CASE HISTORY/CLINIC:
5 years old Patient with bilateral hemianopsia.


FINDINGS
:
The coronary view shows a homogeneously circumscribed fluid-isointense intra- and suprasellar
mass lesion, which compresses and displaces the optic chiasma upwards.
The postcontrast sagittal T1-w shows a narrow peripheral rim contrast enhancement.
The CCT (bony window) shows a shelled calcification of the mass lesion (50-70% of the cases).
The pituitary stalk is not well circumscribed.



DIAGNOSIS:
Predominantly calcified peripheral cystic Craniopharyngeoma.


DIFFERENTIAL DIAGNOSIS:
Pituitary adenoma (not calcified)



web resources:

1) Medicine worldwide
2) Academicus
3) ACR Learning file
4) Scottish Radiology Society






FINDINGS



DIAGNOSIS

DIFFERENTIAL DIAGNOSIS