Neuroradiology board review. This lecture is geared towards the ABR core exam for residents, but it would be useful for review for the ABR certifying exam or certificate of added qualification (CAQ) exam for neuroradiology.
This case shows a suprasellar mixed solid and cystic mass. There is relative preservation of the normal pituitary, which makes adenoma less likely. There is mass effect on the optic chiasm, which probably accounts for the patients visual symptoms.
The diagnosis is: craniopharyngioma. T