FINDINGS Figure 303-1. Sagittal non-contrast T1WI. There is a broad-based isointense mass (arrow) in the region of the tuber cinereum. Figure 303-2. Coronal non-contrast T1WI in the same patient shows that the mass has exactly the same signal as the gray matter (GM) (arrow). Figure 303-3. Axial T2WI in a companion case. There is a mass within the suprasellar cistern of heterogeneous intensity containing some central hyperintensities (arrows). Figure 303-4. Sagittal post-contrast T1WI shows the extent of the nonenhancing mass (arrow).
DIFFERENTIAL DIAGNOSIS Hypothalamic-chiasmatic glioma, craniopharyngioma, germinoma, and Langerhans cell histiocytosis, hamartoma of tuber cinereum.
DIAGNOSIS Hamartoma of tuber cinereum (HTC).
DISCUSSION