A two-year-old female patient presented with a one-month history of diffuse headache, lethargy, and a decline in her gen eral health status. Magnetic resonance imaging (MRI) of the skull showed a suprasellar, lobulated, heterogeneous, expansile lesion, with a signal that was predominantly isointense in T1-weighted sequences and hypointense in T2-weighted sequences, with no restricted diffusion and with intense contrast enhance ment, with or without areas of annular uptake, as well as signifi cant ectasia of the lateral ventricles, probably due to obstruction of the third ventricle (Figure 1). Computed tomography of the thorax and abdomen showed no alterations. A histopathological study showed a granulomatous chronic inflammatory process with caseous necrosis, and acid-fast bacilli were identified, con firming the diagnosis of suprasellar tuberculosis.Recent studies in the radiology literature of B.
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