What is the diagnosis for a multicystic mass in the sella on MRI with a thin enhancing septation?
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- Diagnosis Consideration: A multicystic mass in the sella with a thin enhancing septation is suggestive of a Rathke cleft cyst or a cystic pituitary adenoma.
- Imaging Characteristics:
- Rathke cleft cysts typically present as well-defined cystic lesions with thin walls and may show minimal enhancement.
- Cystic pituitary adenomas can also appear multicystic and may have enhancing septations.
- Clinical Correlation: Evaluate for symptoms such as headaches, visual field defects, or hormonal imbalances to aid in diagnosis.
Clinical Bottom Line: Further imaging and clinical correlation are essential to differentiate between these entities, as management may vary based on the definitive diagnosis.