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Rathke's cleft cyst

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  • 30-year-old patient had imaging after a road traffic accident.
  • An incidental sellar-suprasellar lesion that was T1 hyperintense and T2-hypointense was consistent with a Rathke's cleft cyst.
  • Other than fluctuting changes in internal signal intensity, the lesion had not changed in over a 5 year period.
  • Despite mass effect on the chiasm, there has been no visual impairment.