Case 40
Clinical Presentation
A 40-year-old woman with severe headache and blurry vision.
Further Work-up
(A) Axial computed tomography scan of the brain shows irregular calcifications in the supraclinoid region (arrow). (B) On axial T2-weighted image (WI), the lesion has a multiloculated appearance. Note the dark posterior rim arising from calcification (arrow). (C) Sagittal T1WI shows sellar and suprasellar components of the mass, which is heterogeneous in signal (arrow). (D) Sagittal T1WI after gadolinium injection shows enhancement in the solid areas of the tumor (arrow) and nonenhancing cystic areas.
Differential Diagnosis
• Craniopharyngioma:
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