If the lesion appears similar to the intensity of CSF in DWI---The lesion is arachnoid cyst.
If the lesion appears more brighter than CSF in DWI---The lesion is epidermoid cyst.
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A Epidermoid cyst in prepontine cistern with typical restricted diffusion, rules out Arachnoid cyst. |
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Arachnoid on diffusion W.I. |
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On MRI;
Arachnoid cysts have typical imaging findings as in these cases seen as a sharply demarcated cyst.
Extra axial, does not communicate with ventricular system.
Isointense to Csf on all pulse sequences.
Complete suppression of fluid signal on FLAIR.
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