Axial (above left) and sagittal (below left) T1 and axial (above right) and sagittal (below right) T2 MRI without contrast of the cervical spine show a midline occipital mass which is not covered with subcutaneous fat that contains fluid centrally and which communicates via a thin tract to a protruding CSF space just below and contiguous to the cisterna magna through a discontinuity in the subcutaneous fat.