CASE 35

ANSWER: Craniopharyngioma.


Figure 1. The lateral film of his sella turcica shows enlargement of the sella
and erosion of the dorsum sellae. Note flocculent intrasellar and suprasellar
calcifications.



Figure 2. Noncontrast CT scans of his brain show a slightly hyperdense mass
in the sellar and suprasellar region. Note flocculent calcification (red arrow), and
dilatation of the lateral ventricles and third ventricle.




Figure 3. MRI scans of his brain show a mass with both solid and cystic components.
The solid component, in the sella turcica, has calcification (red arrow), which appears
hypointense on axial T2WI. The cystic component, in the suprasellar region, is
hyperintense both on the T1WI and T2WI. The solid component is enhanced in the
postcontrast image. Note dilatation of the lateral ventricles.





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