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Thornwaldt cyst

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Incidental finding in the pharynx.

Patient Data

Age: 55-year-old
Gender: Male

CT Brain (selected images)

ct

Midline cyst in the nasopharyngeal mucosal space. 

MRI Brain (selected images)

mri

Midline cyst in the nasopharyngeal mucosal space. No restricted diffusion, no contrast enhancement. 

Case Discussion

Thornwaldt cyst represents an incidental benign finding. The main differential would be an adenoidal hyperplasia that can be differentiated for being soft tissue high T2 signal. 

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