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Materials and Methods: Unruptured epidermal cyst cases were analyzed according to 3 cyst size categories: large (≥4 cm), medium (≥2 to <4 cm), and small (<2 cm). MRI assessments focused on the keratinized material using low signal intensity on T2-weighted images because of intracystic diffuse foci (a sign of intracyst debris) and serpentine structures at the periphery (a sign of a peripheral lining) of cysts.

Characteristic MRI Findings of Epidermal Cysts Categorized by Size