Head & Neck Cases

Clinical History 46-year-old female patient with the chief complaint of headache.   Imaging Findings CT Findings (Paranasal Sinus): Well-defined area in the sphenoid sinus. Contains fat density foci and small punctate calcifications. No aeration in this region; the rest of the sinus is patent. No bone expansion, cortical thinning, or destruction.   MR Findings: T1: Central iso- to mildly hyperintense, consistent with fat content. T2: Central iso- to mildly hyperintense, with

Clinical History : 15-year-old female presented with mild sensory changes on the right side of the face and intermittent dizziness. Radiological Findings:   MRI: Right CPA lesion approximately 20 mm. T1: Hypointense T2: Hyperintense Contrast-enhanced: No enhancement DWI: Restricted diffusion Diagnosis:   Epidermoid cyst (confirmed by pathological examination) Teaching Points:   * Epidermoid cysts contain keratin and slowly desquamating cellular debris; this dense, viscous con