CincyKidsRad

Cincinnati Children's Radiology

Craniopharyngioma

Axial (image 1) and coronal (image 2) CT shows a mixed cystic and solid suprasellar mass (arrows). Axial T2 (image 3), FLAIR (image 4), and T1 postcontrast (image 5) highlight the cystic and solid nature of the mass as well as its predominantly suprasellar location. Aadamantinomatous craniopharyngiomas have a lobulated contour caused by multiple cystic lesions. While solid components are often present, they represent only a small portion of the mass. Calcifications are common. Papillary craniopharyngiomas are the second type of craniopharyngioma. These tumors are usually more spherical or oval in shape and solid in composition.