60 year old female headache

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60 year old female headache

Discussion

• Findings

— Partially calcified cystic lesion
— Midline posterior nasopharynx
— Located between longus coli muscles

• Differential

— Tornwaldt cyst
— Adenoid hyperplasia
— Retention cyst
— Nasopharyngeal carcinoma

Tornwaldt cyst

Benign cyst of notochord remnant

  • Variable protein content->intermediate to
    • high T1 signal
    • High T2 signal
  • Located between longus coli muscles in midline
  • May demonstrate rim enhancemen

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