Intradiploic epidermoid

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  • An incidental lesion in the left occipital lobe had a narrow zone of transition on CT, low values on ADC and did not enhance on post-gadolinium imaging.

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  • 50-year-old patient with neck pain had a lesion identified on a plain radiograph.
  • A large lesion centred on the left occiptial bone projected into the posterior fossa. The smooth margins, "dirty" FLAIR signal, and diffusion-restriction are indicate an epidermoid cyst.