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Radiology General 2dcd8641

Which of the following is used to differentiate between the arachnoid cyst and epidermoid cyst –

A
FLAIR
B
T1 weighted MRI
C
Smooth margin
D
Contrast enhancement
High-Yield Explanation
On MRI, diagnostic confusion occasionally arises between arachnoid cysts and epidermoid cysts. The two masses may have similar characteristics on T1-weighted and T2-weighted images, and neither shows enhancement with gadolinium. However, arachnoid cysts follow CSF signals on all sequences, in particular on FLAIR sequence, in contradistinction to the epidermoid cyst. Diffusion-weighted images (DWIs) allow easier differentiation of the two masses.

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