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Case #25

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Demographics: 64 years old, Female
Indication: Headache

Case #25

Findings

CT

MRI

  • T1/T2/FLAIR isointense, diffusely enhancing suprasellar mass measuring 1.8 x 1.4 x 1.7 cm
  • Predominantly peripheral corresponding susceptibility artifact corresponding with calcification seen on CT
  • The mass is centered on the pituitary stalk and is seen separate from the pituitary gland
  • The mass contacts the optic tracts and posterior aspect of the optic chiasm

Annotated Images & Illustrations

Calcified suprasellar mass (red arrow).

Calcified suprasellar mass (red arrow).

Diffuse corresponding enhancement (red arrow). The mass contacts the posterior aspect of the optic chiasm (yellow arrow).

Diffuse corresponding enhancement (red arrow). The mass contacts the posterior aspect of the optic chiasm (yellow arrow).

Diagnosis

Papillary craniopharyngioma

Differential Diagnosis

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Pearls

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References

  • Lee IH, Zan E, Bell WR, Burger PC, Sung H, Yousem DM. Craniopharyngiomas: radiological differentiation of two types. J Korean Neurosurg Soc 2016; 59(5): 466-470.

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