Rathke cleft cyst

Case contributed by Dalia Ibrahim
Diagnosis probable

Presentation

Hormonal disturbance.

Patient Data

Age: 25 years
Gender: Female
mri
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T2
This study is a stack
Sagittal
T1
This study is a stack
Coronal
Dynamic
This study is a stack
Coronal
T1 C+
This study is a stack
Sagittal
T1 C+
This study is a stack
Coronal Subtraction
post contrast
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Info

Left suprasellar small cystic lesion. It elicits isointense signal onT1 WI and high signal onT2 WI with no significant post contrast enhancement. It's smoothly abutting the pituitary stalk medially and the pituitary gland inferiorly as well as the optic chiasm superiorly. It measures 7 x 6mm along its max TS and CC dimensions.

Radiological findings are suggestive of Rathke's cleft cyst.

Case Discussion

The case shows a small suprasellar cyst eliciting an isointense signal on T1 and high signal on T2 WI with no significant post contrast enhancement, suggestive of Rathke's cleft cyst.

During the course of a year, the lesion appeared stable on repeated follow-up MRI studies.

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