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Craniopharyngioma: T1W sagittal MRI shows a large complex suprasellar cystic mass with a fluid level. Craniopharyngioma: T1W sagittal MRI shows a large complex suprasellar cystic mass with a fluid level. Note the T1 hypointense diaphragma separates the pituitary gland from a suprasellar mass. The pituitary fossa is normal in size. There is a high signal posterior pituitary. The mass compresses the optic chiasm and distorts the hypothalamus. It is likely that the very high T1 signal material is cholesterol floating on proteinaceous fluid. Shelley Renowden Pract Neurol 2015;15:26-41 ©2015 by BMJ Publishing Group Ltd
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