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Radiology Case of the Week: Nasal and Intracranial Dermoid. 3/18/2013
This case derived from Thapa/Weinberger: Pediatric Imaging A Teaching File
View Case PDF: click here
View Case PDF: click here
Case Title: Nasal and Intracranial Dermoids
Author(s): Paritosh C. Khanna, MD
Clinical History: 20-month-old-male with nasal mass.
Findings: Sagittal T1-weighted post-contrast fat-suppressed (A) and T2-weighted (B) MRI images demonstrate midline, well-circumscribed T1 fat-suppressed hypointense and T2-isointense masses at the nasal tip and in the midline of the anterior cranial fossa (arrows). Sagittal T1 non-fat-suppressed images (not shown) demonstrated hyperintense signal within these masses. Axial CT bone window image (C) demonstrates a “split” or “bifid” crista galli posteriorly (white arrow) and a large foramen cecum anteriorly (black arrow).
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