times are mediated by the RNA motor protein which sits atop the nanopore. Further, we characterize a recently described small adduct-generating 2'-O-acylation reagent, acetylimidazole (AcIm) for exogenously labeling flexible nucleotides in RNA. Finally, we demonstrate the utility of AcIm for single molecule RNA structural probing using nanopore sequencing.2'-O-methylation (Nm) (methylation of the 2' position of the ribose sugar), is found most prominently in the 5' cap of mRNA (m 7 GpppNmNm) in eukaryotes and in ribosomal RNAs (rRNA).Recently, Nm modifications have also been detected within coding regions of mRNA (6) and have been demonstrated to have roles in tuning cognate tRNA selection during translation, thereby adjusting protein synthesis dynamics.(7) Pseudouridine ( ), often referred to as the fifth base due to its widespread inclusion in diverse classes of RNA, is generated by isomerization of uracil, thereby expanding hydrogen bonding and base pairing capabilities while also increasing base stacking propensity.(8, 9) The absence or reduction of RNA modifications has been shown to play a role in a variety of diseases including cancer (m 6 A), heart disease (m 6 A) (10), Treacher Collins syndrome (Nm) (11) and dyskeratosis congenita ( ).(12) Comprehensive detection and localization of RNA modifications within their native context would improve our understanding of RNA modification function and regulation, in addition to elucidating their role in disease. A variety of methods exist for detection of specific RNA modifications, including pulldown of RNA using antibodies (immunoprecipitation) that specifically recognize modifications (e.g. m 6 A, 5mC) (e.g. MeRIP-seq, miCLIP).(13, 14) While immunoprecipitation based approaches can be applied transcriptome-wide, they only interrogate one modification at a time, do not give nucleotide resolution and are limited by ...