Ecchordosis physaliphora

Case contributed by Chris O'Donnell
Diagnosis probable

Presentation

Right facial pain

Patient Data

Age: 60 years
Gender: Female
mri

Cystic lesion in the prepontine cistern without enhancement or restricted diffusion extending into bone. 

ct

Bony margins of the defect are smooth, and clearly non-aggressive. 

Case Discussion

Absence of enhancement or restricted diffusion together with non-aggressive bony margins in this location is typical of a retroclival ecchordosis physaliphora, a notochord remnant. 

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