Rathke cleft cyst - suprasellar

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Chronic headaches.

Patient Data

Age: 25 years
Gender: Female

Small T1 high signal mass on the superior surface of the anterior pituitary contacting the distal infundibulum. The lesion is high T2 signal with a low T2 signal nodule, and demonstrates peripheral enhancement. The nodule contacts the undersurface of the optic chiasm and post chiasmatic right optic nerve. Remainder of the pituitary is unremarkable.

Case Discussion

This was an incidental finding on a work-up for headaches. The suprasellar location is less common but the imaging findings are typical for Rathke cleft cyst.

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