case_images: PMC11821371_01
case_images: MRI neck (sagittal view) showing a well-defined cystic lesion in the midline of the neck (white arrow) that is hyperintense on T1- and T2-weighted images. There is no evidence of communication with the thyroid gland
case_images: cureus-0017-00000077366-i01.jpg
case_images: PMC11821371_01_cureus-0017-00000077366-i01.jpg
case_images: FIG1
case_images: To further assist the diagnosis, an MRI was done, which showed a well-defined cystic lesion in the midline suprahyoid region with no evidence of communication with the thyroid gland (Figure 1).
case_images: Intraoperative image showing the anterior cyst wall (A), thick peripheral rim (B), and absent posterior wall (C). Strap muscles can be seen at the base of the swelling
case_images: cureus-0017-00000077366-i02.jpg
case_images: PMC11821371_01_cureus-0017-00000077366-i02.jpg
case_images: FIG2
case_images: The posterior wall of the cyst could not be dissected from the underlying strap muscles (Figure 2).
case_images: H&E scanner view (x 50) showing cyst wall with fibro-collagenous tissue and chronic inflammatory cells (A). The cyst wall is lined by flattened epithelium (B)
case_images: cureus-0017-00000077366-i03.jpg
case_images: PMC11821371_01_cureus-0017-00000077366-i03.jpg
case_images: FIG3
case_images: The final histopathological diagnosis was a benign epithelial cyst (epidermoid cyst) (Figure 3).