Rathke cleft cyst

Case contributed by Mohamed Saber
Diagnosis almost certain

Presentation

Frontal headache and blurring of vision

Patient Data

Age: 35 years
Gender: Male
mri
This study is a stack
Coronal
T1
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T1
This study is a stack
Coronal
T1 C+
This study is a stack
Sagittal
T1 C+
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Info

A well-defined sellar cystic lesion exhibits high signal intensity on T1 and intermediate signal in T2 with an intracystic hypointense nodule. It shows no enhancement in the post-contrast study apart from minimal marginal enhancement. 

Case Discussion

Here is a case of Rathke cleft cyst with an intracystic nodule of low signal in T2 WI that is virtually pathognomonic. This patient has been under MRI follow up for 5 years with no detectable changes of this lesion

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