Colloid cyst

Discussion:

This case demonstrates typical appearances of a colloid cyst

This case elegantly illustrates two potential traps of interpreting MRI signal intensities:

  1. just because a cystic structure appears to have CSF signal on FLAIR does not mean that this is true - in this case the content is very T2 hypointense
  2. density of MRI is relative, not absolute (unlike CT) and thus care should be taken when interpreting post contrast sequences - note how in this case the center of the cyst appears less bright than pre-contrast
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