This case demonstrates a late presentation of craniopharyngioma with loss of vision due to its mass effects on the optic chiasma/tracts.

Editors note:

Unfortunately, additional diagnostic information is not available and it is uncertain whether this represents an adamantinomatous craniopharyngioma or papillary craniopharyngioma. Given baseline frequency and the dominant cystic component with intermediate-high T1 signal this most likely represents an adamantinomatous craniopharyngioma.