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Rathke's cleft cyst and arachnoid cyst of the sella are rare lesions and are seen as incidental
findings. The former is a remnant of the primitive stomodeum. The latter is formed due to maldevelopment of
the meninges. They are usually hypointense on T1W, but can have a variable signal as in the following case, due
to the difference in content.
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Hyperintense on T1W & T2W involving the suprasellar cistern, pushing on the gland from above.
Chordoma is a destructive tumor which, while being benign, is still locally invasive. It appears
hyperintense on T2, isointense on T1 and enhances with Gadolinium.
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Hyperintense on T2W, enhancing with contrast, involving clivus and
sella.
Craniopharyngioma
arises from squamous cells along the Rathke's cleft. It is a circumscribed cyst
with a mural nodule. The usual signal on MRI is hyperintensity on T1 and hyperintensity on T2W.
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Large lesion expanding the sella, not seen separately from gland, hyperintense on T1W and T2W
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